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From the Departments of Neurology (Drs. Heckmann, Weber, and Neundörfer) and Ophthalmology (Drs. Jünemann and Mardin), University of Erlangen-Nuremberg, Germany.
Address correspondence and reprint requests to Dr. Josef G. Heckmann, Department of Neurology, University of Erlangen-Nuremberg, Schwabachanlage 6, 91054 Erlangen, Germany; e-mail: josef.heckmann{at}neuro.imed.uni-erlangen.de
The authors investigated 17 patients with idiopathic intracranial hypertension (IIH), correlating laser scanning tomography of the optic nerve with CSF opening pressure. The decrease in papilla volume and papilla height showed a linear correlation with the opening pressure of the CSF (r = 0.59, p < 0.001; r = 0.63, p < 0.001). If the CSF opening pressure is higher than 20 cm water, an increase of 5 cm water CSF pressure corresponds to a papilla volume increase of 0.95 mm3 as well as a papilla height increase of 0.34 mm.
Received July 30, 2003. Accepted in final form November 26, 2003.
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