Idiopathic Intracranial Hypertension Clinical Trial
Official title:
D-dimer and the Use of Anticoagulation in IIH
Idiopathic intracranial hypertension (IIH) is a syndrome characterized by elevated
intracranial pressure (ICP) of unknown etiology.
The investigators aim to study the quantitative D-dimer level and the role of anticoagulant
therapy in the absence of occlusive sinus thrombosis in IIH patients.
24 patients with IIH according to the modified Dandy criteria were enrolled. Headache impact
test (HIT6), ophthalmological assessment including Frisen classification for papilledema,
visual acuity, visual field by perimetry, and visual evoked potentials were performed to the
patients.
Serum quantitative D-dimer level was measured using the enzyme-linked immunosorbent assay
(ELISA) technique for the patients and for 24 healthy matched controls.
Patients were divided into two groups: group (A) received acetazolamide and low molecular
weight heparin (LMWH) in a prophylactic dose for 2 weeks while group (B) received
acetazolamide only. Both groups continued the acetazolamide 1-2g/day for 6 months.
The investigators followed-up the patients after one and six months later through the HIT6
test and the ophthalmological assessment.
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