The role of clinical signs in the diagnosis of papilledema: development of an algorithm

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dc.authorid0000-0001-6002-052Xen_US
dc.contributor.authorTuray, Sevim
dc.contributor.authorKabakuş, Nimet
dc.contributor.authorHancı, Fatma
dc.contributor.authorUlaş, Fatih
dc.contributor.authorDilek, Mustafa
dc.contributor.authorCihan, Büşra
dc.date.accessioned2021-06-23T19:55:15Z
dc.date.available2021-06-23T19:55:15Z
dc.date.issued2021
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractPurpose The aim of this study was not only to emphasize the role of clinical signs as well as ophthalmologic evaluation for accurate and differential diagnosis of papilledema (PE), but also to present an instructive algorithm that would help to eliminate unnecessary examinations and treatments. Method The files of 43 patients (ages 0-18) diagnosed with PE were retrospectively reviewed. The study included 25 patients from our pediatric neurology outpatient clinic, who were thought to have PE, and 18 patients, who were referred from the external centers to our hospital with a pre-diagnosis of PE. Results Of the 43 patients, 28 had PE, 8 had pseudopapilledema (PPE), and 7 had optic nerve pathologies (ONP). For patients who applied directly to our pediatric neurology unit, a margin of error of 8% was detected based on only a simple ophthalmologic examination and an evaluation of clinical findings. For the patients who were forwarded to our pediatric neurology unit from the external centers without examining any clinical findings and with no details, the margin of error was 72%. Conclusion For patients with suspected PE, advanced ophthalmologic opinion is a necessary requirement before invasive radiological examinations are used. When the ophthalmologic evaluation is properly elaborated, the distinction can be made more clearly by using noninvasive methods. In order to determine the gold standard in terms of the methods used in the evaluation of patients who are not clinically diagnosed, new prospective studies with more patients should be planned.en_US
dc.identifier.doi10.1007/s00381-020-04869-z
dc.identifier.endpage605en_US
dc.identifier.issn0256-7040
dc.identifier.issn1433-0350
dc.identifier.issue2en_US
dc.identifier.pmid32839852en_US
dc.identifier.scopus2-s2.0-85089729389en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage599en_US
dc.identifier.urihttps://doi.org/10.1007/s00381-020-04869-z
dc.identifier.urihttps://hdl.handle.net/20.500.12491/10764
dc.identifier.volume37en_US
dc.identifier.wosWOS:000562327100002en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorTuray, Sevim
dc.institutionauthorKabakuş, Nimet
dc.institutionauthorHancı, Fatma
dc.institutionauthorUlaş, Fatih
dc.institutionauthorDilek, Mustafa
dc.institutionauthorCihan, Büşra
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofChilds Nervous Systemen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPapilledemaen_US
dc.subjectPseudopapilledemaen_US
dc.subjectPseudotumor Cerebrien_US
dc.subjectOptic Nerve Pathologiesen_US
dc.titleThe role of clinical signs in the diagnosis of papilledema: development of an algorithmen_US
dc.typeArticleen_US

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