Case Report: Optical Coherence Tomography, as a Non-Invasive Approach to Evaluate Intracranial Pressure in Normal Pressure Hydrocephalus Patients, as with their Treatment Follow-ups and VP Shunts Reprogramming Procedures

¹Clinical Research Development Center of Labbafinejad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

²Department of Biological Sciences, Tarbiat Modares University, Tehran, Iran

³Department of Cognitive Science Studies, Shahid Beheshti University, Tehran, Iran

⁴Department of Cognitive Modeling, Institute for Cognitive Science Studies, Tehran, Iran

⁵Molecular Biology and Genetics Department, Engineering and Natural Science Faculty, Istinye University, Istanbul, Turkey

⁶Cellular and Molecular Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

⁷TRUST/FALCON RAY Imaging (X-Ray and Visible Spectrum) Tehran, Iran

⁸Director, Department of Ophthalmology, Acacia Medical Center, Dubai, UAE

⁹Director of Neuro-Ophthalmology, San Jose Eye and Laser Medical Center, California, USA

*Corresponding author: Bita Shalbafan, Neurologist, Clinical Research Development Center of Labbafinejad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Tel: 00989161119656; Email: [email protected]; [email protected]

Received Date: December 19, 2022

Publication Date: December 31, 2022

Citation: Shalbafan B, et al. (2022). Case Report: Optical Coherence Tomography, as a Non-Invasive Approach to Evaluate Intracranial Pressure in Normal Pressure Hydrocephalus Patients, as with their Treatment Follow-ups and VP Shunts Reprogramming Procedures. Mathews J Neurol. 6(1):020.

Copyright: Shalbafan B, et al. © (2022)

INTRODUCTION

Ventriculoperitoneal Shunts are nowadays a reliable solution to control NPH symptoms and maintain patients’ quality of care by its re-programming ability [1]. However, post VP shunt implementation follow-ups are mostly consisted of clinical reviews that rely on observable signs and symptoms by neurologists Williams M, et al. (2016) [2]. In some conditions though ventricle dilation and cortical atrophy extension may address the demand for VP shut to be re-programed [3]. The presenting case outlines difficulties in evaluating the functionality of the VP shunt for an NPH patient. OCT has been therefore experienced to be a non-invasive low-cost study to assist the neurology practice to lead the patient to VP shunt re-programming, due to its possible low pressure that became authentic during its adjustment procedure.