Original Research ARTICLE
Article Title: Optical Coherence Tomography in a cohort of genetically defined Hereditary Spastic Paraplegia: A brief research report
- 1Eugenio Medea (IRCCS), Italy
- 2Scientific Institute for Rehabilitation Medicine, Eugenio Medea (IRCCS), Italy
- 3ULSS2 Marca Trevigiana, Italy
- 4Neuroradiology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Italy
Introduction: In-vivo objective documentation of pathological changes in neurodegenerative disease is a major aim to possibly improve our ability to monitor disease progression and response to treatment. Temporal thinning of the retinal nerve fibre layer (RNFL) thickness shown by spectral domain optical coherence tomography (SD-OCT) has been reported in association to the complex forms in hereditary spastic paraplegia (HSP). We performed an assessment of the RNFL thickness in a group of HSP patients, including a longitudinal follow-up in a subgroup. Our aim was to measure and compare the changes and correlate them to clinical progression.
Materials & Methods: Twenty-three HSP patients were recruited and studied with the SD-OCT including papillary and macular scan by Spectralis. The clinical severity was assessed using the Spastic Paraplegia Rating Scale.
Results: Thinning of the superior, nasal and inferior quadrants bilaterally were observed compared to the normative data in both pure and complicated forms, that was frankly pathological only in a proportion of cases. Thinning correlated with age and disease duration but not with clinical severity. The longitudinal study (n=9) showed no significant change as compared to the baseline data for the period of observation (mean 10.7 months).
Conclusions: RFNL is frequently thinned in HSP with no specific recognizable pattern of quadrants involved and SPG types. The small sample size and the short follow-up time showed no clear progression. Although SD-OCT appraisal of RFNL deserves to be explored in neurodegenerative conditions, it might not be suitable for use as a biomarker in HSP as it appears not specific to this condition and can be a feature of aging.
Keywords: hereditary spastic paraplegia, Optical Coherence Tomography, biomarker, retinal nerve fibre layer, Longitudinal
Received: 07 Aug 2019;
Accepted: 28 Oct 2019.
Copyright: © 2019 VAVLA, PAPARELLA, PAPAYANNIS, PASCUZZO, GIRARDI, PELLEGRINI, CAPELLO, PROSDOCIMO and MARTINUZZI. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Prof. ANDREA MARTINUZZI, Scientific Institute for Rehabilitation Medicine, Eugenio Medea (IRCCS), Pieve di Soligo, 22037, Italy, firstname.lastname@example.org