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[Endovascular treatment for venous sinus stenosis in idiopathic intracranial hypertension].
Zhonghua Yi Xue Za Zhi. 2012 Mar 20; 92(11):748-51.ZY

Abstract

OBJECTIVE

To explore the relationship of venous sinus stenosis and idiopathic intracranial hypertension (IIH) and to discuss the efficacy and strategy of endovascular treatment.

METHODS

Balloon angioplasty and stent placement were performed in 24 IIH cases by lateral sinus stenosis. Mechanical thrombus maceration was performed before stent placing in 5 cases with suspected chronic dural sinus thrombosis. The clinical data of clinical presentations, intracranial pressure, pressure of lateral sinus, pressure gradient between distal and proximal lateral sinus stenosis, methods of treatment and therapeutic outcomes were retrospectively analyzed.

RESULTS

Intracranial pressure dropped from (314 ± 56) mm H2O of pre-operation to (197 ± 31) mm H2O of post-operation. The post-treatment pressure gradient was obviously high ((159 ± 11) mm H2O) and a reduction was found ((95 ± 11) mm H2O). Headache in 16 cases, vision in 13 and papilledema in 10 were resolved or improved. There was no other permanent procedure-related morbidity. The patients were followed up for 2 - 19 months. And no in-stent restenosis occurred.

CONCLUSION

Endovascular treatment is effective for IIH by venous sinus stenosis.

Authors+Show Affiliations

Department of Neurology, Guangdong Provincial General Hospital, Guangdong Neuroscience Institute, Guangdong Academy of Medical Sciences, Guangzhou 510080, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

chi

PubMed ID

22781354

Citation

He, Chi-zhong, et al. "[Endovascular Treatment for Venous Sinus Stenosis in Idiopathic Intracranial Hypertension]." Zhonghua Yi Xue Za Zhi, vol. 92, no. 11, 2012, pp. 748-51.
He CZ, Ji XM, Wang LJ, et al. [Endovascular treatment for venous sinus stenosis in idiopathic intracranial hypertension]. Zhonghua Yi Xue Za Zhi. 2012;92(11):748-51.
He, C. Z., Ji, X. M., Wang, L. J., Liu, X. T., Zhang, X., Wang, S., Chen, J., & Ling, F. (2012). [Endovascular treatment for venous sinus stenosis in idiopathic intracranial hypertension]. Zhonghua Yi Xue Za Zhi, 92(11), 748-51.
He CZ, et al. [Endovascular Treatment for Venous Sinus Stenosis in Idiopathic Intracranial Hypertension]. Zhonghua Yi Xue Za Zhi. 2012 Mar 20;92(11):748-51. PubMed PMID: 22781354.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Endovascular treatment for venous sinus stenosis in idiopathic intracranial hypertension]. AU - He,Chi-zhong, AU - Ji,Xun-ming, AU - Wang,Li-juan, AU - Liu,Xin-tong, AU - Zhang,Xiong, AU - Wang,Shuo, AU - Chen,Jian, AU - Ling,Feng, PY - 2012/7/12/entrez PY - 2012/7/12/pubmed PY - 2013/3/21/medline SP - 748 EP - 51 JF - Zhonghua yi xue za zhi JO - Zhonghua Yi Xue Za Zhi VL - 92 IS - 11 N2 - OBJECTIVE: To explore the relationship of venous sinus stenosis and idiopathic intracranial hypertension (IIH) and to discuss the efficacy and strategy of endovascular treatment. METHODS: Balloon angioplasty and stent placement were performed in 24 IIH cases by lateral sinus stenosis. Mechanical thrombus maceration was performed before stent placing in 5 cases with suspected chronic dural sinus thrombosis. The clinical data of clinical presentations, intracranial pressure, pressure of lateral sinus, pressure gradient between distal and proximal lateral sinus stenosis, methods of treatment and therapeutic outcomes were retrospectively analyzed. RESULTS: Intracranial pressure dropped from (314 ± 56) mm H2O of pre-operation to (197 ± 31) mm H2O of post-operation. The post-treatment pressure gradient was obviously high ((159 ± 11) mm H2O) and a reduction was found ((95 ± 11) mm H2O). Headache in 16 cases, vision in 13 and papilledema in 10 were resolved or improved. There was no other permanent procedure-related morbidity. The patients were followed up for 2 - 19 months. And no in-stent restenosis occurred. CONCLUSION: Endovascular treatment is effective for IIH by venous sinus stenosis. SN - 0376-2491 UR - https://www.unboundmedicine.com/medline/citation/22781354/[Endovascular_treatment_for_venous_sinus_stenosis_in_idiopathic_intracranial_hypertension]_ L2 - http://journal.yiigle.com/LinkIn.do?linkin_type=pubmed&issn=0376-2491&year=2012&vol=92&issue=11&fpage=748 DB - PRIME DP - Unbound Medicine ER -