Delayed relapse in pseudotumor cerebri due to new stenosis after transverse sinus stenting.

Autor: Winters HS; Department of Radiology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia., Parker G; Department of Interventional Neuroradiology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia., Halmagyi GM; Department of Neurology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia., Mehta A; Department of Ophthalmology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia., Atkins T; Department of Ophthalmology, Royal Prince Alfred Hospital, Dubbo, New South Wales, Australia.
Jazyk: angličtina
Zdroj: Journal of neurointerventional surgery [J Neurointerv Surg] 2016 Oct; Vol. 8 (10), pp. e41. Date of Electronic Publication: 2015 Sep 14.
DOI: 10.1136/neurintsurg-2015-011896.rep
Abstrakt: A patient presented with recurrent severe pseudotumor cerebri (PTC). Transverse sinus stenting is a very effective treatment option, however stenosis and intracranial hypertension can recur. In our patient, stenting initially resulted in resolution of papilloedema. However, after 5 years, a new stenosis developed which required further stenting. This case highlights the fact that, in patients with PTC who undergo transverse sinus stenting, a small proportion require repeat treatment due to formation of a new stenosis, usually adjacent to the existing stent. Patients with severe disease, such as ours, may be at higher risk of recurrence. Regardless of the severity, all patients who undergo stenting should have regular ocular follow-up.
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Databáze: MEDLINE