Stenting of the Lateral Sinus in Idiopathic Intracranial Hypertension According to the Type of Stenosis
| Autor: | Audrey Tantot, Antoine Guillonnet, Emmanuel Houdart, Anne-Laure Bernat, Valérie Touitou, Stéphanie Lenck, M.-A. Labeyrie, Isabelle Crassard, Fabrice Vallée, Jean-Pierre Saint-Maurice |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Transverse sinuses Pseudotumor cerebri 030218 nuclear medicine & medical imaging Young Adult 03 medical and health sciences 0302 clinical medicine medicine Humans Local anesthesia Papilledema Retrospective Studies Pseudotumor Cerebri Transverse Sinuses business.industry Headache Retrospective cohort study Middle Aged medicine.disease Surgery Stenosis Treatment Outcome Female Stents Neurology (clinical) Radiology Headaches medicine.symptom Acetazolamide business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Neurosurgery. 80:393-400 |
| ISSN: | 1524-4040 0148-396X |
| Popis: | Background: Over the past decade, stenting of lateral sinus stenosis has been used to treat idiopathic intracranial hypertension. Two types of stenoses have been identified: extrinsic and intrinsic. Objective: The aim of this study was to report the results of our use of this procedure to treat patients with extrinsic or intrinsic stenoses in idiopathic intracranial hypertension. Methods: We retrospectively studied clinical, radiological, and manometric data from patients with idiopathic intracranial hypertension who were treated at our institution between January 2009 and January 2015 by stenting of the lateral sinus. Results: Data were studied from 19 women and 2 men. Average body mass index was 29 kg/m 2 , and the median age at stenting was 33 years. Patients with extrinsic stenoses were younger than those with intrinsic stenoses. Transstenotic gradients measured with patients under general anesthesia were lower than those measured with patients under local anesthesia. In all cases, stenting was effective for papilledema and pulsatile tinnitus. Seventeen patients reporting headaches found that they disappeared completely after stenting. Two complications without long-term effects were reported. Conclusion: Irrespective of the type of stenosis, stenting of lateral sinus stenoses is an effective treatment for intracranial hypertension symptoms. At our institution, this treatment has replaced draining of cerebrospinal fluid when treatment with acetazolamide has proved to be ineffective. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|