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Verfasst von:Aguilar Pérez, Marta [VerfasserIn]   i
 Bäzner, Hansjörg [VerfasserIn]   i
Titel:Endovascular treatment of idiopathic intracranial hypertension
Titelzusatz:retrospective analysis of immediate and long-term results in 51 patients
Verf.angabe:M. Aguilar-Pérez, R. Martinez-Moreno, W. Kurre, C. Wendl, H. Bäzner, O. Ganslandt, R. Unsöld, H. Henkes
E-Jahr:2017
Jahr:2 March 2017
Umfang:11 S.
Fussnoten:Gesehen am 25.09.2018
Titel Quelle:Enthalten in: Neuroradiology
Ort Quelle:Berlin : Springer, 1970
Jahr Quelle:2017
Band/Heft Quelle:59(2017), 3, Seite 277-287
ISSN Quelle:1432-1920
Abstract:Purpose: Idiopathic intracranial hypertension (IIH) is a disorder of increased intracranial pressure in the absence of any known causative factor. Sinus stenosis is common in these patients. Stenting of stenotic dural sinuses has gained popularity as a treatment option, since these stenoses may contribute to an obstruction of the venous return, and, thereby may contribute to IIH via an increase in venous sinus pressure. We evaluated the safety and efficacy of endovascular treatment in IIH with venous sinus stenosis. Methods: Fifty-one patients with IIH underwent stenting. Median age was 40 years. Clinical manifestation was headache in 74.5% of the patients and visual obscurations in 78.5%. Papilledema was present in 50/51 patients (98%), and lumbar puncture documented elevated CSF opening pressure in all but one patient (98%). Sinus stenoses were observed in all patients. Results: Endovascular treatment was successfully performed in all patients. There were no major complications encountered (i.e., live threatening or causing a deterioration of a patient’s condition equivalent to mRS 3-6). Improvement or resolution of papilledema was observed in 88% of the patients, and 84% reported improvement or resolution of the headache. Follow-up angiographies were performed in 48 patients at a median interval of 49 months and demonstrated in stent-stenosis or a de novo stenosis in 12 patients, eight of them needed re-treatment. Conclusion: Venous sinus stenting is a safe and effective alternative to other invasive treatments (e.g., optic nerve sheath fenestration, CSF diversion) in patients with IIH. The majority of patients have a persistent clinical benefit.
DOI:doi:10.1007/s00234-017-1783-5
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: http://dx.doi.org/10.1007/s00234-017-1783-5
 Volltext: https://doi.org/10.1007/s00234-017-1783-5
 DOI: https://doi.org/10.1007/s00234-017-1783-5
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Stent
 ICP
 IIH
 Pseudotumor cerebri
 Sinus stenosis
K10plus-PPN:1581277326
Verknüpfungen:→ Zeitschrift

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