Comparison of intracranial venous pressures in patients with idiopathic intracranial hypertension under awake setting or general anesthesia
10.3760/cma.j.cn115354-20200306-00151
- VernacularTitle:特发性颅内高压患者清醒和全身麻醉状态下颅内静脉压的比较研究
- Author:
Xinbin GUO
1
;
Sen WEI
;
Xiaozhen SUN
;
Xin DENG
;
Feng FAN
;
Dongdong LI
;
Zhen CHEN
;
Sheng GUAN
Author Information
1. 郑州大学第一附属医院神经介入科，郑州 450052
- Keywords:
Idiopathic intracranial hypertension;
Venous sinus;
Intracranial venous pressure;
Pressure gradient;
Stent implantation
- From:
Chinese Journal of Neuromedicine
2020;19(9):958-960
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the changes of mean venous sinus pressure (MVP) and trans-stenosis pressure gradient in patients with idiopathic intracranial hypertension (IIH) under awake setting and general anesthesia.Methods:Thirty-eight patients with IIH accepted venous sinus stent implantation in our hospital from January 2010 to January 2020 were chosen in our study; their clinical data were analyzed retrospectively. The manometry results of these 38 patients were recorded under awake setting and general anesthesia before stenting; MVP and trans-stenosis pressure gradient were obtained and compared.Results:MVP in the superior sagittal sinus, torcular, transverse sinus and sigmoid sinus showed no significant difference between patients under awake setting and general anesthesia ( P>0.05). Mean trans-stenosis pressure gradient in patients under awake setting ([22.784±7.606] mmHg) was significantly higher as compared with that in patients under general anesthesia ([18.388±8.992] mmHg, P<0.05). Conclusion:Mean trans-stenosis pressure gradient in patients under awake setting is higher as compared with that in patients under general anesthesia, and selection for venous sinus stent implantation should be decided by trans-stenosis pressure gradient in patients under awake setting.
