Which is the best peri-operative anti-coagulative therapy of transverse sinus stenting for refractory idiopathic intracranial hypertension?
10.3760/cma.j.issn.0366-6999.2012.16.029
- Author:
Qi-Yong MEI
1
;
Wen-Ze XIAO
;
Huai-Rui CHEN
;
Ru-Lin BAI
;
Ke-Hua SUN
;
Li-Jun HOU
Author Information
1. Department of Neurosurgery, Shanghai Changzheng Hospital, the Second Military Medical University, Shanghai 200003, China.
- Publication Type:Case Reports
- MeSH:
Cerebral Angiography;
Female;
Humans;
Middle Aged;
Pseudotumor Cerebri;
diagnostic imaging;
surgery;
Transverse Sinuses;
diagnostic imaging;
surgery
- From:
Chinese Medical Journal
2012;125(16):2951-2953
- CountryChina
- Language:English
-
Abstract:
Treatment of refractory idiopathic intracranial hypertension (IIH) is a challenging problem. We reported a refractory IIH patient who manifested with typical intracranial hypertensive symptoms successfully treated with endovascular stent implantation. Pre-operative cerebrospinal fluid (CSF) opening pressure is 36 cmH2O. Cerebral angiography demonstrated a stenotic lesion located at the right transverse sinus (TS). The stenotic TS returned to its normal caliber and the pressure gradient deceased from 36 mmHg to 4 mmHg after the stent placement. The intracranial hypertensive symptoms resolved and one month later, the CSF opening pressure decreased to 14 cmH2O.
