Login Register Cart 0
Generic placeholder image

Current Medical Imaging

Editor-in-Chief

ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Back
Journal Home About Journal Editorial Board Journal Insight Current Issue Volumes/Issues
Subscribe
Research Article

Evaluation of Clinical Findings with MRI Venography in Patients with Idiopatic Intracranial Hypertension

Author(s): Yusuf Aksu* and Şaban Tiryaki

Volume 18, Issue 13, 2022

Published on: 01 August, 2022

Article ID: e160522204833 Pages: 6

DOI: 10.2174/1573405618666220516121352

Price: $65

Open Access Journals Promotions 2
conference banner
Abstract

Objectives: To evaluate clinical data and Magnetic Resonance Venography (MRV) findings together in patients with idiopathic intracranial hypertension (IIH).

Materials and Methods: In this retrospective study between January 2009 and February 2021, conventional MRI and MRV examinations were performed on 30 patients who were admitted to the neurology service of Erciyes University Medical Faculty with the pre-diagnosis of IIH, cerebrospinal fluid (CSF) pressure was measured in these patients to confirm the diagnosis of IIH. Transverse Sinus Stenosis Ratio (TS SR), Superior Sagittal Sinus (SSS) diameter, Sinus Rectus (SR) diameter, Stenosis Segment Length (SSL) were studied.

Results: High CSF pressure was detected in 22 of 30 patients with IIH pre-diagnosis. CSF pressure was normal in 8 cases. TS SR was compared in all groups, right TS SR 0.63 ± 0.16, Left TS SR 0.55 ± 0.16 in the patient group with IIH, right TS SR 0.55 ±0.16 in the CSF pressure normal patient group, Right TS SR 0.28 ± 0.07 Left TS SR 0.31 ± 0.07 in the control group Right TS SR It was 0.28 ± 0.09, Sol TS SR was 0.30 ± 0.07.

Conclusion: Before LP, the cranial venous system must be monitored. TS SR and CSF pressure are directly proportional. The stenosis rate is important for IIH rather than SSL.

Keywords: IIH, pseudotumor cerebri, MR Venography, CSF pressure, patient, Superior Sagittal Sinus.

Graphical Abstract

[1]
Boyter E. Idiopathic intracranial hypertension. JAAPA 2019; 32(5): 30-5.
[http://dx.doi.org/10.1097/01.JAA.0000554732.85914.91] [PMID: 30969189]
[2]
Ahmad SR, Moss HE. Update on the diagnosis and treatment of idiopathic intracranial hypertension. Semin Neurol 2019; 39(6): 682-91.
[http://dx.doi.org/10.1055/s-0039-1698744] [PMID: 31847039]
[3]
Bouffard MA. Fulminant idiopathic intracranial hypertension. Curr Neurol Neurosci Rep 2020; 20(4): 8.
[http://dx.doi.org/10.1007/s11910-020-1026-8] [PMID: 32219578]
[4]
Smith SV, Friedman DI. The idiopathic intracranial hypertension treatment trial: A review of the outcomes. Headache 2017; 57(8): 1303-10.
[http://dx.doi.org/10.1111/head.13144] [PMID: 28758206]
[5]
Cleves-Bayon C. Idiopathic intracranial hypertension in children and adolescents: An update. Headache 2018; 58(3): 485-93.
[http://dx.doi.org/10.1111/head.13236] [PMID: 29194601]
[6]
Mollan SP, Davies B, Silver NC, et al. Idiopathic intracranial hypertension: Consensus guidelines on management. J Neurol Neurosurg Psychiatry 2018; 89(10): 1088-100.
[http://dx.doi.org/10.1136/jnnp-2017-317440] [PMID: 29903905]
[7]
Surendrababu NR. Subathira, Livingstone RS. Variations in the cerebral venous anatomy and pitfallsin thediagnosis of cerebral venous sinus thrombosis: Low field MR experience. Indian J Med Sci 2006; 60(4): 135-42.
[http://dx.doi.org/10.4103/0019-5359.24677] [PMID: 16679629]
[8]
Burkett JG, Ailani J. An up to date review of pseudotumor cerebri syndrome. Curr Neurol Neurosci Rep 2018; 18(6): 33.
[http://dx.doi.org/10.1007/s11910-018-0839-1] [PMID: 29721718]
[9]
Sheldon CA, Paley GL, Beres SJ, McCormack SE, Liu GT. Pediatric pseudotumor cerebri syndrome: Diagnosis, classification, and underlying pathophysiology. Semin Pediatr Neurol 2017; 24(2): 110-5.
[http://dx.doi.org/10.1016/j.spen.2017.04.002] [PMID: 28941525]
[10]
Carvalho GB, Matas SL, Idagawa MH, et al. A new index for the assessment of transverse sinus stenosis for diagnosing idiopathic intracranial hypertension. J Neurointerv Surg 2017; 9(2): 173-7.
[http://dx.doi.org/10.1136/neurintsurg-2016-012605] [PMID: 27698231]
[11]
Buell T, Ding D, Raper D, et al. Resolution of venous pressure gradient in a patient with idiopathic intracranial hypertension after ventriculoperitoneal shunt placement: A proof of secondary cerebral sinovenous stenosis. Surg Neurol Int 2021; 12: 14.
[http://dx.doi.org/10.25259/SNI_700_2020] [PMID: 33500829]
[12]
Huang K, Xu Q, Ma Y, Zhan R, Shen J, Pan J. Cerebral venous sinus thrombosis secondary to idiopathic hypertrophic cranial pachymeningitis: Case report and review of literature. World Neurosurg 2017; 106: 1052.e13.
[http://dx.doi.org/10.1016/j.wneu.2017.07.002] [PMID: 28711538]
[13]
Lansley JA, Tucker W, Eriksen MR, Riordan-Eva P, Connor SEJ. Sigmoid sinus diverticulum, dehiscence, and venous sinus stenosis: Potential causes of pulsatile tinnitus in patients with idiopathic intracranial hypertension? AJNR Am J Neuroradiol 2017; 38(9): 1783-8.
[http://dx.doi.org/10.3174/ajnr.A5277] [PMID: 28705815]
[14]
Nicholson P, Lenck S, Kucharczyk W, Mendes-Pereira V. Dynamic nature of intracranial venous sinuses in idiopathic intracranial hypertension. Interv Neuroradiol 2020; 26(1): 118-20.
[http://dx.doi.org/10.1177/1591019919871393] [PMID: 31438747]
[15]
Al-Mufti F, Dodson V, Amuluru K, et al. Neuroendovascular cerebral sinus stenting in idiopathic intracranial hypertension. Intervent Neurol 2020; 8(2-6): 164-71.
[http://dx.doi.org/10.1159/000500051] [PMID: 32508898]
[16]
Young CC, Morton RP, Ghodke BV, Levitt MR. Retrograde 3D rotational venography (3DRV) for venous sinus stent placement in idiopathic intracranial hypertension. J Neurointerv Surg 2018; 10(8): 777-9.
[http://dx.doi.org/10.1136/neurintsurg-2017-013533] [PMID: 29175828]
[17]
Case D, Seinfeld J, Roark C, Kumpe D. Idiopathic intracranial hypertension: Contemporary management and endovascular techniques. Semin Intervent Radiol 2020; 37(2): 175-81.
[http://dx.doi.org/10.1055/s-0040-1709172] [PMID: 32419730]
[18]
Bateman GA, Bateman AR. Differences in the calculated transvenous pressure drop between chronic hydrocephalus and idiopathic intracranial hypertension. AJNR Am J Neuroradiol 2019; 40(1): 68-73.
[http://dx.doi.org/10.3174/ajnr.A5883] [PMID: 30467220]
[19]
Bateman AR, Bateman GA, Barber T. The relationship between cerebral blood flow and venous sinus pressure: Can hyperemia induce idiopathic intracranial hypertension? Fluids Barriers CNS 2021; 18(1): 5.
[http://dx.doi.org/10.1186/s12987-021-00239-2] [PMID: 33541388]
[20]
Mohamud S, Oyawusi M, Weir R, Millis RM, Dehkordi O. Case report: Ulcerative colitis with multiple dural venous thrombosis. Case Rep Neurol 2021; 13(2): 504-9.
[http://dx.doi.org/10.1159/000515155] [PMID: 34720954]
[21]
Bonatti M, Valletta R, Lombardo F, et al. Accuracy of unenhanced CT in the diagnosis of cerebral venous sinus thrombosis. Radiol Med (Torino) 2021; 126(3): 399-404.
[http://dx.doi.org/10.1007/s11547-020-01263-2] [PMID: 32833197]
[22]
Kwee RM, Kwee TC. Systematic review and meta-analysis of MRI signs for diagnosis of idiopathic intracranial hypertension. Eur J Radiol 2019; 116: 106-15.
[http://dx.doi.org/10.1016/j.ejrad.2019.04.023] [PMID: 31153551]
[23]
Hartmann AJ, Soares BP, Bruce BB, et al. Imaging features of idiopathic intracranial hypertension in children. J Child Neurol 2017; 32(1): 120-6.
[http://dx.doi.org/10.1177/0883073816671855] [PMID: 28195748]
[24]
Al-Hashel JY, Ismail II, Ibrahim M, et al. Demographics, clinical characteristics, and management of idiopathic intracranial hypertension in kuwait: A single-center experience. Front Neurol 2020; 11: 672.
[http://dx.doi.org/10.3389/fneur.2020.00672] [PMID: 32903731]
[25]
Rohr A, Bindeballe J, Riedel C, et al. The entire dural sinus tree is compressed in patients with idiopathic intracranial hypertension: A longitudinal, volumetric magnetic resonance imaging study. Neuroradiology 2012; 54(1): 25-33.
[http://dx.doi.org/10.1007/s00234-011-0850-6] [PMID: 21340576]
[26]
Maralani PJ, Hassanlou M, Torres C, et al. Accuracy of brain imaging in the diagnosis of idiopathic intracranial hypertension. Clin Radiol 2012; 67(7): 656-63.
[http://dx.doi.org/10.1016/j.crad.2011.12.002] [PMID: 22309765]
[27]
Bateman GA. Idiopathic intracranial hypertension: Priapism of the brain? Med Hypotheses 2004; 63(3): 549-52.
[http://dx.doi.org/10.1016/j.mehy.2004.03.014] [PMID: 15288385]
[28]
Gurney SP, Ramalingam S, Thomas A, Sinclair AJ, Mollan SP. Exploring the current management idiopathic intracranial hypertension, and understanding the role of dural venous sinus stenting. Eye Brain 2020; 12: 1-13.
[http://dx.doi.org/10.2147/EB.S193027] [PMID: 32021528]
[29]
Liu KC, Starke RM, Durst CR, et al. Venous sinus stenting for reduction of intracranial pressure in IIH: A prospective pilot study. J Neurosurg 2017; 127(5): 1126-33.
[http://dx.doi.org/10.3171/2016.8.JNS16879] [PMID: 28009240]

Rights & Permissions Print Cite
Article Metrics
24
3
Wayfinder Image
Open Access Journals Promotions
© 2024 Bentham Science Publishers | Privacy Policy