Investigation of the Prevalence of Cerebral Transverse Venous Sinus Stenosis in Idiopathic Intracranial Hypertension
Year 2021,
Volume: 5 Issue: 3, 132 - 136, 20.09.2021
Fatma Yilmaz Can
Mehlika Panpallı Ateş
Abstract
Purpose: Idiopathic intracranial hypertension (IIH) is an increase in intracranial pressure with a normal cerebrospinal fluid (CSF) composition that is not due to a secondary cause. The existence of cerebral transverse venous sinus stenosis and changes in venous outflow in IIH has recently gotten a lot of attention, and this situation is becoming increasingly important in terms of diagnosis and treatment plan.
This study aimed to investigate how frequent cerebral transverse venous sinus stenosis is in patients with IIH.
Methods: The demographic profile of 27 patients with IIH who were followed up in the hospital's neurological headache outpatient clinic and the occurrence of cerebral transverse venous stenosis on cranial magnetic resonance venography (MRV) were studied. Considering the pre-diagnosis of cerebral venous thrombosis (SVT), patients who underwent magnetic resonance venography (MRV) and whose SVT was ruled out during their follow-up were included as the control group. This control group consisted of 48 patients diagnosed with migraine, tension-type headache (TTH), and new-onset daily persistent headache.
Results: When MRVs were investigated, cerebral transverse venous sinus stenosis was detected in %55.6 (n=15) of IIH patients and 25% (n=12) of the control group (p = 0.017).
Conclusions: The frequency of cerebral transverse sinus stenosis in MRV of patients diagnosed with IIH was found to be significantly higher in this study than in the control group. These findings indicated that cerebral transverse venous stenosis can play a role in the progression of IIH.
Supporting Institution
Yok
Thanks
This paper was not funded by anyone and the author declared that it has received no financial support. The author declares no conflict of interest related to this work.
References
- 1. Thurtell MJ. Idiopathic Intracranial Hypertension. Continuum (Minneap Minn). 2019;25(5):1289-1309. doi: 10.1212/CON.0000000000000770.
- 2. Baykan B, Ekizoğlu E, Altıokka Uzun G. An update on the pathophysiology of idiopathic intracranial hypertension alias pseudotumorcerebri. Agri. 2015;27(2):63-72. doi: 10.5505/agri.2015.22599.
- 3. Ekizoglu E, Baykan B, Orhan EK, Ertas M. The analysis of allodynia in patients with idiopathic intracranial hypertension. Cephalalgia 2012;32(14):1049-1058.
- 4. De Simone R, Ranieri A, Montella S, Friedman DI, Liu GT, Digre KB. Revised diagnostic criteria for the pseudotumorcerebri syndrome in adults and children. Neurology. 2014;82:1011-1012.
- 5. Friedman DI, Liu GT, Digre KB. Revised diagnostic criteria for the pseudotumorcerebri syndrome in adults and children. Neurology 2013;81:1159-1165.
- 6. Zur D, Anconina R, Kesler A, Lublinsky S, Toledano R, Shelef I. Quantitative imaging biomarkers for dural sinüs patterns in idiopathic intracranial hypertension. Brain Behav. 2017;7(2):e00613. doi: 10.1002/brb3.613.
- 7. Bono F, Giliberto C, Mastrandrea C, et al. Transverse sinus stenoses persist after normalization of the CSF pressure in IIH. Neurology. 2005;65(7):1090-1093. doi: 10.1212/01.wnl.0000178889.63571.e5.
- 8. Farb RI, Vanek I, Scott JN, et al. Idiopathic intracranial hypertension: the prevalence and morphology of sinovenous stenosis. Neurology. 2003;60:1418–1424.
- 9. Chan W, Neufeld A, Maxner C, Shankar J. Irreversibility of transverse venous sinüs stenosis and optic nerve edema post-lumbar puncture in idiopathic intracranial hypertension. Can J Ophthalmol. 2019;54(2):e57-e59. doi: 10.1016/j.jcjo.2018.06.023.
- 10. Horev A, Hallevy H, Plakht Y, Shorer Z, Wirguin I, Shelef I. Changes in cerebral venous sinuses diameter after lumbar puncture in idiopathic intracranial hypertension: a prospective MRI study. J Neuroimaging. 2013;23:375–378.
- 11. 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;54:25-33.
- 12. Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013;33(9):629-808. doi: 10.1177/0333102413485658.
- 13. Sinclair AJ, Ball AK, Burdon MA, et al. Exploring the pathogenesis of IIH: an inflammatory perspective. J Neuroimmunol 2008;201-2:212-220
- 14. Gideon P, Sørensen PS, Thomsen C, Ståhlberg F, Gjerris F, Henriksen O. Increased brain water self-diffusion in patients with idiopathic intracranial hypertension. AJNR Am J Neuroradiol 1995;16(2):381-387.
- 15. Morris PP, Black DF, Port J, Campeau N. Transverse Sinus Stenosis Is the Most Sensitive MR Imaging Correlate of Idiopathic Intracranial Hypertension. AJNR Am J Neuroradiol. 2017;38(3):471-477 doi: 10.3174/ajnr.A5055.
- 16. Bidot S, Bruce BB, Saindane AM, Newman NJ, Biousse V. Asymmetric papilledema in idiopathic intracranial hypertension. J Neuroophthalmol. 2015 Mar;35(1):31-36. doi: 10.1097/WNO.0000000000000205.
- 17. Bono F, Quattrone A. Clinical course of idiopathic intracranial hypertension with transverse sinüs stenosis. Neurology. 2013;81(7):695. doi: 10.1212/01.wnl.0000433838.88247.f3.
- 18. Riggeal BD, Bruce BB, Saindane AM, et al. Clinical course of idiopathic intracranial hypertension with transverse sinus stenosis. Neurology. 2013;80(3):289-95. doi: 10.1212/WNL.0b013e31827debd6.
- 19. Boddu S, Dinkin M, Suurna M, Hannsgen K, Bui X, Patsalides A. Resolution of Pulsatile Tinnitus after Venous Sinus Stenting in Patients with Idiopathic Intracranial Hypertension. PLoS One. 2016 Oct 21;11(10):e0164466. doi: 10.1371/journal.pone.0164466.
İdiyopatik İntrakraniyal Hipertansiyonda Serebral Transvers Venöz Sinüs Darlığı Sıklığının Araştırılması
Year 2021,
Volume: 5 Issue: 3, 132 - 136, 20.09.2021
Fatma Yilmaz Can
Mehlika Panpallı Ateş
References
- 1. Thurtell MJ. Idiopathic Intracranial Hypertension. Continuum (Minneap Minn). 2019;25(5):1289-1309. doi: 10.1212/CON.0000000000000770.
- 2. Baykan B, Ekizoğlu E, Altıokka Uzun G. An update on the pathophysiology of idiopathic intracranial hypertension alias pseudotumorcerebri. Agri. 2015;27(2):63-72. doi: 10.5505/agri.2015.22599.
- 3. Ekizoglu E, Baykan B, Orhan EK, Ertas M. The analysis of allodynia in patients with idiopathic intracranial hypertension. Cephalalgia 2012;32(14):1049-1058.
- 4. De Simone R, Ranieri A, Montella S, Friedman DI, Liu GT, Digre KB. Revised diagnostic criteria for the pseudotumorcerebri syndrome in adults and children. Neurology. 2014;82:1011-1012.
- 5. Friedman DI, Liu GT, Digre KB. Revised diagnostic criteria for the pseudotumorcerebri syndrome in adults and children. Neurology 2013;81:1159-1165.
- 6. Zur D, Anconina R, Kesler A, Lublinsky S, Toledano R, Shelef I. Quantitative imaging biomarkers for dural sinüs patterns in idiopathic intracranial hypertension. Brain Behav. 2017;7(2):e00613. doi: 10.1002/brb3.613.
- 7. Bono F, Giliberto C, Mastrandrea C, et al. Transverse sinus stenoses persist after normalization of the CSF pressure in IIH. Neurology. 2005;65(7):1090-1093. doi: 10.1212/01.wnl.0000178889.63571.e5.
- 8. Farb RI, Vanek I, Scott JN, et al. Idiopathic intracranial hypertension: the prevalence and morphology of sinovenous stenosis. Neurology. 2003;60:1418–1424.
- 9. Chan W, Neufeld A, Maxner C, Shankar J. Irreversibility of transverse venous sinüs stenosis and optic nerve edema post-lumbar puncture in idiopathic intracranial hypertension. Can J Ophthalmol. 2019;54(2):e57-e59. doi: 10.1016/j.jcjo.2018.06.023.
- 10. Horev A, Hallevy H, Plakht Y, Shorer Z, Wirguin I, Shelef I. Changes in cerebral venous sinuses diameter after lumbar puncture in idiopathic intracranial hypertension: a prospective MRI study. J Neuroimaging. 2013;23:375–378.
- 11. 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;54:25-33.
- 12. Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013;33(9):629-808. doi: 10.1177/0333102413485658.
- 13. Sinclair AJ, Ball AK, Burdon MA, et al. Exploring the pathogenesis of IIH: an inflammatory perspective. J Neuroimmunol 2008;201-2:212-220
- 14. Gideon P, Sørensen PS, Thomsen C, Ståhlberg F, Gjerris F, Henriksen O. Increased brain water self-diffusion in patients with idiopathic intracranial hypertension. AJNR Am J Neuroradiol 1995;16(2):381-387.
- 15. Morris PP, Black DF, Port J, Campeau N. Transverse Sinus Stenosis Is the Most Sensitive MR Imaging Correlate of Idiopathic Intracranial Hypertension. AJNR Am J Neuroradiol. 2017;38(3):471-477 doi: 10.3174/ajnr.A5055.
- 16. Bidot S, Bruce BB, Saindane AM, Newman NJ, Biousse V. Asymmetric papilledema in idiopathic intracranial hypertension. J Neuroophthalmol. 2015 Mar;35(1):31-36. doi: 10.1097/WNO.0000000000000205.
- 17. Bono F, Quattrone A. Clinical course of idiopathic intracranial hypertension with transverse sinüs stenosis. Neurology. 2013;81(7):695. doi: 10.1212/01.wnl.0000433838.88247.f3.
- 18. Riggeal BD, Bruce BB, Saindane AM, et al. Clinical course of idiopathic intracranial hypertension with transverse sinus stenosis. Neurology. 2013;80(3):289-95. doi: 10.1212/WNL.0b013e31827debd6.
- 19. Boddu S, Dinkin M, Suurna M, Hannsgen K, Bui X, Patsalides A. Resolution of Pulsatile Tinnitus after Venous Sinus Stenting in Patients with Idiopathic Intracranial Hypertension. PLoS One. 2016 Oct 21;11(10):e0164466. doi: 10.1371/journal.pone.0164466.