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假性脑瘤综合征和巨大蛛网膜颗粒:静脉窦支架置入治疗。

Pseudotumor cerebri syndrome and giant arachnoid granulation: treatment with venous sinus stenting.

机构信息

Neurology Department of West China Hospital, Sichuan University, Chengdu, China 610041.

出版信息

J Vasc Interv Radiol. 2010 Jun;21(6):927-9. doi: 10.1016/j.jvir.2010.02.018.

DOI:10.1016/j.jvir.2010.02.018
PMID:20434367
Abstract

The authors describe a patient with pseudotumor cerebri syndrome who showed at venography a giant arachnoid granulation in the left dominant transverse sinus and hypoplasia of the contralateral transverse sinus with high pressure proximal to the obstruction. Dilation of the left transverse sinuses with a stent reduced both the pressure gradient across the arachnoid granulation and the cerebral spinal fluid opening pressure with immediate symptomatic improvement, suggesting a causal relationship between venous outflow obstruction and pseudotumor cerebri syndrome.

摘要

作者描述了一位患有假性脑瘤综合征的患者,其静脉造影显示左侧优势横窦有巨大蛛网膜颗粒,对侧横窦发育不良,梗阻近端压力升高。支架扩张左侧横窦,降低蛛网膜颗粒跨壁压力梯度和脑脊髓液开放压力,症状立即改善,提示静脉流出梗阻与假性脑瘤综合征之间存在因果关系。

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