Departments of1Interventional Neuroradiology.
2Pathology, and.
J Neurosurg. 2018 Aug 24;131(2):462-466. doi: 10.3171/2018.3.JNS173143. Print 2019 Aug 1.
Intracranial hypertension (IH) may be misdiagnosed owing to the lack of typical imaging features and pathological confirmation of the sinus lesions. The authors report the use of percutaneous endovascular biopsy (PEB) for the diagnosis of IH in patients with venous sinus lesions. A total of 9 patients (age 46 ± 9 years) underwent PEB between June 2016 and August 2017. All patients underwent lumbar puncture and contrast-enhanced MRI before the procedure. PEB was technically successful in 6 patients. No intra- or postprocedural complications occurred. The confirmed lesions were meningioma in 2 patients and fibrous thrombus in 4 patients. All patients received individualized treatment. PEB of venous sinus lesions is a safe and efficient method to establish an early diagnosis and appropriate treatment in patients with IH.
颅内高压（IH）可能由于窦病变缺乏典型影像学特征和病理证实而被误诊。作者报告了经皮血管内活检（PEB）在静脉窦病变患者中用于 IH 的诊断。2016 年 6 月至 2017 年 8 月，共有 9 名患者（年龄 46±9 岁）接受了 PEB。所有患者在术前均进行了腰椎穿刺和增强 MRI。6 例患者 PEB 技术成功。无术中或术后并发症。确诊的病变为 2 例脑膜瘤和 4 例纤维血栓。所有患者均接受了个体化治疗。PEB 治疗静脉窦病变是一种安全有效的方法，可以在 IH 患者中建立早期诊断和适当的治疗。
