Department of Neurosurgery, The Canberra Hospital, Australian Capital Territory, Australia.
Australian National University Medical School, Australian National University, Australian Capital Territory, Australia.
Interv Neuroradiol. 2021 Dec;27(6):756-762. doi: 10.1177/15910199211003451. Epub 2021 Mar 28.
Brain herniation into a dural venous sinus is a rare entity of unknown clinical significance without a clear relationship to raised intracranial pressure. There are yet to be detailed reports of interventional neuroradiology procedures involving sinus stenting across brain herniations. The authors of this paper present the first case of a stent placed across a large brain herniation into the transverse sinus in a patient with a tectal plate lesion and features of chronically raised intracranial pressure. This case demonstrates objective resolution of papilloedema and venous sinus pressure gradient at six months without complication.
脑疝进入硬脑膜静脉窦是一种罕见的实体，其临床意义尚不清楚，与颅内压升高没有明确的关系。目前还没有详细报道涉及经窦支架置入术治疗脑疝的神经介入放射学程序。本文作者报告了首例经窦支架置入术治疗大型脑疝进入横窦的病例，该患者患有顶盖病变和慢性颅内压升高的特征。该病例在六个月时客观地显示了视乳头水肿和静脉窦压力梯度的缓解，且无并发症。
