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一例因上矢状窦狭窄行静脉支架置入术临床症状改善的双侧视乳头水肿病例

A Case of Bilateral Papilledema With Improved Clinical Symptoms by Venous Stenting for Superior Sagittal Sinus Stenosis.

作者信息

Miyoshi Masaki, Tabuchi Akio, Mimura Osamu, Nagahama Atsufumi, Tabuchi Hitoshi

机构信息

Ophthalmology, Tsukazaki Hospital, Himeji, JPN.

Ophthalmology, Saneikai Tsukazaki Hospital, Himeji, JPN.

出版信息

Cureus. 2023 Aug 20;15(8):e43828. doi: 10.7759/cureus.43828. eCollection 2023 Aug.

Abstract

Superior sagittal sinus (SSS) obstruction causes intracranial hypertension, often requiring surgical stenting. Consensus on treating brain venous sinus stenosis, another cause, is lacking. This study reports a case of SSS stenosis and intracranial hypertension treated with venous stenting, improving bilateral papilledema. A 51-year-old with a headache and visual disturbance had papilledema and visual field loss. MR venography showed SSS stenosis, leading to a neurosurgery referral. Lumbar puncture confirmed intracranial hypertension (>35 cmH2O), prompting venous stenting. Post-procedure, papilledema, headache, and visual field loss improved. Venous stenting could be effective for SSS stenosis with clinically proven or recurrent pressure differences. Further cases are needed for standardization.

摘要

上矢状窦(SSS)梗阻会导致颅内高压,通常需要进行手术支架置入。对于另一种病因——脑静脉窦狭窄的治疗,目前尚未达成共识。本研究报告了一例通过静脉支架置入治疗SSS狭窄和颅内高压的病例,患者双侧视乳头水肿得到改善。一名51岁出现头痛和视力障碍的患者有视乳头水肿和视野缺损。磁共振静脉血管造影显示SSS狭窄,遂转诊至神经外科。腰椎穿刺证实颅内高压(>35 cmH₂O),促使进行静脉支架置入。术后,视乳头水肿、头痛和视野缺损均有所改善。静脉支架置入对于经临床证实或反复出现压力差的SSS狭窄可能有效。需要更多病例来实现标准化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82a5/10509490/2218c7d01054/cureus-0015-00000043828-i01.jpg

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