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脑膜瘤继发静脉窦狭窄所致颅内高压：病例说明及文献复习、诊断与处理要点

Intracranial Hypertension Secondary to Venous Sinus Stenosis by Meningioma: A Case Illustration With Literature Review, Tips for Diagnosis and Management.

作者信息

Bagherzadeh Sadegh, Shafizadeh Milad, Bahari Leila, Golestaneh Hamidreza

机构信息

Department of Neurosurgery Shariati Hospital, Tehran University of Medical Sciences Tehran Iran.

Sports Medicine Research Center Neuroscience Institute, Tehran University of Medical Sciences Tehran Iran.

出版信息

Clin Case Rep. 2025 Mar 24;13(4):e70357. doi: 10.1002/ccr3.70357. eCollection 2025 Apr.

DOI:10.1002/ccr3.70357
PMID:40134969
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11932879/
Abstract

Intracranial hypertension due to venous sinus stenosis from meningioma is rare. Symptoms resemble pseudotumor cerebri, but patients are typically older and not obese. Tumors usually compress the superior sagittal, transverse, and sigmoid sinus. Ventriculoperitoneal shunt often leads to a dramatic response.

摘要

由脑膜瘤导致静脉窦狭窄引起的颅内高压较为罕见。症状类似于假性脑瘤，但患者通常年龄较大且不肥胖。肿瘤通常压迫上矢状窦、横窦和乙状窦。脑室-腹腔分流术常常会带来显著疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7909/11932879/2ce2f469180a/CCR3-13-e70357-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7909/11932879/ee12968f2c48/CCR3-13-e70357-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7909/11932879/de4bdfcb848a/CCR3-13-e70357-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7909/11932879/097d7235427c/CCR3-13-e70357-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7909/11932879/2ce2f469180a/CCR3-13-e70357-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7909/11932879/ee12968f2c48/CCR3-13-e70357-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7909/11932879/de4bdfcb848a/CCR3-13-e70357-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7909/11932879/097d7235427c/CCR3-13-e70357-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7909/11932879/2ce2f469180a/CCR3-13-e70357-g005.jpg

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本文引用的文献

1
Total brain volume is associated with severity of transverse sinus stenosis in idiopathic intracranial hypertension.在特发性颅内高压中，全脑体积与横窦狭窄的严重程度相关。
J Neurointerv Surg. 2025 Jun 16;17(7):764-768. doi: 10.1136/jnis-2024-021938.
2
Association of Extent of Transverse Sinus Stenosis With Cerebral Glymphatic Clearance in Patients With Idiopathic Intracranial Hypertension.特发性颅内高压患者横窦狭窄程度与脑淋巴液清除的相关性研究。
Neurology. 2024 Jul 9;103(1):e209529. doi: 10.1212/WNL.0000000000209529. Epub 2024 Jun 4.
3
Increased Intracranial Pressure Due to Transverse Sinus Compression by a Meningioma En Plaque.
脑膜瘤板压迫横窦导致颅内压升高
Cureus. 2023 Jan 7;15(1):e33487. doi: 10.7759/cureus.33487. eCollection 2023 Jan.
4
Meningioma: A Review of Epidemiology, Pathology, Diagnosis, Treatment, and Future Directions.脑膜瘤：流行病学、病理学、诊断、治疗及未来方向综述
Biomedicines. 2021 Mar 21;9(3):319. doi: 10.3390/biomedicines9030319.
5
Venous hypertension caused by a meningioma involving the sigmoid sinus: case report.累及乙状窦的脑膜瘤引起的静脉高压：病例报告
BMC Neurol. 2021 Mar 17;21(1):119. doi: 10.1186/s12883-021-02144-5.
6
Venous Manometry as an Adjunct for Diagnosis and Multimodal Management of Intracranial Hypertension due to Meningioma Compressing Sigmoid Sinus.静脉测压作为诊断和多模式管理因脑膜瘤压迫乙状窦导致的颅内高压的辅助手段。
Cureus. 2019 Jun 20;11(6):e4953. doi: 10.7759/cureus.4953.
7
Resection of Meningiomas Involving Major Dural Venous Sinuses: Classification, Technique, and Long-Term Results.脑膜瘤累及主要硬脑膜静脉窦的切除术：分类、技术和长期结果。
World Neurosurg. 2019 May;125:e521-e536. doi: 10.1016/j.wneu.2019.01.128. Epub 2019 Feb 1.
8
Pseudotumor cerebri comorbid with meningioma: A review and case series.假性脑瘤合并脑膜瘤：综述与病例系列
Surg Neurol Int. 2018 Jul 4;9:130. doi: 10.4103/sni.sni_484_17. eCollection 2018.
9
Correlation between angiographic stenosis and physiologic venous sinus outflow obstruction in idiopathic intracranial hypertension.特发性颅内高压患者血管造影狭窄与静脉窦流出道生理性梗阻的相关性。
J Neurointerv Surg. 2019 Jan;11(1):90-94. doi: 10.1136/neurintsurg-2018-014004. Epub 2018 Jun 1.
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