脑血管介入评估脑静脉窦与特发性颅内压增高相关性

发布时间：2018-04-23 11:27

本文选题：特发性颅内压增高 + 脑静脉窦　；参考：《介入放射学杂志》2017年02期

【摘要】：目的探讨采用脑血管内介入方法评估脑静脉窦与特发性颅内压增高(IIH)的相关性。方法回顾性分析13例临床诊断IIH患者资料。完善相关临床症状、体征、实验室、MR静脉成像(MRV)等检查。局部麻醉下作全脑血管DSA造影,同时超选至静脉窦作矢状窦、横窦、乙状窦、颈静脉分段测压。结果脑血管DSA检查显示,13例患者中静脉窦狭窄或闭塞10例(76.9%),其中横窦6例,乙状窦3例,横窦和乙状窦同时受累1例。静脉窦超选测压显示,10例患者静脉窦狭窄两端压力差达120~580 mm H_2O;8例(61.5%,8/13)静脉窦闭塞/狭窄可能与IIH相关,2例(15.4%,2/13)静脉窦狭窄可能继发于IIH,3例(23.1%,3/13)静脉窦狭窄可能与IIH无关。结论脑血管内介入造影结合静脉窦超选测压,能够良好地辨别IIH与静脉窦的关系。
[Abstract]:Objective to evaluate the correlation between cerebral venous sinus and idiopathic intracranial hypertension (IIH) by intracerebrovascular intervention. Methods the clinical data of 13 patients with IIH were analyzed retrospectively. Improve the clinical symptoms, signs, laboratory MRV Mr venography, etc. All cerebral vascular DSA was performed under local anesthesia, and the sagittal sinus, transverse sinus, sigmoid sinus and jugular vein were selected to measure the blood pressure. Results Cerebrovascular DSA showed that there were 10 cases of stenosis or occlusion of middle venous sinus in 13 cases, including 6 cases of transverse sinus, 3 cases of sigmoid sinus, 1 case of transverse sinus and 1 case of sigmoid sinus. In 10 patients, the pressure difference between the two ends of venous sinus stenosis was 120 ~ 580mm / h _ 2O _ 2. 8 cases (61.5 / 8 / 13) might be associated with IIH. 2 cases (15. 442 / 13) might be secondary to IIH. 3 cases (23. 1 / 313) might have no relationship with IIH. Conclusion Intravascular interventional angiography combined with selective venous sinus manometry can distinguish the relationship between IIH and venous sinus well.
【作者单位】：湖州市中心医院神经内科;上海交通大学附属第六人民医院介入放射科;
【基金】：浙江省湖州市科技计划项目(2013GYB01)
【分类号】：R743.3

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