State of the venous system in patients with Pseudotumor cerebri
https://doi.org/10.30629/2658-7947-2021-26-2-37-42
Abstract
The article describes two clinical cases of idiopathic intracranial hypertension, the first manifestation of which was the development of retroorbital headache and the visual disorders. Leading in the clinical picture of the disease in both cases was the detection of stagnant optic nerve discs on the fundus. In both patients, the vascular system of the brain was examined using duplex scanning of the neck and brain vessels, MR angiography and MR venography, and in one case — SCT angiography, a lumbar puncture was performed with the study of cerebrospinal fluid (CSF). An increase in CSF pressure was found, accompanied by changes in the large venous vessels of the skull and brain. This suggests a significant role of venous outflow disorders in the development of Pseudotumor cerebri syndrome.
About the Authors
N. V. Shuleshova
«Academician I.P. Pavlov First State Medical University» of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Saint Petersburg
N. I. Panchenko
Saint Petersburg State Multidisciplinary Hospital № 2
Russian Federation
Russian Federation
Saint Petersburg
I. V. Kupriyanova
Saint Petersburg State Multidisciplinary Hospital № 2
Russian Federation
Russian Federation
Saint Petersburg
References
1. Best J.L., Silvestri G., Burton B.J., Foot B., Acheson J. The incidence of blindness due to idiopathic intracranial hypertension in the UK. Open Ophthalmol J. 2013;7:26–29.
2. Wall M. Idiopathic intracranial hypertension. Neurol. Clin. 2010;28(3):593–617. PMID: 20637991, DOI: 10.1016/j.ncl.2010.03.003
3. Wakerley B.R., Tan M.H., Ting E.Y. Idiopathic intracranial hypertension. Cephalalgia. 2015;35(3):248–261. DOI: 10.1177/0333102414534329
4. Carta A., Bertuzzi F., Cologno D., Giorgi C., Montanari E., Tedesco S. Idiopathic intracranial hypertension (pseudotumor cerebri): descriptive epidemiology, clinical features, and visual outcome in Parma, Italy, 1990 to 1999. Eur. J. Ophthalmol. 2004;14(1):48–54. DOI: 10.1177/112067210401400108
5. Celebisoy N., Secil Y., Akyurekli O. Pseudotumor cerebri: etiological factors, presenting features and prognosis in the western part of Turkey. Acta Neurol. Scand. 2002;106(6):367–370. DOI: 10.1034/j.1600-0404.2002.02027.
6. Guidetti B., Giuff rè R., Gambacorta D., Follow-up study of 100 cases of pseudotumor cerebri. Acta Neurochir (Wien). 1968;18:259–267. DOI: 10.1007/BF01405720
7. Carta A., Bertuzzi F., Cologno D., Giorgi C., Montanari E., Tedesco S. Benign intracranial hypertension and disorders of CSF absorption. Surg. Neurol. 1981;15(3):168–174. DOI: 10.1016/0090-3019(81)90131-2.
8. Janny P., Chazal J., Colnet G., Irthum B., Georget A M. Benign intracranial hypertension and disorders of CSF absorption. Surg. Neurol. 1981;15:168–174. DOI: 10.1016/0090-3019(81)90131-2
9. Giuseffi V., Wall M., Siegel P.Z., Rojas P.B. Symptoms and disease associations in idiopathic intracranial hypertension (pseudotumorcerebri): a case-control study. Neurology. 1991;41:239–244. PMID:1992368. DOI: 10.1212/wnl.41.2_part_1.239
10. Friedman D.I., Jacobson D.M. Diagnostic criteria for idiopathic intracranial hypertension. Neurology. 2002;59:1492–1495. PMID: 12455560, DOI: http:/dx.doi.org/10.1212/01.WNL.0000029570.69134.1B.
11. Corbett J.J., Nerad J.A., Tse D.T., Anderson R.L. Results of optic nerve sheath fenestration for pseudotumor cerebri. The lateral orbitotomy approach. Arch. Ophthalmol. 1988;106:1391–1397. DOI: 10.1212/wnl.41. 2_part_1.239
12. Gasparyan S.S., Eliseeva N.M., Tanyashin S.V. Clinical practice guidelines diagnosis and treatment of benign intracranial hypertension. M., 2015. 17 p. (In Russian). https://ruans.org/Text/Guidelines/benign_intracranial_hypertension.pdf
13. Corbett J.J., Nerad J.A., Tse D.T., Anderson R.L. Results of optic nerve sheath fenestration for pseudotumor cerebri. The lateral orbitotomy approach. Arch. Ophthalmol. 1988;106(10):1391–1397. DOI: 10.1001/archopht.1988.01060140555022.
14. Rosenberg M.L., Corbett J.J., Smith C., Goodwin J., Sergott R., Savino P. et al. Cerebrospinal fl uid diversion procedures in pseudotumor cerebri. Neurology. 1993;43(6):1071–1072. DOI: 10.1212/wnl.43.6.1071
15. Patrocínio J.A., Patrocínio L.G., Júnior F.B., da Cunha A.R. Endoscopic decompression of the optic nerve in pseudotumor cerebri. Auris Nasus Larynx. 2005;32(2):199–203. DOI: 10.1016/j.anl.2005.01.014
16. Sergeev A.V. Idiopathic intracranial hypertension. Journal of Neurology and Psychiatry. S.S. Korsakov. 2016;116(5):93–97. (In Russian)]. DOI: 10.17116/jnevro20161165193-97.
Review
For citations:
Shuleshova N.V., Panchenko N.I., Kupriyanova I.V. State of the venous system in patients with Pseudotumor cerebri. Russian neurological journal. 2021;26(2):37-42. (In Russ.) https://doi.org/10.30629/2658-7947-2021-26-2-37-42
Views:
413
Email this article 