gms | German Medical Science

Symposium Idiopathic Intracranial Hypertension (Pseudotumor cerebri)

07.10.2017, Düsseldorf

Technic, Results and Complications of Stent-PTA in Dural Sinus

Meeting Abstract

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  • Marta Aguilar-Pérez - Stuttgart
  • Hans Henkes - Stuttgart

Symposium Idiopathic Intracranial Hypertension (Pseudotumor cerebri). Düsseldorf, 07.-07.10.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. Doc17siih09

doi: 10.3205/17siih09, urn:nbn:de:0183-17siih093

This is the English version of the article.
The German version can be found at: http://www.egms.de/de/meetings/siih2017/17siih09.shtml

Published: November 30, 2017

© 2017 Aguilar-Pérez et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.


Outline

Text

Purpose: Safety and efficacy of stenting for intracranial sinus stenoses in patients with idiopatic intra cranial hypertension were evaluated.

Material and Methods: From 2007 to 2017 53 patients (n=43 females) in a single institution were treated for stenosis of intracranial sinus with PTA and stenting. Symptoms, diagnostic images and interventions were evaluated retrospectively. The treatment was performed in as well as in patients with significant side effects under medical treatment or after failure of other therapeutic efforts. After the treatment all patients received antiaggregation and anticoagulation for 6 months. The CSF opening pressure was measured in 48 patients prior to and in 30 patients after the treatment. All patients underwent ophthalmological examination be fire treatment and during the follow-up period.

Results: No permanent morbidity or mortality was encountered. In 26 of 53 patients treatment of both sinuses was required to achieve clinical improvement. In 10 patients the contralateral sinus was hypoplastic.

A clear improvement of headache was achieved in 84% of patients, visual disturbance decreased in 82% of patients and the papilledema improved in 88% of patients.

In 49 out of 53 patients an angiographic follow-up examination was available, and 38 (78 %) of these patients showed a complete and 3 patients (6%) an incomplete but sufficient elimination of the stenosis. Eight patients (15%) required further treatment due to in-stent stenosis. No cerebral ischemia or hemorrhage occured during the follow-up.

Conclusion: Stenting of stenotic dural intracranial sinuses in patients with idiopathic intracranial hypertension resilient to medical treatment and/or after failed surgical interventions is safe and efficient. Nicotine abstention, strict follow-up regime, consistent medication and body weight reduction are mandatory.