Men Are from Mars, Idiopathic Intracranial Hypertension Is from Venous: The Role of Venous Sinus Stenosis and Stenting in Idiopathic Intracranial Hypertension.

Abstract:

:Idiopathic intracranial hypertension (IIH), also known as pseudotumor cerebri, is a disease primarily affecting obese women of child-bearing age, typically presenting with positional headaches, diplopia from abducens nerve palsies, pulse-synchronous tinnitus, and visual disturbances related to papilledema, including transient visual obscurations, blurry vision, and visual field defects. Controversy remains regarding the pathophysiology of IIH. Elevated intracranial pressure in IIH is thought to be the result of a dysregulation of cerebrospinal fluid (CSF) dynamics, through excessive secretion, reduced drainage, or both. Passive CSF drainage through the arachnoid granulations depends on a pressure gradient between the subarachnoid space and the cerebral venous system, such that elevations in cerebral venous pressure lead to impaired CSF drainage. Dural venous sinus stenosis (DVSS) at the junction of the transverse and sigmoid sinuses, leading to local venous hypertension and a secondary reduction in CSF drainage through the arachnoid granulations, is increasingly recognized as an important component of the pathophysiology of IIH. A growing number of studies have demonstrated a role for stenting of DVSS as an alternative to CSF shunting and optic nerve sheath fenestration in medically refractory IIH patients with vision loss or debilitating symptoms.

journal_name

Semin Neurol

journal_title

Seminars in neurology

authors

Dinkin M,Oliveira C

doi

10.1055/s-0039-3399506

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

692-703

issue

6

eissn

0271-8235

issn

1098-9021

journal_volume

39

pub_type

杂志文章,评审
  • Disorders of cognition.

    abstract::Cognitive complaints are common in any adult neurology practice, and may present in a variety of ways other than classic "memory loss." In this article, the author reviews a simple approach to a symptom-based differential diagnosis, including recognition of impairment in several key cognitive domains as well as associ...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0031-1271314

    authors: Woodruff BK

    更新日期:2011-02-01 00:00:00

  • Psychogenic (nonepileptic) seizures.

    abstract::Psychogenic (nonepileptic) seizures are among the most common and serious of all psychogenic neurological disorders. They account for approximately 20% of all intractable seizure disorders referred to comprehensive epilepsy centers and present with a reported annual incidence of approximately 4% that of true epilepsy....

    journal_title:Seminars in neurology

    pub_type: 杂志文章

    doi:10.1055/s-2006-945520

    authors: Krumholz A,Hopp J

    更新日期:2006-07-01 00:00:00

  • Nonsurgical management of increased intracranial pressure.

    abstract::CPP reflects perfusion problems related to increased ICP or inadequate MAP. CPP is a most helpful and practical management tool. The relationship of CBF and CPP depends on cerebral vascular resistance (flow equals pressure divided by resistance). At present, we do not have a practical method to measure vascular resist...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2008-1041328

    authors: Stone JL

    更新日期:1989-09-01 00:00:00

  • Cerebral arteriovenous malformation diagnosis and management.

    abstract::Arteriovenous malformations of the brain can carry considerable morbidity and mortality in the setting of rupture. The complex angioarchitecture and hemodynamic alteration requires careful consideration in diagnostic and management approaches. In this review, the authors define the pathophysiology, outline diagnostic ...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0033-1364212

    authors: Asif K,Leschke J,Lazzaro MA

    更新日期:2013-11-01 00:00:00

  • Neuropathologic changes of multiple system atrophy and diffuse Lewy body disease.

    abstract::The accumulation of fibrillar α-synuclein protein is the pathological hallmark occurring in both multiple system atrophy (MSA) and diffuse Lewy body disease (DLBD). The oligodendrocytes are especially involved in MSA, while subtypes of neurons are the targets in DLBD. In both instances, the changes are widespread with...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0034-1381732

    authors: Ramirez EP,Vonsattel JP

    更新日期:2014-04-01 00:00:00

  • Positron emission tomographic studies of the subcortical degenerations and dystonia.

    abstract::Reported PET findings in subcortical and corticobasal degenerations, and in dystonia, are summarized in Table 3. It can be seen that, although PET is not a diagnostic technique, clinical examination combined with PET findings can help to distinguish between the various akinetic-rigid syndromes, with the proviso that p...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2008-1041345

    authors: Brooks DJ

    更新日期:1989-12-01 00:00:00

  • Small Fiber Neuropathy.

    abstract::Small fiber neuropathy (SFN) is common, and can be associated with many medical conditions. The majority of the patients with SFN suffer from painful paresthesia which can negatively impact their quality of life. Skin biopsy with intraepidermal nerve fiber density evaluation is the gold standard diagnostic test. Auton...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0039-1688977

    authors: Zhou L

    更新日期:2019-10-01 00:00:00

  • Gender-specific challenges in the management of epilepsy in women.

    abstract::The management of epilepsy in women encompasses a complex interplay between seizures, sex steroid hormones, and antiepileptic drugs (AEDs). These interactions impact every aspect of the sexual and reproductive health of women with epilepsy throughout their lifetimes. Neurologists comfortable treating seizures may feel...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-985335

    authors: Noe KH

    更新日期:2007-09-01 00:00:00

  • Parkinsonism.

    abstract::Parkinsonism is a clinical syndrome, which is characterized by bradykinesia, rigidity, rest tremor, and postural instability. Idiopathic Parkinson disease (PD) is the most common cause of this syndrome, though there are several other important etiologies that must be considered. These include the atypical Parkinsonian...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0036-1585097

    authors: Keener AM,Bordelon YM

    更新日期:2016-08-01 00:00:00

  • Imaging findings in cancer therapy-associated neurotoxicity.

    abstract::Cancer therapy can cause several neurotoxic syndromes that are associated with distinct findings on cranial imaging. With the use of more aggressive and combined treatment modalities in oncology and prolonged overall patient survival, neurotoxicity has been reported with increasing frequency in patients with brain can...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1331817

    authors: Arrillaga-Romany IC,Dietrich J

    更新日期:2012-09-01 00:00:00

  • Recognition and diagnosis of neuro-ichthyotic syndromes.

    abstract::The combination of neurologic disease and ichthyosis defines a heterogeneous group of rare inherited disorders that present in infancy through early adulthood. Although affected patients share the cutaneous feature of ichthyosis, there is variability in the nature and severity of neurologic disease. Impaired cognition...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1306390

    authors: Rizzo WB,Jenkens SM,Boucher P

    更新日期:2012-02-01 00:00:00

  • Chronic Traumatic Encephalopathy and Neuropathological Comorbidities.

    abstract::With age, the presence of multiple neuropathologies in a single individual becomes increasingly common. Given that traumatic brain injury and the repetitive head impacts (RHIs) that occur in contact sports have been associated with the development of many neurodegenerative diseases, including chronic traumatic encepha...

    journal_title:Seminars in neurology

    pub_type: 杂志文章

    doi:10.1055/s-0040-1713628

    authors: Stein TD,Crary JF

    更新日期:2020-08-01 00:00:00

  • Pearls: myelopathy.

    abstract::Both general neurologists and neurologists with a broad spectrum of subspecialty interests are often asked to evaluate patients with disorders of the spinal cord. Over the past decade, there have been significant advances in our understanding of a wide spectrum of immune-mediated, infectious, metabolic, hereditary, pa...

    journal_title:Seminars in neurology

    pub_type: 杂志文章

    doi:10.1055/s-0029-1244993

    authors: Kumar N

    更新日期:2010-02-01 00:00:00

  • Alzheimer's disease and its focal variants.

    abstract::Alzheimer's disease (AD) is the most common form of dementia in elderly individuals. Although the diagnosis of AD requires pathological confirmation, several common clinical features of AD have been identified. These include insidious onset, gradual progression, medial temporal atrophy, temporoparietal hypoperfusion, ...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2000-13177

    authors: Kramer JH,Miller BL

    更新日期:2000-01-01 00:00:00

  • Insomnia in neurological diseases.

    abstract::Insomnia is the most common sleep complaint. Insomnia is not a disease itself but mostly a clinical sign of an underlying disease. Degenerative and vascular diseases involving the central nervous system (CNS) may impair sleep either as a result of the brain lesion or because of illness-related discomfort (motor immobi...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2005-867074

    authors: Provini F,Lombardi C,Lugaresi E

    更新日期:2005-03-01 00:00:00

  • Principles of Pharmacotherapy of Seizures and Status Epilepticus.

    abstract::Status epilepticus is a neurological emergency with an outcome that is highly associated with the initial pharmacotherapy management that must be administered in a timely fashion. Beyond first-line therapy of status epilepticus, treatment is not guided by robust evidence. Optimal pharmacotherapy selection for individu...

    journal_title:Seminars in neurology

    pub_type: 杂志文章

    doi:10.1055/s-0040-1718721

    authors: Der-Nigoghossian C,Tesoro EP,Strein M,Brophy GM

    更新日期:2020-12-01 00:00:00

  • Management of migraine headache in the emergency department.

    abstract::Headache is one of the more common reasons for adults to visit an emergency department. Most of these visits are for primary headache disorders, most commonly migraine headache. The authors discuss management options for patients presenting to the emergency department with prolonged, severe, or refractory migraine hea...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0030-1249228

    authors: Robertson CE,Black DF,Swanson JW

    更新日期:2010-04-01 00:00:00

  • Sleep disorders and stroke.

    abstract::Obstructive sleep apnea (OSA) is a very common condition in patients with stroke and is found in over half of stroke patients. There is a complex relationship between OSA and stroke, attributable to shared risk factors. There are numerous mechanisms by which OSA may contribute to increased stroke risk, including promo...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2006-933315

    authors: Brown DL

    更新日期:2006-02-01 00:00:00

  • Emerging therapies in traumatic brain injury.

    abstract::Despite decades of basic and clinical research, treatments to improve outcomes after traumatic brain injury (TBI) are limited. However, based on the recent recognition of the prevalence of mild TBI, and its potential link to neurodegenerative disease, many new and exciting secondary injury mechanisms have been identif...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0035-1544237

    authors: Kochanek PM,Jackson TC,Ferguson NM,Carlson SW,Simon DW,Brockman EC,Ji J,Bayır H,Poloyac SM,Wagner AK,Kline AE,Empey PE,Clark RS,Jackson EK,Dixon CE

    更新日期:2015-02-01 00:00:00

  • Disorders of excessive sleepiness: narcolepsy and hypersomnia.

    abstract::Besides sleep apnea, the main disorders of excessive daytime sleepiness include narcolepsy and hypersomnia. Narcolepsy is characterized by periods of irresistible sleepiness and sleep attacks of brief duration and, most often, by one or more of the auxiliary symptoms: cataplexy, sleep paralysis, and hypnogogic halluci...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2008-1041425

    authors: Manfredi RL,Brennan RW,Cadieux RJ

    更新日期:1987-09-01 00:00:00

  • The inherited dystonias.

    abstract::During the last decade, we have witnessed significant advances in the study of inherited dystonias. This article will review some of those discoveries and summarize their significance for the practicing neurologist. A clinical classification of dystonia based on features that can be determined by the clinician is prop...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-971170

    authors: Gonzalez-Alegre P

    更新日期:2007-04-01 00:00:00

  • History of the extensor plantar response: Babinski and Chaddock signs.

    abstract::The testing of reflexes involving the lower extremities is a pivotal part of the modern neurological examination. The normal response to noxious stimulation of the foot is plantar flexion of the toes, causing them to curl downward toward the undersurface of the foot. In 1896, Joseph Babinski described an extensor toe ...

    journal_title:Seminars in neurology

    pub_type: 传,历史文章,杂志文章

    doi:10.1055/s-2002-36761

    authors: Goetz CG

    更新日期:2002-12-01 00:00:00

  • The genetics of dementia.

    abstract::Over the past decade, there has been a dramatic evolution of genetic methodologies that can be used to identify genes contributing to disease. Initially, the focus was primarily on classical linkage analysis; more recently, genomewide association studies, and high-throughput whole genome and whole exome sequencing hav...

    journal_title:Seminars in neurology

    pub_type: 杂志文章

    doi:10.1055/s-0033-1359313

    authors: Farlow JL,Foroud T

    更新日期:2013-09-01 00:00:00

  • The irreducible perspectives of consciousness.

    abstract::I argue that there is no mind-brain problem but rather that there are irreducible subjective-objective problems. These include the difference between "inside" and "outside" perspectives on neural states, the creation of subjective neural states with objectified outside objects, and awareness of the self as an object i...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2008-1040917

    authors: Feinberg TE

    更新日期:1997-06-01 00:00:00

  • Predicting Outcome for Intracerebral Hemorrhage Patients: Current Tools and Their Limitations.

    abstract::Accurate outcome prognostication is critical to the management of patients with primary or spontaneous intracerebral hemorrhage (ICH). Prognostication may guide the decision to pursue aggressive acute management or to plan proper goals of care for patients who will likely suffer long-term severe disability. In particu...

    journal_title:Seminars in neurology

    pub_type: 杂志文章

    doi:10.1055/s-0036-1581992

    authors: Chu SY,Hwang DY

    更新日期:2016-06-01 00:00:00

  • The optic nerve.

    abstract::The optic nerve is our most important cranial nerve. As it courses from the eyeball to the brain, it is divided into four segments: intraocular, intraorbital, intracanalicular, and intracranial. Four tests are primarily used to assess its functional integrity and detect optic nerve disorders. These tests are described...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0028-1124020

    authors: Selhorst JB,Chen Y

    更新日期:2009-02-01 00:00:00

  • Pulmonary function screening.

    abstract::Patients who suffer from neuromuscular diseases often have complications from respiratory insufficiencies. Some neuromuscular diseases, for example Landry Guillain-Barré syndrome, may only require temporary tracheal intubation; patients with other neuromuscular diseases, such as amyotrophic lateral sclerosis, may deci...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2003-40756

    authors: Gelinas DF

    更新日期:2003-03-01 00:00:00

  • Fungal Infections of the Central Nervous System.

    abstract::Fungal central nervous system infections present in a myriad of clinical manifestation and remain a significant diagnostic challenge. Presenting symptoms, cerebrospinal fluid analysis, conventional fungal serum markers and imaging correlates of disease are seldom sensitive or specific; fungal culture growth or histopa...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0039-1688916

    authors: Jia DT,Thakur K

    更新日期:2019-06-01 00:00:00

  • Leptomeningeal metastasis.

    abstract::Leptomeningeal metastasis occurs in ~5% of all patients with cancer and is the third most common metastatic complication of the central nervous system. Staging of leptomeningeal metastasis includes contrast-enhanced brain and spine magnetic resonance imaging and radionuclide cerebrospinal fluid (CSF) flow study. Treat...

    journal_title:Seminars in neurology

    pub_type: 杂志文章

    doi:10.1055/s-0030-1255220

    authors: Chamberlain MC

    更新日期:2010-07-01 00:00:00

  • Calcineurin inhibitor encephalopathy.

    abstract::Calcineurin inhibitor encephalopathy (CIE) is a rare condition occurring in patients who are undergoing treatment with drugs from the calcineurin inhibitor (CI) family of immunosuppressants, either cyclosporine (CsA) or tacrolimus (TAC, FK506). Generally acute in onset, the symptoms are commonly reversible if properly...

    journal_title:Seminars in neurology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0033-1334471

    authors: Mammoser A

    更新日期:2012-11-01 00:00:00