中国卒中杂志 ›› 2017, Vol. 12 ›› Issue (03): 228-232.DOI: 10.3969/j.issn.1673-5765.2017.03.007

• 论著 • 上一篇    下一篇

单侧静脉窦支架置入治疗特发性颅内压增高症

王卫,张家亮,傅继弟,赵尚峰,赵景武,梁熙虹,康军   

  1. 北京100730首都医科大学附属北京同仁医院神经外科
  • 收稿日期:2016-09-24 出版日期:2017-03-20 发布日期:2017-03-20
  • 通讯作者: 康军 junkang2005@163.com

Study on Unilateral Venous Sinus Stent Implantation in the Treatment of Idiopathic Intracranial Hypertension

  • Received:2016-09-24 Online:2017-03-20 Published:2017-03-20

摘要:

目的 了解静脉窦狭窄在特发性颅内压增高症中所起的作用以及腔内支架治疗的可行性。 方法 回顾性研究应用静脉窦内支架成形术治疗静脉窦狭窄的特发性颅内压增高症的患者,观察资 料包括临床症状、眼底检查、颅内压测定、脑血管造影情况、治疗方法、疗效及安全性。 结果 研究期间共有7例特发性颅内压增高症患者行逆行脑静脉造影并行静脉窦测压后行静脉窦 支架置入术,其中4例伴有头痛,1例伴有鼻漏,术后伴发症状均有改善;7例患者均有视力下降,术后 6例视力有所好转,1例术后视力无好转。 结论 怀疑存在静脉窦狭窄的特发性颅内压增高患者应行逆行脑静脉造影并且静脉窦测压。对于 因静脉窦狭窄引起症状的患者,静脉窦内支架置入是一种可供选择的治疗方案。

文章导读: 对特发性颅内压增高患者进行逆行脑静脉造影发现有静脉窦狭窄者,行静脉窦支架治疗可改善临床症状。

关键词: 静脉窦支架; 特发性颅内压增高症; 视力; 脑水肿

Abstract:

Objective To investigate the impact of sinus disease on idiopathic intracranial hypertension and the feasibility of endovascular stent placement. Methods The retrospective study recruited intracranial-hypertensive patients hospitalized between 2012 and 2015 and given the stent angioplasty for venous sinus stenosis. Data on clinical symptoms, fundus examination, measurement of intracranial pressure, cerebral angiography, efficacy and safety of operation were collected. Results A total of 7 patients with idiopathic intracranial hypertension were treated with the retrograde angiography manometry of cerebral venous sinus and the implantation of the venous sinus stent. Among 7 patients, 4 patients had headache, and 1 patient experienced rhinorrhea. These symptoms were improved after operation. Visual acuity decrease occurred in 7 patients. Of 7 patients, 6 had improvement of visual acuity after operation. Conclusion Patients with idiopathic intracranial hypertension should be treated with retrograde venography and venous sinus pressure. Stent implantation is an alternative treatment for patients with symptoms of venous sinus stenosis.

Key words: Unilateral venous sinus stent; Idiopathic intracranial hypertension; Visual acuity; Brain edema