Identifier |
20180306_nanos_posters_183 |
Title |
Endovascular Venous Sinus Stenting for Idiopathic Intracranial Hypertension: A Systematic Review of the Literature |
Creator |
Brandon Bond; Kamila Bond; Chike Illorah; Jorge Kattah |
Affiliation |
(BB) (CI) (JK) University of Illinois College of Medicine, Peoria, Illinois; (KB) Mayo Clinic School of Medicine, Rochester, Minnesota |
Subject |
Interventional Neuroradiology; Pseudotumor Cerebri; Neuroimaging; Optic Nerve Trauma and Treatment; Optic Neuropathy |
Description |
Idiopathic intracranial hypertension (IIH) is characterized by raised intracranial pressure outside the context of space-occupying or obstructive lesions. It is well accepted that most IIH patients have transverse sinus stenosis impairing cerebral venous outflow. Untreated, this may cause optic nerve damage and permanent visual loss. The reported annual incidence is 0.9-1.07/100,000 but may reach 15-19/100,000 in subpopulations of overweight women aged 20-44. Medically refractory IIH has historically been treated by therapeutic lumbar punctures, cerebrospinal fluid (CSF) diversion, and optic nerve sheath fenestration (ONSF). Recurrence rates with medication have reached 40%. Shunt failure and revision rates are as high as 60% with infection-related complications reaching 10%. ONSF carries significant risks with failure rates and concomitant recurrence of visual symptoms up to 32%. Since 2002, venous sinus stenting (VSS) has emerged as an alternative treatment option for refractory IIH. |
Date |
2018-03 |
Language |
eng |
Format |
application/pdf |
Type |
Text |
Source |
2018 North American Neuro-Ophthalmology Society Annual Meeting |
Relation is Part of |
NANOS 2018: Poster Presentations |
Collection |
Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu |
Publisher |
Spencer S. Eccles Health Sciences Library, University of Utah |
Holding Institution |
North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416 |
Rights Management |
Copyright 2018. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
ARK |
ark:/87278/s6bs2sb9 |
Context URL |
The NANOS Annual Meeting Neuro-Ophthalmology Collection: https://novel.utah.edu/collection/NAM/toc/ |
Setname |
ehsl_novel_nam |
ID |
1309638 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6bs2sb9 |