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Which is the best peri-operative anti-coagulative therapy of transverse sinus stenting for refractory idiopathic intracranial hypertension?

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Journal Title:
Chinese Medical Journal
Key Word:
pseudotumor cerebri;therapy;angiography;stents

Abstract´╝Ü Treatment of refractory idiopathic intracranial hypertension (ⅡH) is a challenging problem.We reported a refractory ⅡH patient who manifested with typical intracranial hypertensive symptoms successfully treated with endovascular stent implantation.Pre-operative cerebrospinal fluid (CSF) opening pressure is 36 cmH2O.Cerebral angiography demonstrated a stenotic lesion located at the right transverse sinus (TS).The stenotic TS returned to its normal caliber and the pressure gradient deceased from 36 mmHg to 4 mmHg after the stent placement.The intracranial hypertensive svmotoms resolved and one month later,the CSF opening pressure decreased to 14 cmH2O.

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