Manometry Combined with Cervical Puncture in Idiopathic Intracranial Hypertension

Overview

Journal Neurology

Specialty Neurology

Date 2002 Jan 10

PMID 11781401

Citations 82

Authors

J O King

P J Mitchell

K R Thomson

B M Tress

Affiliations

Soon will be listed here.

Abstract

Objective: To determine by cerebral venography and manometry in patients with idiopathic intracranial hypertension the cause of the previously demonstrated venous hypertension in the superior sagittal and proximal transverse sinuses.

Methods: Cerebral venous sinus pressure was measured before and immediately after C1-2 puncture with removal of 20 to 25 mL of CSF.

Results: Lowering the intracranial pressure by lateral C1-2 puncture during manometry has shown that the venous hypertension resolves immediately.

Conclusion: These studies indicate that the venous hypertension is due to compression of the transverse sinuses by raised intracranial pressure and not due to a primary obstructive process in the cerebral venous sinuses.

Citing Articles

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PMID: 39801664 PMC: 11718525. DOI: 10.4329/wjr.v16.i12.722.

Regulation of brain fluid volumes and pressures: basic principles, intracranial hypertension, ventriculomegaly and hydrocephalus.

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Transverse Sinus Stenting Reverses Medically Refractory Idiopathic Intracranial Hypertension.

Reid K, Winters H, Ang T, Parker G, Halmagyi G Front Ophthalmol (Lausanne). 2024; 2:885583.

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CSF hyperdynamics in rats mimicking the obesity and androgen excess characteristic of patients with idiopathic intracranial hypertension.

Wardman J, Andreassen S, Toft-Bertelsen T, Jensen M, Wilhjelm J, Styrishave B Fluids Barriers CNS. 2024; 21(1):10.

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Modelling idiopathic intracranial hypertension in rats: contributions of high fat diet and testosterone to intracranial pressure and cerebrospinal fluid production.

Wardman J, Jensen M, Andreassen S, Styrishave B, Wilhjelm J, Sinclair A Fluids Barriers CNS. 2023; 20(1):44.

PMID: 37328884 PMC: 10276479. DOI: 10.1186/s12987-023-00436-1.