Bibliographic Details
| Title: |
Papilledema and venous stasis in patients with cerebral venous and sinus thrombosis |
| Authors: |
Min-Gyu Park, Jieun Roh, Sung-Ho Ahn, Kyung-Pil Park, Seung Kug Baik |
| Source: |
BMC Neurology, Vol 23, Iss 1, Pp 1-7 (2023) |
| Publisher Information: |
BMC, 2023. |
| Publication Year: |
2023 |
| Collection: |
LCC:Neurology. Diseases of the nervous system |
| Subject Terms: |
Cerebral venous thrombosis, Papilledema, Intracranial pressure, Susceptibility-weighted imaging, Neurology. Diseases of the nervous system, RC346-429 |
| More Details: |
Abstract Background Cerebral venous and sinus thrombosis (CVST) can cause increased intracranial pressure, often leading to papilledema. In this study, we investigated the association between papilledema and venous stasis on susceptibility weighted imaging (SWI) in CVST. Methods Patients with CVST between 2008 and 2020 were reviewed. Patients without fundoscopic examination or SWI were excluded in this study. Venous stasis was evaluated and scored for each cerebral hemisphere: each hemisphere was divided into 5 regions according to the venous drainage territories (superior sagittal sinus, Sylvian veins, transverse sinus and vein of Labbé, deep cerebral veins, and medullary veins) and 1 point was added if venous prominence was confirmed in one territory on SWI. The venous stasis score on SWI between cerebral hemispheres with and without papilledema was compared. Results Eight of 19 patients with CVST were excluded because of the absence of fundoscopic examination or SWI. Eleven patients (26.5 ± 2.1 years) were included in this study. Papilledema was identified in 6 patients: bilateral papilledema in 4 patients and unilateral papilledema in 2 patients. The venous stasis score on SWI was significantly higher (P = 0.013) in the hemispheres with papilledema (median, 4.0; 95% CI, 3.038–4.562) than in the hemispheres without papilledema (median, 2.5; 95% CI, 0.695–2.805). Conclusions This study shows that higher score of venous stasis on SWI is associated with papilledema. Therefore, the venous stasis on SWI may be an imaging surrogate marker of increased intracranial pressure in patients with CVST. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1471-2377 |
| Relation: |
https://doaj.org/toc/1471-2377 |
| DOI: |
10.1186/s12883-023-03228-0 |
| Access URL: |
https://doaj.org/article/85176bae051944128d26c1444aa28052 |
| Accession Number: |
edsdoj.85176bae051944128d26c1444aa28052 |
| Database: |
Directory of Open Access Journals |
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