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1.
Infectio ; 25(4): 289-292, oct.-dic. 2021. tab, graf
Article in Spanish | LILACS, COLNAL | ID: biblio-1286724

ABSTRACT

Resumen La trombosis de senos venosos cerebrales es un evento infrecuente en la población pediátrica y sus manifestaciones clínicas pueden variar dependiendo de la localización y extensión de la lesión, etiología o grupo etario (1); así mismo, la asociación de esta patología con virus es poco común, sin embargo, se han repor tado casos de trombosis de senos venosos en pacientes adultos con SARS-CoV-2 en relación con los mecanismos de lesión endotelial y respuesta inflamatoria que desencadena mecanismos procoagulantes. A continuación se presenta el primer caso reportado en Colombia de un caso de trombosis venosa cerebral en un lactante previamente sano, que debuta con un cuadro infeccioso gastrointestinal que resuelve y una semana después se presenta con cefalea y paralisis del VI par craneal derecho. Se documentó por angioto mografía trombosis del seno venoso sagital con extensión a senos transversos; los laboratorios fueron negativos para otras causas sistémicas y con prueba de anticuerpos para coronavirus positiva.


Abstract Cerebral venous sinus thrombosis is infrequent in the pediatric population and its clinical manifestations may vary depending on the anatomical location and the extent of the lesion, etiology or age group(1). The association of this pathology with viruses is uncommon, however, cases in adults with SARS-Cov2 have been reported triggered by procoagulant mechanisms due to endothelial injury and inflammatory response. The following article is the first reported case in Colombia of cerebral venous thrombosis in a previously healthy child, who debuted with gastrointestinal infectious disease and a week later with headache and sixth right cranial nerve palsy . The diagnosis of sagittal venous sinus thrombosis with extension to transverse sinuses was documented in a computed tomography angiography; laboratories for systemic diseases were negative and antibodies for coronavirus were positive.


Subject(s)
Humans , Male , Infant , Sinus Thrombosis, Intracranial , SARS-CoV-2 , COVID-19 , Thrombosis , Viruses , Coronavirus , Venous Thrombosis , Cranial Nerve Diseases , Transverse Sinuses , Headache
2.
Article in English | WPRIM | ID: wpr-765360

ABSTRACT

OBJECTIVE: We retrospectively assessed the efficacy of stereotactic radiosurgery (SRS) for dural arteriovenous fistulas (DAVFs) involving the transverse-sigmoid sinus and analyzed the angiographic and clinical results with our 8-year experience. METHODS: Nine patients with intracranial DAVFs involving the transverse-sigmoid sinus underwent SRS using a Gamma Knife® (Elekta Inc., Atlanta, GA, USA) between 2009 and 2016. Five patients underwent SRS for residual DAVFs after embolization and four patients were treated with SRS alone. The median target volume was 1.9 cm3 (range, 0.8–14.2) and the median radiation dose of the target was 17 Gy (range, 16–20). The median follow-up period was 37 months (range, 7–81). RESULTS: Pulsating tinnitus (33%) was the most common symptom. DAVFs were completely obliterated in four patients (44%) and subtotally obliterated in five (56%). Six patients (67%) showed complete recovery of symptoms or signs, and three (33%) showed incomplete recovery. One patient experienced a recurrent seizure. Adverse radiation effects after SRS occurred in one patient (11%). The total obliteration rates after SRS were 16.7%, 37.5%, and 68.7% at 1, 2, and 3 years, respectively. The median interval from SRS to total obliteration of the fistula was 31 months (range, 12–38). The rates at which the symptoms started to improve were 40% at 1 month and 80% at 2 months after SRS. Symptoms started to improve at a median of 5 weeks after SRS (range, 3–21). CONCLUSION: SRS with or without embolization is a safe and effective treatment to relieve symptoms and obliterate DAVFs on the transverse-sigmoid sinus.


Subject(s)
Central Nervous System Vascular Malformations , Fistula , Follow-Up Studies , Humans , Radiation Effects , Radiosurgery , Retrospective Studies , Seizures , Tinnitus , Transverse Sinuses
3.
Article in English | WPRIM | ID: wpr-788787

ABSTRACT

OBJECTIVE: We retrospectively assessed the efficacy of stereotactic radiosurgery (SRS) for dural arteriovenous fistulas (DAVFs) involving the transverse-sigmoid sinus and analyzed the angiographic and clinical results with our 8-year experience.METHODS: Nine patients with intracranial DAVFs involving the transverse-sigmoid sinus underwent SRS using a Gamma Knife® (Elekta Inc., Atlanta, GA, USA) between 2009 and 2016. Five patients underwent SRS for residual DAVFs after embolization and four patients were treated with SRS alone. The median target volume was 1.9 cm3 (range, 0.8–14.2) and the median radiation dose of the target was 17 Gy (range, 16–20). The median follow-up period was 37 months (range, 7–81).RESULTS: Pulsating tinnitus (33%) was the most common symptom. DAVFs were completely obliterated in four patients (44%) and subtotally obliterated in five (56%). Six patients (67%) showed complete recovery of symptoms or signs, and three (33%) showed incomplete recovery. One patient experienced a recurrent seizure. Adverse radiation effects after SRS occurred in one patient (11%). The total obliteration rates after SRS were 16.7%, 37.5%, and 68.7% at 1, 2, and 3 years, respectively. The median interval from SRS to total obliteration of the fistula was 31 months (range, 12–38). The rates at which the symptoms started to improve were 40% at 1 month and 80% at 2 months after SRS. Symptoms started to improve at a median of 5 weeks after SRS (range, 3–21).CONCLUSION: SRS with or without embolization is a safe and effective treatment to relieve symptoms and obliterate DAVFs on the transverse-sigmoid sinus.


Subject(s)
Central Nervous System Vascular Malformations , Fistula , Follow-Up Studies , Humans , Radiation Effects , Radiosurgery , Retrospective Studies , Seizures , Tinnitus , Transverse Sinuses
4.
Article in English | WPRIM | ID: wpr-717503

ABSTRACT

We report a rare case of arachnoid granulations mimicking multiple osteolytic bone lesions. A 66-year-old woman was admitted to a local clinic for a regular checkup. Upon admission, brain CT showed multiple osteolytic lesions in the occipital bone. These needed to be differentiated from multiple osteolytic bone tumor. Subsequent brain MRI revealed that the osteolytic lesions were isointense to cerebrospinal fluid, hyperintense on T2-weighted image, hypointense on T1-weighted image, and with subtle capsules around the osteolytic lesions that were visible after gadolinium injection. A bone scan revealed no radiotracer uptake. The lesions were in both the transverse sinuses and the torcular herophili. With typical radiological appearances of the lesions, the osteolytic lesions were diagnosed as multiple arachnoid granulations. No further treatment was planned. A 1-year follow-up brain CT scan revealed no change. We should consider the possibility of arachnoid granulations when multiple osteolytic lesions are observed in the occipital bone.


Subject(s)
Aged , Arachnoid , Brain , Capsules , Cerebrospinal Fluid , Female , Follow-Up Studies , Gadolinium , Humans , Magnetic Resonance Imaging , Occipital Bone , Tomography, X-Ray Computed , Transverse Sinuses
5.
Article in English | WPRIM | ID: wpr-106734

ABSTRACT

For dural arteriovenous fistula (DAVF), when the usual endovascular or neurosurgical approaches are difficult to treat, multi-modal treatment can be helpful. We present a case of a 71-year-old woman with DAVF, who presented with an intracerebral haemorrhage. Digital subtraction angiography revealed a DAVF of the transverse sinus, with cortical venous reflux. Transvenous and transarterial approaches for coil embolization failed. In the operating room, a small craniotomy was performed, and coil embolization was done under fluoroscopy. Transcranial venous embolization might be a useful method to occlude DAVF in a case that is difficult to access by usual surgical or endovascular approaches.


Subject(s)
Aged , Angiography, Digital Subtraction , Arteriovenous Fistula , Central Nervous System Vascular Malformations , Craniotomy , Embolization, Therapeutic , Endovascular Procedures , Female , Fluoroscopy , Humans , Methods , Neurosurgical Procedures , Operating Rooms , Transverse Sinuses
6.
Chinese Medical Journal ; (24): 1845-1849, 2016.
Article in English | WPRIM | ID: wpr-251293

ABSTRACT

<p><b>BACKGROUND</b>During craniotomies using the transpetrosal-presigmoid approach, exposure of the sigmoid sinus remains an essential but hazardous step. In such procedures, accurate localization of the anterosuperior point of the transverse-sigmoid sinus junction (ASTS) is very important for reducing surgical morbidity. This study aimed to create an accurate and practical method for identifying the ASTS.</p><p><b>METHODS</b>On the lateral surfaces of 40 adult skulls (19 male skulls and 21 female skulls), a rectangular coordinate system was defined to measure the x and y coordinates of two points: the ASTS and the squamosal-parietomastoid suture junction (SP). With the coordinate system, the distribution characteristics of the ASTS were statistically analyzed and the differences between the ASTS and SP were investigated.</p><p><b>RESULTS</b>For ASTS-x, significant differences were found in different sides (P = 0.020); the ASTS-x in male skulls was significantly higher on the right side (P = 0.017); there was no significant difference between the sides in female skulls. There were no significant differences in gender or interaction of gender and side for ASTS-x, and for ASTS-y, there were no significant differences in side, gender, or interaction of gender and side. For both sides combined, the mean ASTS-x was significantly higher than the mean SP-x (P = 0.003) and the mean ASTS-y was significantly higher than the mean SP-y (P = 0.011).</p><p><b>CONCLUSIONS</b>This reference coordinate system may be an accurate and practical method for identifying the ASTS during presigmoid craniotomy. The SP might be difficult to find during presigmoid craniotomy and, therefore, it is not always a reliable landmark for defining the ASTS.</p>


Subject(s)
Adult , Cranial Sinuses , Craniotomy , Female , Humans , Male , Middle Aged , Skull , Transverse Sinuses
7.
Rev. argent. neurocir ; 28(3): 114-119, ago. 2014. ilus
Article in Spanish | LILACS | ID: biblio-998337

ABSTRACT

OBJETIVO: describir en forma detallada, paso a paso, la realización de un abordaje retrosigmoideo. DESCRIPCIÓN: posición: existen 3 posiciones descritas para la realización de este abordaje, semisentada, decubito dorsal y en banco de plaza. Incisión: se extiende desde la parte superior del pabellón auricular hasta 2 cm por debajo del vertice mastoideo, y 1 cm medial a la ranura digástrica. Disección de partes blandas: se realiza una disección subperiostica, teniendo especial cuidado con la vena hemisaria mastoidea (posible fuente de embolia aérea). Craniectomía: es necesario identificar previamente algunos puntos anatómicos de referencia para la ubicación de los senos transverso y sigmoides. En la etapa final de la remoción ósea, se procede al fresado de la porción más superior y lateral del abordaje, con la necesaria exposición de la porción inferior del seno transverso y de la porción medial del seno sigmoides. Apertura dural: se realiza una apertura en forma de letra "C" (lado izquierdo), o letra "C invertida" (lado derecho), con base medial, comenzando en la porción superior y medial de duramadre expuesta. Disección microquirúrgica: dependiendo de la ubicación de la patologia a abordar se debe realizar una retracción gentil del hemisferio cerebeloso hacia medial. En la mayoría de los casos es necesario abrir la cisterna cerebelobulbar, con el objeto de evacuar LCR. CONCLUSIÓN: el refinamiento alcanzado actualmente hace que el abordaje retrosigmoideo sea el más utilizado para el tratamiento de las múltiples patologías ubicadas en la región del ángulo pontocerebeloso. El acceso que proporciona esta vía a la mayoría de los nervios craneales que se encuentran en la fosa posterior, y a sus complejos neurovasculares correspondientes, lo convierte en un abordaje de obligatorio aprendizaje para todo neurocirujano


OBJECTIVE: the aim of this paper is to describe, step by step, the retrosigmoid approach to accessing the cerebellopontine angle (CPA). DESCRIPTION: patient position: three potential positions have been described for this approach: semi-sitting, dorsal decubitus and park bench. Incision: The incision extends from the top of the ear to 2 cm below the mastoid apex, and 1 cm medial to the digastric groove. Soft tissue dissection: A subperiosteal dissection is performed, taking special care to avoid the mastoid emissary vein. CRANIOTOMY: At the outset, it is necessary to identify certain anatomical landmarks to localize the transverse and sigmoid sinuses. Dural opening: The dural incision is made in the shape of the letter "C" on the left side or an inverted letter "C" on the right. Microsurgical dissection: Depending on the location of the pathology being treated, it may be necessary to perform gentle cerebellar retraction medially. CONCLUSIONS: the refinements now achieved with the retrosigmoid approach make it the most widely-used approach for the treatment of lesions located within the CPA. The access provided by this approach to the vast majority of the cranial nerves in the posterior fossa, as well as their neurovascular complexes, makes it a mandatory approach for all neurosurgeons to learn


Subject(s)
Transverse Sinuses , Microsurgery
8.
Article in Korean | WPRIM | ID: wpr-654741

ABSTRACT

Tinnitus is a bothersome symptom, and definite treatment of tinnitus is unclear. However, somatostatic tinnitus caused by vascular bruit is sometimes treatable. Sigmoid sinus diverticulum and/or dehiscence (SSDD) is common vascular abnormality, which is also known to cause pulsatile tinnitus. An endovascular embolization that can treat SSDD has been reported already, however, an external approach has not been reported yet in Korea. We experienced a 34-year-old woman who had complained of pulsatile tinnitus by SSDD and she was successfully treated with an external apporoach. So we report this case with a review of literatures.


Subject(s)
Adult , Colon, Sigmoid , Diverticulum , Female , Humans , Korea , Tinnitus , Transverse Sinuses
9.
Article in English | WPRIM | ID: wpr-52851

ABSTRACT

As a rare cerebrovascular disease, cerebral venous thrombosis (CVT) is caused by various conditions including trauma, infection, oral contraceptive, cancer and hematologic disorders. However, iron deficiency anemia is not a common cause for CVT in adult. Posterior fossa infarction following CVT is not well demonstrated because posterior fossa has abundant collateral vessels. Here, we report a case of a 55-year-old man who was admitted with complaints of headache, nausea, and mild dizziness. The patient was diagnosed with isolated lateral sinus thrombosis presenting as cerebellar infarction. Laboratory findings revealed normocytic normochromic anemia due to iron deficiency, and the patient's symptoms were improved after iron supplementation.


Subject(s)
Adult , Anemia , Anemia, Iron-Deficiency , Dizziness , Headache , Humans , Infarction , Iron , Lateral Sinus Thrombosis , Middle Aged , Nausea , Thrombosis , Transverse Sinuses , Venous Thrombosis
10.
Article in English | WPRIM | ID: wpr-173716

ABSTRACT

OBJECTIVES: The posterior maxillary region often provides a limited bone volume for dental implants. Maxillary sinus elevation via inserting a bone graft through a window opened in the lateral sinus wall has become the most common surgical procedure for increasing the alveolar bone height in place of dental implants in the posterior maxillary region. The purpose of this article is to assess the change of bone volume and the clinical effects of dental implant placement in sites with maxillary sinus floor elevation and autogenous bone graft through the lateral window approach. MATERIALS AND METHODS: In this article, the analysis data were collected from 64 dental implants that were placed in 24 patients with 29 lacks of the bone volume posterior maxillary region from June 2004 to April 2011, at the Department of Oral and Maxillofacial Surgery, Inha University Hospital. Panoramic views were taken before the surgery, after the surgery, 6 months after the surgery, and at the time of the final follow-up. The influence of the factors on the grafted bone material resorption rate was evaluated according to the patient characteristics (age and gender), graft material, implant installation stage, implant size, implant placement region, local infection, surgical complication, and residual alveolar bone height. RESULTS: The bone graft resorption rate of male patients at the final follow-up was significantly higher than the rate of female patients. The single autogenous bone-grafted site was significantly more resorbed than the autogenous bone combined with the Bio-Oss grafted site. The implant installation stage and residual alveolar height showed a significant correlation with the resorption rate of maxillary sinus bone graft material. The success rate and survival rate of the implant were 92.2% and 100%, respectively. CONCLUSION: Maxillary sinus elevation procedure with autogenous bone graft or autogenous bone in combination with Bio-Oss is a predictable treatment method for implant rehabilitation.


Subject(s)
Alveolar Bone Grafting , Bone Resorption , Dental Implants , Female , Follow-Up Studies , Humans , Male , Maxillary Sinus , Rehabilitation , Sinus Floor Augmentation , Surgery, Oral , Survival Rate , Transplants , Transverse Sinuses
13.
J. bras. neurocir ; 23(1): 51-55, 2012.
Article in Portuguese | LILACS | ID: lil-655791

ABSTRACT

As lesões arteriovenosas que envolvem a dura máter e o espaço epidural são chamadas de shunts arteriovenosos durais. Elas representam comunicações diretas anormais, entre artérias durais e veias durais dilatadas, sem um leito capilar entre estas. A fístula arteriovenosa dural corresponde à cerca de 15% de todas as lesões arteriovenosas intracranianas. Apresentamos o caso de um paciente de 31 anos, apresentando crises epilépticas de início aos 14 anos, cuja investigação diagnóstica com exames de imagem mostrou fístula arteriovenosa dural da região da inserção da tenda drenando para os seios transverso e sigmóide direitos, nutrida pelas artérias occipitais, meníngea média direita e tronco meningohipofisário direito. Além das múltiplas aferências arteriais, também havia oclusão das veias jugulares, o que impedia o tratamento pela via venosa. Foi realizado tratamento combinado, com acesso cirúrgico através de trepanação na junção dos seios transverso-sigmoide direitos, com punção do seio transverso e embolização dos mesmos com espiras metálicas e adesivo tissular (cianoacrilato), com oclusão total da lesão. Descrevemos o procedimento e realizamos uma breve revisão da literatura sobre o tema.


Subject(s)
Arteriovenous Fistula , Embolization, Therapeutic , General Surgery , Transverse Sinuses
14.
Scientific Journal of Kurdistan University of Medical Sciences. 2012; 17 (1): 111-116
in Persian | IMEMR | ID: emr-131469

ABSTRACT

Straight sinus thrombosis can lead to bilateral thalamus infarct, and if it is not diagnosed on time, death of the patient will ensue. Bilateral thalamus infarct usually presents by loss of consciousness, memory disorders, vertical gaze palsy and psychological disturbances. Our patient was a 28-year old female who had history of fasting for 2 months and prolonged use of contraceptive pills, who referred to emergency department with loss of consciousness, weakness, and a history of severe headache, nausea, vomiting and hypophonic speech from 4 days ago. 10 hours prior to admission she developed disturbances of consciousness. Non contrast computed tomography scan of brain revealed a hyper dense area within the straight sinus and a hyper dense area in the body and posterior horn of right lateral ventricle which was indicative of hemorrhage. MRI and MRV revealed extensive thrombosis in the straight sinus which had led to acute bilateral ischemia in thalami. Anticoagulants, acetazolemide and phenytoin started for the patient for 5 weeks. When she regained her consciousness completely and there was no lateralizing sign, she was discharged from the hospital. Cerebral venous thrombosis can present with protean clinical manifestations in different age groups which may lead to misdiagnosis. Considering history, thinking of this diagnosis and availability of appropriate Para clinical facilities can decrease diagnostic errors


Subject(s)
Humans , Female , Brain Ischemia , Venous Thrombosis , Transverse Sinuses , Thalamus , Anticoagulants , Acetazolamide , Phenytoin , Diagnostic Errors , Cerebral Infarction
15.
Article in Korean | WPRIM | ID: wpr-211782

ABSTRACT

A 33-year-old male was admitted with severe headache lasting 3 days. He did not have a focal neurologic deficit, but had a high intracranial pressure of 512 mmH2O. Cerebral angiography revealed venous sinus thrombosis that mainly involved the superior sagittal and right transverse sinuses. His headache remained severe after intravenous heparin infusion, and so interventional procedures were performed. Mechanical aspiration with the Penumbra system(TM) and other interventional procedures reopened the outflow of the superior sagittal sinus and effectively ameliorated this patient's headache.


Subject(s)
Adult , Cerebral Angiography , Headache , Heparin , Humans , Intracranial Pressure , Male , Neurologic Manifestations , Sagittal Sinus Thrombosis , Sinus Thrombosis, Intracranial , Suction , Superior Sagittal Sinus , Thrombectomy , Thrombolytic Therapy , Transverse Sinuses , Venous Thrombosis
16.
Chinese Medical Journal ; (24): 2951-2953, 2012.
Article in English | WPRIM | ID: wpr-244317

ABSTRACT

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 symptoms resolved and one month later, the CSF opening pressure decreased to 14 cmH2O.


Subject(s)
Cerebral Angiography , Female , Humans , Middle Aged , Pseudotumor Cerebri , Diagnostic Imaging , General Surgery , Transverse Sinuses , Diagnostic Imaging , General Surgery
17.
Arq. bras. neurocir ; 29(4)dez. 2010. ilus
Article in Portuguese | LILACS | ID: lil-602493

ABSTRACT

Background: Arteriovenous malformations (AVM) are rare disease in pediatric age group and dural sinus malformation (DSM) has even a lower incidence rate. DSMs are associated with a mild male dominance and onset symptoms appear around 5 months of age. The most common clinical presentation is macrocrania, seizures, psychomotor delay, intracranial hemorrhage, congestive heart failure and brain ischemia. Early recognition of these lesions is essential to prevent brain injury for ischemia and intracranial hypertension. Case description: We discuss the case of a 4 month-old boy presenting with macrocrania and signs of intracranial hypertension secondary to a transverse sinus dural arteriovenous malformation. This case was successfully treated by endovascular procedure reaching the goal of the treatment that is to obliterate the arterial portion of the fistula while preserving cerebral venous drainage to reduce the pial reflux in order to prevent venous hypertension and ischemic complications.


Contexto: As malformações arteriovenosas (MAVs) são raras na faixa etária pediátrica, e as malformações de seio dural (MSD) possuem uma taxa de incidência ainda menor. As MSDs estão associadas a uma pequena predominância no sexo masculino e os sintomas aparecem por volta dos 5 meses de idade. As apresentações clínicas mais comuns são: macrocrania, crises convulsivas, atraso no desenvolvimento neuropsicomotor, hemorragia intracraniana, insuficiência cardíaca congestiva e isquemia cerebral. O reconhecimento precoce dessas lesões é essencial para prevenir o dano cerebral por isquemia e hipertensão intracraniana. Relato do caso: Discutimos o caso de um garoto de 4 meses de idade apresentando macrocrania e sinais de hipertensão intracraniana secundários a uma malformação arteriovenosa de seio dural transverso. Este caso foi tratado com sucesso por procedimento endovascular, alcançando o objetivo do tratamento, que é ocluir a porção arterial da fístula e preservar a drenagem venosa cerebral, para reduzir o refluxo pial e assim prevenir a hipertensão venosa e possíveis complicações isquêmicas.


Subject(s)
Humans , Male , Infant , Arteriovenous Fistula , Arteriovenous Malformations , Transverse Sinuses
18.
Article in English | WPRIM | ID: wpr-197684

ABSTRACT

PURPOSE: Many techniques have been described for achieving vertical augmentation of the maxillary sinus. The aim of this study is to evaluate the effect of low-intensity pulsed ultrasound (LIPUS) to enhance bone regeneration after sinus floor elevation. METHODS: The sinus lifting technique was performed through a lateral approach on 8 different sites of 5 patients (3 males and 2 females) and their mean age was 45.7 years old. The sites were randomly assigned to the control or test groups. The control group had 4 sites that received lateral sinus lifting procedure only, while the test group had 4 sites that received LIPUS application after the lateral sinus lifting procedure. 24-32 weeks (an average of 29 weeks) postoperatively, new bone formation in the augmented sinus sites was evaluated through histologic and histomorphometric analyses of the biopsy specimens obtained during implant placement. RESULTS: In the test group, the mean percentage of newly formed bone was 19.0+/-2.8%. In the control group, the mean percentage of newly formed bone was 15.2+/-3.1%. The percentage of newly formed bone was approximately 4% higher in those cases where the sinus was treated by LIPUS than the percentage in those cases where it was not used. The difference was statistically significant. CONCLUSIONS: Within the scope of this study, low-intensity pulsed ultrasound application after sinus lifting appeared to have a significant effect on the development of new bone formation.


Subject(s)
Biopsy , Bone Regeneration , Floors and Floorcoverings , Humans , Lifting , Male , Maxillary Sinus , Osteogenesis , Transverse Sinuses
19.
Medical Journal of Mashad University of Medical Sciences. 2009; 52 (3): 147-150
in Persian | IMEMR | ID: emr-133975

ABSTRACT

The First Cerebral vein thrombosis was reported in 1825. Early diagnosis is very important, because early treatment can prevent mortality in most cases. Also, cerebral vein thrombosis is preventable by finding the underlying etiology. True incidence of cerebral vein thrombosis is not predicative. This descriptive study was performed from 2005 through 2006 on patients referred to Qaem Hospital neurological emergency ward. All of the patients with clinical feature of ICP rising were evaluated and underwent CT scan and MRI of brain. In cases suspicious to cerebral vein thrombosis, the disease was actually diagnosed with MR venography of brain, after discharge Patients were followed up every week for 3 weeks in neurological clinic of Qaem Hospital. From 20 evaluated patients, 70% were female and 30% were male, in which the ratio of F/M was 3/2. Patients mean age was 30 year. The most clinical feature was headache. Underlying etiologies in above patients were: OCP consumption, post partum period, mediaotitis, nephrotic syndrome and Crystal abuse. In MRI and MRV assays of studied patients, 20% had superior sagital sinus, 10% lateral sinus, 5% sigmoid sinus and 65% had superior sagital and lateral sinus involvement simultaneously. In patients who refer having headache and papilla edema, cerebral vein thrombosis should be considered. Early diagnosis is achieved by precise diagnostic methods like MRI and MRV, and the prevention of severe irreversible and fatal side effects of disease with the early treatment


Subject(s)
Humans , Male , Female , Brain , Venous Thrombosis , Tomography, X-Ray Computed , Magnetic Resonance Imaging , Phlebography , Transverse Sinuses
20.
Neurointervention ; : 38-40, 2009.
Article in Korean | WPRIM | ID: wpr-730147

ABSTRACT

Increased pressure in the dural venous sinuses has been proposed as the cause of idiopathic intracranial hypertension and mostly from the stenoses or occlusions of the lateral sinuses. This hypothesis has received further support from manometry of the dural venous sinuses, showing a substantial proximalto-distal pressure gradient, and from reports of improvement of idiopathic intracranial hypertension following stenting of the dural sinuses. We described a 44-year-old woman with symptom of idiopathic intracranial hypertension, who was treated with transverse sinus stenting in our hospital.


Subject(s)
Adult , Constriction, Pathologic , Female , Humans , Manometry , Pseudotumor Cerebri , Stents , Transverse Sinuses
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