Document Detail


Abnormal pressure waves in headache sufferers with bilateral transverse sinus stenosis.
MedLine Citation:
PMID:  20974602     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Bilateral transverse sinus stenosis (BTSS) has been reported to be associated with idiopathic intracranial hypertension without papilloedema in headache sufferers.
SUBJECTS AND METHODS: To test the accuracy of short-term cerebrospinal fluid (CSF) pressure monitoring through a lumbar needle for detection of elevated intracranial pressure in headache sufferers with BTSS, we prospectively performed lumbar puncture in order to measure lumbar CSF opening pressures and to monitor, for 1 h, the CSF pressure in 48 consecutive headache sufferers with BTSS and in 50 consecutive headache sufferers with normal appearance of transverse sinuses or stenosis of one transverse sinus.
RESULTS: Of the 48 headache sufferers with BTSS, 18 (37.5%) had elevated CSF opening pressure and abnormal pressure waveforms, but short-term CSF pressure monitoring revealed abnormal pressure waves associated with elevated mean CSF pressure also in 26 (86.6%) out of 30 patients who had normal opening pressures. None of the 50 headache sufferers with normal appearance of transverse sinuses or stenosis of one transverse sinus had abnormal pressure waves and elevated CSF pressures.
CONCLUSIONS: In this study, short-term CSF pressure monitoring through a lumbar needle revealed abnormal pressure waves and elevated mean CSF pressures in the majority of headache sufferers with BTSS who had normal CSF opening pressures. These findings demonstrate the accuracy of short-term CSF pressure monitoring through a lumbar needle in estimating CSF pressure; they also highlight that a single-spot opening pressure measurement has a low accuracy for recognition of increased intracranial pressure in headache sufferers with BTSS.
Authors:
F Bono; D Salvino; T Tallarico; D Cristiano; F Condino; F Fera; Pl Lanza; A Lavano; A Quattrone
Publication Detail:
Type:  Clinical Trial; Journal Article     Date:  2010-05-12
Journal Detail:
Title:  Cephalalgia : an international journal of headache     Volume:  30     ISSN:  1468-2982     ISO Abbreviation:  Cephalalgia     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-09     Completed Date:  2011-03-08     Revised Date:  2011-06-01    
Medline Journal Info:
Nlm Unique ID:  8200710     Medline TA:  Cephalalgia     Country:  England    
Other Details:
Languages:  eng     Pagination:  1419-25     Citation Subset:  IM    
Affiliation:
University Magna Graecia, Italy. f.bono@isn.cnr.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Cerebrospinal Fluid Pressure / physiology*
Constriction, Pathologic / complications
Female
Headache / cerebrospinal fluid*,  etiology
Humans
Magnetic Resonance Angiography
Male
Pseudotumor Cerebri / cerebrospinal fluid*,  diagnosis*,  etiology
Spinal Puncture
Transverse Sinuses / pathology*
Comments/Corrections
Comment In:
Cephalalgia. 2011 Apr;31(6):763-5   [PMID:  21493643 ]
Cephalalgia. 2010 Dec;30(12):1415-6   [PMID:  20974605 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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