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E-069 do bmi and and venous pressure measurements predict the need for revisions in venous sinus stenting?
  1. F Hui,
  2. L Lystad,
  3. S Hussain,
  4. M Bain,
  5. G Toth,
  6. G Kosmorsky,
  7. P Rasmussen,
  8. N Obuchowski,
  9. M Luciano
  1. Cerebrovascular Center, Cleveland Clinic, Cleveland, OH, USA

Abstract

Benign Intracranial Hypertension, also known as pseudotumor cerebri, is an uncommon disease manifest by increased ICP with headaches, papilledema, visual disturbances and blindness. Transverse Sinus stenoses has been associated with this entity in nearly 90% of patients. As such, treatment with transverse stents has been proposed as a possible treatment for this entity.

However, while complication rates appear low, there is a retreatment rate, by either stent revision or ventriculo-peritoneal  shunt. We assessed the prospectively maintained database of pseudotumor patients managed with stents and assessed recurrence rates as related to Body mass index and venous pressures as measured during procedure.

29 patients were analyzed, yielding headache improvements in 22/29 patients, improved papilledema in 28/29, improved LP pressures in 15/22. Tinnitus resolving in 18/19.

Recurrent papilledema occurred in 5 patients, treated with either stent revision or shunt.

Increased BMI trended towards a statistically significant association with recurrence with a p value of 0.084

Weight loss may be an integral part of treatment in these patients.

Disclosures F. Hui: None. L. Lystad: None. S. Hussain: None. M. Bain: None. G. Toth: None. G. Kosmorsky: None. P. Rasmussen: None. N. Obuchowski: None. M. Luciano: None.

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