Ultraschall in Med 2019; 40(04): 473-475
DOI: 10.1055/a-0783-2541
Case Report
© Georg Thieme Verlag KG Stuttgart · New York

Transcranial Color-Coded Sonography for Monitoring Idiopathic Intracranial Hypertension

Transkranielle farbkodierte Sonografie zum Monitoring von idiopathischer intrakranialer Hypertonie
Andrea Naldi
1  Stroke Unit, City of Health and Science University-Hospital of Turin, Italy
,
Piergiorgio Lochner
2  Neurology, Saarland-University-Medical-Center, Homburg, Germany
,
Piera Canu
3  Stroke Unit, IRCCS Policlinico San Donato, San Donato Milanese, Italy
,
Roberto Settembre
4  Neurosurgery, Policlinico and University-Hospital of Bari, Italy
,
Simona Alessi
5  Neurology and Stroke Unit, Sant'Antonio-Abate-Hospital of Trapani, Italy
,
Sandro Sanguigni
6  Neurology, Madonna-del-Soccorso-Hospital, San Benedetto del Tronto (AP), Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
20 November 2018 (eFirst)

Introduction

Idiopathic intracranial hypertension (IIH) is a neurological condition characterized by signs and symptoms of raised intracranial pressure (ICP) without an identifiable cause. If not treated, it can have a poor prognosis because of severe headaches and progressive vision loss. Recently, transverse sinus (TS) stenosis has been associated with IIH and some authors have suggested a possible pathogenic role of reduced venous outflow in the development of IIH (Higgins JNP et al. J Neurol Neurosurg Psychiatry 2004; 75: 621–625). The anatomy of the cerebral venous sinus is commonly assessed with magnetic resonance venography (MRV). Nevertheless, this technique is limited by the artifactual signal loss inside the transverse sinus due to in-plane flow and turbulence and cannot be performed in all subjects in the presence of contraindications.