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Cranial Venous Outflow Obstruction and Pseudotumor Cerebri Syndrome

  • B. K. Owler
  • G. Parker
  • G. M. Halmagyi
  • I. H. Johnston
  • M. Besser
  • J. D. Pickard
  • J. N. Higgins
Part of the Advances and Technical Standards in Neurosurgery book series (NEUROSURGERY, volume 30)

Abstract

The pathophysiology of PTS including idiopathic intracranial hypertension or ‘BIH’, remains controversial. The older literature frequently referred to pathology in the cerebral venous drainage but more modern imaging techniques (CT and early MR) failed to reveal gross venous pathology. The role of impaired cranial venous outflow has recently been re-examined in the light of new methods of investigation (advanced MR venography and direct microcatheter venography with manometry) and of treatment (venous sinus stenting).

Venous sinus obstruction in PTS is a more common factor in the pathogenesis of the condition than previously recognised. Venous obstruction may be primary, that is, it is the underlying aetiological factor in PTS. Venous sinus obstruction may also be secondary to raised CSF pressure which may exacerbate problems with intracranial compliance and raised CSF pressure. Early experience with venous stenting suggests that it may be a helpful treatment for patients with PTS but more experience and longer follow-up is required to define the subgroups of patients for whom it is most appropriate.

Keywords

Pseudotumor cerebri syndrome idiopathic intracranial hypertension benign intracranial hypertension papilloedema intracranial pressure cerebral venous drainage venous stent MR venography 

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References

  1. 1.
    Alexander M, Rajaratanam S, Singh S, Korah IP, Gnanamuthu C, Seshadri MS (1999) Acquired dural fistulae in benign intracranial hypertension: a short case report. Acta Neurol Scand 99: 318–321PubMedGoogle Scholar
  2. 2.
    Amaral JF, Tsiaris W, Morgan T, Thompson WR (1987) Reversal of benign intracranial hypertension by surgically induced weight loss. Arch Surg 122: 946–949PubMedGoogle Scholar
  3. 3.
    Angeli SI, Sato Y, Gantz BJ (1994) Glomus jugulare tumors masquerading as benign intracranial hypertension. Arch Otolaryngol Head Neck Surg 120: 1277–1280PubMedGoogle Scholar
  4. 4.
    Arjona A, Delgado F, Fernandez-Romero E (2003) Neurological Picture: Intracranial hypertension secondary to giant arachnoid granulation. J Neurol Neurosurg Psychiatry 74: 418PubMedGoogle Scholar
  5. 5.
    Bastin M, Sinha S, Farrall A, Wardlaw J, Whittle I (2003) Diffuse brain oedema in idiopathic intracranial hypertension: a quantitative magnetic resonance imaging study. J Neurol Neurosurg Psychiatry 74: 1693–1696PubMedGoogle Scholar
  6. 6.
    Beaumont G, Hearn J (1948) A case of reversible papilloedema due to heart failure. BMJ 1: 50Google Scholar
  7. 7.
    Becht F (1920) Studies on the cerebrospinal fluid. Am J Physiol 51: 1Google Scholar
  8. 8.
    Beck D, Russell D (1946) Experiments on thrombosis of the superior longitudinal sinus. J Neurosurg 3: 337–347Google Scholar
  9. 9.
    Beck DW, Kassell NF, Drake CG (1979) Glomus jugulare tumor presenting with increased intracranial pressure. Case report. J Neurosurg 50: 823–825PubMedGoogle Scholar
  10. 10.
    Bedford T (1942) The effect of variations in the subarachnoid space pressure in the superior longitudinal sinus and in the torcular of the dog. J Physiol 101: 362–368Google Scholar
  11. 11.
    Beller A (1964) Benign post-traumatic inttracranial hypertension. J Neurol Neurosurg Psychiatry 27: 149–152PubMedGoogle Scholar
  12. 12.
    Benveniste R, Patel A, Post K (2004) Management of cerebral venous sinus thrombosis. Neurosurg Q 14: 27–35Google Scholar
  13. 13.
    Bergquist E, Willen (1974) Cavernous nodules in the dural sinuses. J Neurosurg 40: 330–335PubMedGoogle Scholar
  14. 14.
    Bergui M, Bradac G (2003) Clinical picture of patients with cerebral venous thrombosis and patterns of dural sinus involvement. Cerebrovasc Dis 16: 211–216PubMedGoogle Scholar
  15. 15.
    Bering E, Salibi B (1959) Production of hydrocephalus by increased cephalic-venous pressure. Arch Neurol Psychiatry 81: 693–698Google Scholar
  16. 16.
    Bloomfield G, Ridings P, Blocher C, Sugerman H (1997) A proposed relationship between increased intra-abdominal, intrathoracic, and intracranial pressure. Crit Care Med 25: 496–503PubMedGoogle Scholar
  17. 17.
    Bortoluzzi M, Di Lauro L, Marini G (1982) Benign intracranial hypertension with spinal and radicular pain. Case report. J Neurosurg 57: 833–836PubMedGoogle Scholar
  18. 18.
    Bousser M, Russell R (1997) Cerebral venous thrombosis. Major problems in neurology, vol 33. In: Warlow C, Van Gijn J (eds) W. B. Saunders, LondonGoogle Scholar
  19. 19.
    Brooks DJ, Beaney RP, Leenders KL, Marshall J, Thomas DJ, Jones T (1985) Regional cerebral oxygen utilization, blood flow, and blood volume in benign intracranial hypertension studied by positron emission tomography. Neurology 35: 1030–1034PubMedGoogle Scholar
  20. 20.
    Browder J, Kaplan H, Howard E (1973) Hyperplasia of Pacchionian granulations. Arch Path Lab Med 95: 315–316Google Scholar
  21. 21.
    Cameron A (1933) Marked papilloedema in pulmonary emphysema. Brit J Ophthalmol 17: 167–169Google Scholar
  22. 22.
    Chin S, Chen C, Lee C et al (1998) Giant arachnoid granulation mimicking dural sinus thrombosis in a boy with headache: MRI. Neuroradiol 40: 181–183Google Scholar
  23. 23.
    Cinalli G, Sainte-Rose C, Kollar E et al (1998) Hydrocephalus and craniosynostosis. J Neurosurg 88: 209–214PubMedGoogle Scholar
  24. 24.
    Connolly MB, Farrell K, Hill A, Flodmark O (1992) Magnetic resonance imaging in pseudotumor cerebri. Dev Med Child Neurol 34: 1091–1094PubMedGoogle Scholar
  25. 25.
    Corbett J, Digre K (2002) Editorial: Idiopathic intracranial hypertension: an answer to, “the chicken or the egg?”. Neurology 58: 9–10PubMedGoogle Scholar
  26. 26.
    Corbett JJ, Mehta MP (1983) Cerebrospinal fluid pressure in normal obese subjects and patients with pseudotumor cerebri. Neurology 33: 1386–1388PubMedGoogle Scholar
  27. 27.
    Cremer PD, Thompson EO, Johnston IH, Halmagyi GM (1996) Pseudotumor cerebri and cerebral venous hypertension. Neurology 47: 1602–1603PubMedGoogle Scholar
  28. 28.
    Cronqvist S, Granholm L, Lundström N (1972) Hydrocephalus and congestive heart failure caused by intracranial arteriovenous malformation in infants. J Neurosurg 36: 249–254PubMedGoogle Scholar
  29. 29.
    Cure J, Key L, Goltra D, VanTassel P (2000) Cranial MR imaging of osteopetrosis. Am J Neuroradiol 21: 1110–1115PubMedGoogle Scholar
  30. 30.
    Cushing H (1902) Some experimental and clinical observations concerning states of increased intracranial tension. Am J Med Sci 124: 375Google Scholar
  31. 31.
    Dandy W (1937) Intracranial pressure without brain tumor, diagnosis and treatment. Ann Surg 106: 492–513Google Scholar
  32. 32.
    Dandy W, Blackfan K (1914) Internal hydrocephalus. An experimental and clinical and pathological study. Am J Diseases Childhood 8: 406–482Google Scholar
  33. 33.
    Davidoff L, Dyke C (1937) Hypertensive meningeal hydrops: syndrome frequently folling infection in the middle ear or elsewhere in the body. Am J Ophthalmol 20: 908–927Google Scholar
  34. 34.
    Davson H, Hollingsworth G, Segai M (1970) The mechanism of drainage of the cerebrospinal fluid. Brain 93: 665–678PubMedGoogle Scholar
  35. 35.
    de Lange S, de Vlieger M (1970) Hydrocephalus associated with raised venous pressure. Dev Med Child Neurol 12[Suppl] 22: 28–32Google Scholar
  36. 36.
    Digre KB, Corbett JJ (1988) Pseudotumor cerebri in men [published erratum appears in Arch Neurol 1989 Feb; 46(2): 172]. Arch Neurol 45: 866–872PubMedGoogle Scholar
  37. 37.
    Dixon W, Halliburton W (1914) The cerebrospinal fluid II. Cerebro-spinal pressure. J Physiol 48: 128–153Google Scholar
  38. 38.
    Drew J, Grant F (1945) Polycythemia as a neurosurgical problem. Arch Neurol 54: 25–36Google Scholar
  39. 39.
    Eaton H (1969) Chronic bovine hypo-and hypervitaminosis A and cerebrospinal fluid pressure. Am J Clin Nutrition 22: 1070–1080Google Scholar
  40. 40.
    Ecker A (1946) Linear skull fracture across the venous sinuses. N Y St J Med 46: 1120–1121Google Scholar
  41. 41.
    Emery J, Zachary R (1956) Hydrocephalus associated with obliteration of the longitudinal sinus. Arch Dis Childhood 31: 299–292Google Scholar
  42. 42.
    Evans M (1942) Bilateral jugular vein ligation following bilateral suppurative mastoiditis. Ann Otology, Rhinol Laryngol 51: 615–625Google Scholar
  43. 43.
    Farb R, Vanek I, Scott J et al (2003) Idiopathic intracranial hypertension. The prevalence and morphology of sinovenous stenosis. Neurology 60: 1418–1424PubMedGoogle Scholar
  44. 44.
    Fishman M, Hogan G, Dodge P (1971) The concurrence of hydrocephalus and craniosynostosis. J Neurosurg 34: 621–629PubMedGoogle Scholar
  45. 45.
    Foley J (1955) Benign forms of intracranial hypertension — “toxic” and “otitic” hydrocephalus. Brain 78: 1–48PubMedGoogle Scholar
  46. 46.
    Ford F, Murphy E (1939) Increased intracranial pressure. A clinical analysis of causes and characteristics of several different types. Bull Johns Jopkins Hospital 64: 369–398Google Scholar
  47. 47.
    Friedman WA, Mickle JP (1980) Hydrocephalus in achondroplasia: a possible mechanism. Neurosurgery 7: 150–153PubMedGoogle Scholar
  48. 48.
    Gardner W (1939) Otitic sinus thrombosis causing intracranial hypertension. Arch Otolaryngol 30: 253–268Google Scholar
  49. 49.
    Gibson J, Taylor A, Richardson A (1959) Congenital arteriovenous fistula with an aneurysm of the great cerebral vein and hydrocephalus treated surgically. J Neurol Neurosurg Psychiatry 22: 224–228PubMedGoogle Scholar
  50. 50.
    Gideon P, Sorensen PS, Thomsen C, Stahlberg F, Gjerris F, Henriksen O (1995) Increased brain water self-diffusion in patients with idiopathic intracranial hypertension. AJNR Am J Neuroradiol 16: 381–387PubMedGoogle Scholar
  51. 51.
    Giuseffi V, Wall M, Siegel PZ, Rojas PB (1991) Symptoms and disease associations in idiopathic intracranial hypertension (pseudotumor cerebri): a case-control study. Neurology 41: 239–244PubMedGoogle Scholar
  52. 52.
    Golabi M, Edwards M, Oussterhout D (1987) Craniosynostosis and hydrocephalus. Neurosurgery 21: 63–67PubMedGoogle Scholar
  53. 53.
    Goldsmith P, Burn D, Coulthard A, Jenkins A (1999) Extrinsic cerebral venous obstruction resulting in intracranial hypertension. J Neurol Neurosurg Psychiatry 1999: 550–551Google Scholar
  54. 54.
    Gomez D, Potts D, Deonarine V (1974) Arachnoid granulations of the sheep. Structural and ultrastructural changes with varying pressure differences. Arch Neurol 30: 169–175PubMedGoogle Scholar
  55. 55.
    Greenfield JJ, Tindall G (1965) Effect of acute increase in intracranial pressure on blood flow in the internal carotid artery of man. J Clin Investigation 44: 1343–1351Google Scholar
  56. 56.
    Greer M (1962) Benign intracranial hypertension. I. Mastoiditis and lateral sinus thrombosis. Neurology (Minneapolis) 12: 472–476PubMedGoogle Scholar
  57. 57.
    Guthrie T, Dunbar H, Karpell B (1970) Ventricular size and chronic increased intracranial venous pressure in the dog. J Neurosurg 33: 407–414PubMedGoogle Scholar
  58. 58.
    Guttierrez Y, Friede R, Kaliney W (1975) Agenesis of arachnoid granulations and its relationship to communicating hydrocephalus. J Neurosurg 43: 553–558PubMedGoogle Scholar
  59. 59.
    Guyton A (1991) Textbook of medical phsyiology, 8th edn. W. B. Saunders Company, Philidelphia pp 5–7Google Scholar
  60. 60.
    Haar F, Miller C (1975) Hydrocephalus resulting from superior vena cava thrombosis in an infant. Case report. J Neurosurg 42: 597–601PubMedGoogle Scholar
  61. 61.
    Hannerz J, Greitz D, Ericson K (1995) Is there a relationship between obesity and intracranial hypertension? [see comments]. Int J Obes Relat Metab Disord 19: 240–244PubMedGoogle Scholar
  62. 62.
    Hayes K, McCombs H, Faherty T (1971) The fine structure of vitamin A deficiency. II. Arachnoid granulations and CSF pressure. Brain 94: 213–224PubMedGoogle Scholar
  63. 63.
    Higgins J, Cousins C, Owler B, Sarkies N, Pickard J (2003) Idiopathic intracranial hypertension: 12 cases treated with venous sinus stenting. J Neurol Neurosurg Psychiatry 74: 1662–1666PubMedGoogle Scholar
  64. 64.
    Higgins J, Gillard G, Owler B, Harkness K, Pickard J (2004) MR venography in idiopathic intracranial hypertension: unappreciated and misunderstood. J Neurol Neurosurg Psychiatry 74Google Scholar
  65. 65.
    Higgins J, Owler B, Cousins C, Pickard J (2002) Venous sinus stenting for refractory benign intracranial hypertension. Lancet 359: 228–230PubMedGoogle Scholar
  66. 66.
    Higgins J, Pickard J (2004) Lateral sinus stenoses in idiopathic intracranial hypertension resolving after CSF diversion. Neurology 62: 1907–1908PubMedGoogle Scholar
  67. 67.
    Hooper R (1961) Hydrocephalus and obstruction of the superior vena cava in infancy. Clinical study of the relationship between cerebrospinal fluid pressure and venous pressure. Pediatrics 28: 792–799PubMedGoogle Scholar
  68. 68.
    Hunt M, Lee A, Kardon R, Lesley W, Chaloupka J (2001) Improvement in papilloedema and visual loss after endovascular stent placement in dural sinus thrombosis. Neuro-Ophthalmol 26: 85–92Google Scholar
  69. 69.
    Ikkala E, Laitinen L (1963) Papilloedema due to iron deficiency anaemia. Acta Haematoligica 29: 368–370Google Scholar
  70. 70.
    Ikushima I, Korogi Y, Makita O et al (1999) MRI of arachnoid granulations within the dural sinuses using a FLAIR pulse sequence. Brit J Radiol 72: 1046–1051PubMedGoogle Scholar
  71. 71.
    Janny P, Chazal J, Colnet G, Irthum B, Georget AM (1981) Benign intracranial hypertension and disorders of CSF absorption. Surg Neurol 15: 168–174PubMedGoogle Scholar
  72. 72.
    Jicha G, Suarez G (2003) Pseudotumor cerebri reversed by cardiac septal defect repair. Neurology 60: 2016–2017PubMedGoogle Scholar
  73. 73.
    Johnston I, Hawke S, Halmagyi M, Teo C (1991) The pseudotumor syndrome. Disorders of cerebrospinal fluid circulation causing intracranial hypertension without ventriculomegaly. Arch Neurol 48: 740–747PubMedGoogle Scholar
  74. 74.
    Johnston I, Kollar C, Dunkley S, Assaad N, Parker G (2002) Cranial venous outflow obstruction in the pseudotumor syndrome: incidence, nature and relevance. J Clin NeurosciGoogle Scholar
  75. 75.
    Johnston I, Paterson A (1974) Benign intracranial hypertension. I. Diagnosis and prognosis. Brain 97: 289–300PubMedGoogle Scholar
  76. 76.
    Johnston I, Paterson A (1974) Benign intracranial hypertension. II. CSF pressure and circulation. Brain 97: 301–312PubMedGoogle Scholar
  77. 77.
    Johnston I, Rowan J (1974) Raised intracranial pressure and cerebral blood flow. 3. Venous outflow tract pressures and vascular resistances in experimental intracranial hypertension. J Neurol Neurosurg Psychiatry 37: 392–402PubMedGoogle Scholar
  78. 78.
    Karahalios DG, Rekate HL, Khayata MH, Apostolides PJ (1996) Elevated intracranial venous pressure as a universal mechanism in pseudotumor cerebri of varying etiologies. Neurology 46: 198–202PubMedGoogle Scholar
  79. 79.
    Katznelson D (1978) Increased intracranial pressure in cystic fibrosis. Acta Paediatr Scand 67: 607–609PubMedGoogle Scholar
  80. 80.
    Keiper GL, Jr, Sherman JD, Tomsick TA, Tew JM, Jr (1999) Dural sinus thrombosis and pseudotumor cerebri: unexpected complications of suboccipital craniotomy and translabyrinthine craniectomy. J Neurosurg 91: 192–197PubMedGoogle Scholar
  81. 81.
    Kesler A, Ellis M, Reshef T, Kott E, Gadoth N (2000) Idiopathic intracranial hypertension and anticardiolipin antibodies. J Neurol Neurosurg Psychiatry 68: 379–380PubMedGoogle Scholar
  82. 82.
    Kim AW, Trobe JD (2000) Syndrome simulating pseudotumor cerebri caused by partial transverse venous sinus obstruction in metastatic prostate cancer. Am J Ophthalmol 129: 254–256PubMedGoogle Scholar
  83. 83.
    Kinal M (1966) Infratentorial tumors and the dural venous sinuses. J Neurosurg 25: 395–401PubMedGoogle Scholar
  84. 84.
    Kinal M (1967) Traumatic thrombosis of dural venous sinuses in closed head injuries. J Neurosurg 27: 142–145Google Scholar
  85. 85.
    King J, Mitchell P, Thomsen K, Tress B (2002) Manometry combined with cervical puncture in idiopathic intracranial hypertension. Neurology 58: 26–30PubMedGoogle Scholar
  86. 86.
    King JO, Mitchell PJ, Thomson KR, Tress BM (1995) Cerebral venography and manometry in idiopathic intracranial hypertension. Neurology 45: 2224–2228PubMedGoogle Scholar
  87. 87.
    Kollar C, Johnston I, Parker G, Harper C (1998) Dural arteriovenous fistula in association with heterotopic brain nodule in transverse sinus. AJNR Am J Neuradiol 19: 1126–1128Google Scholar
  88. 88.
    Kollar C, Parker G, Johnston I (2001) The endovascular treatment of cranial venous sinus obstruction resulting in pseudotumor syndrome. Report of three cases. J Neurosurg 94: 646–651PubMedGoogle Scholar
  89. 89.
    Kollar CD, Johnston IH (1999) Pseudotumour after arteriovenous malformation embolisation [letter]. J Neurol Neurosurg Psychiatry 67: 249Google Scholar
  90. 90.
    Kuker W, Mull M, Mayfrank L, Weis J, Schiefer J, Thron A (1997) A cystic lesion within the dural sinuses: a rare cause of increased intracranial pressure. Neuroradiology 39: 132–135PubMedGoogle Scholar
  91. 91.
    Lam BL, Schatz NJ, Glaser JS, Bowen BC (1992) Pseudotumor cerebri from cranial venous obstruction. Ophthalmology 99: 706–712PubMedGoogle Scholar
  92. 92.
    Lam C, Solomon R, Brent Clark H, Casey S (2001) Reversal of increased intracranial pressure with removal of a torcular epidermoid: case report. Neurosurgery 48: 929–932PubMedGoogle Scholar
  93. 93.
    Lamas E, Lobato R, Esparza J, Escudero L (1977) Dural posterior fossa AVM producing raised sagittal sinus pressure. J Neurosurg 46: 804–810PubMedGoogle Scholar
  94. 94.
    Langfitt T, Weinstein J, Kassell N, Gagliardi L, Shapiro H (1966) Compression of the cerebral vessels by intracranial hypertension. I. Dural sinus pressures. Acta Neurochir (Wien) 15: 212–222Google Scholar
  95. 95.
    Le Gros Clark W (1920) On the pacchionian granulations. J Anatomy 55: 40–48Google Scholar
  96. 96.
    Leach J, Jones B, Tomsick T, Stewart C, Balko M (1996) Normal appearance of arachnoid granulations on contrast-enhanced CT and MR of the brain: differentiation from dural sinus disease. Am J Neuroradiol 17: 1523–1532PubMedGoogle Scholar
  97. 97.
    Lee G, Seex K, Scott G (2001) Pseudotumor cerebri due to a torcular epidermoid cyst. ANZ J Surg 71: 385–388PubMedGoogle Scholar
  98. 98.
    Leker RR, Steiner I (1999) Features of dural sinus thrombosis simulating pseudotumor cerebri. Eur J Neurol 6: 601–604PubMedGoogle Scholar
  99. 99.
    Leker RR, Steiner I (2000) Isolated intracranial hypertension as the only sign of cerebral venous thrombosis [letter; comment]. Neurology 54: 2030PubMedGoogle Scholar
  100. 100.
    Levine J, Povlishock J, Becker D (1982) The morphological correlates of primate cerebrospinal fluid absorption. Brain Res 241: 31–41PubMedGoogle Scholar
  101. 101.
    Levine S et al (1987) Cerebral venous thrombosis with lupus anticoagulants: report of 2 cases. Stroke 18: 801–804PubMedGoogle Scholar
  102. 102.
    Liedler, RabTA (1928) Otitic general septic infection with bilateral optic neuritis. J Laryngol Otology 43: 672–673Google Scholar
  103. 103.
    Loman J, Damashek W (1944) Increased intracranial venous and cerebrospinal fluid pressures in polcythemia. Trans Amer Neurol Assoc 70: 84–87Google Scholar
  104. 104.
    Luce J, Husebuy J, Kirk W, Butler J (1982) Mechanism by which positive end-expiratory pressure increases cerebrospinal fluid pressure in dogs. Am J PhysiolGoogle Scholar
  105. 105.
    Lundar T, Blakke S, Nornes H (1990) Hydrocephalus in an achondroplastic child treated by venous decompression at the jugular foramen. J Neurosurg 73: 138–140PubMedGoogle Scholar
  106. 106.
    Malek A, Higashida R, Balousek P et al (1999) Endovascular recanalization with balloon angioplasty and stenting of an occludedd occiptal sinus for treatment of intracranial venous hypertension: technical case report. Neurosurgery 44: 896–901PubMedGoogle Scholar
  107. 107.
    Mamourian A, Towfighi J (1995) MR of giant arachnoid granulation, a normal variant presenting as a mass within the dural venous sinus. AJNR 16: 901–904PubMedGoogle Scholar
  108. 108.
    Marks M, Dake M, Steinberg G, Norbash A, Lane B (1994) Stent placement for arterial and venous cerebrovascular disease: preliminary experience. Neuroradiology 191: 441–446Google Scholar
  109. 109.
    Martin J (1955) Signs of obstruction of the superior longitudinal sinus following closed head injuries (traumatic hydrocephalus). Brit Med J 2: 467–470Google Scholar
  110. 110.
    Martins A, Kobrine A, Larsen D (1974) Pressure in the sagittal sinus during intracranial hypertension in man. J Neurosurg 40: 603–608PubMedGoogle Scholar
  111. 111.
    Martins AN (1973) Resistance to drainage of cerebrospinal fluid: clinical measurement and significance. J Neurol Neurosurg Psychiatry 36: 313–318PubMedGoogle Scholar
  112. 112.
    Massons J et al (1992) Cerebral venous thrombosis and hereditary protein C deficiency. Neurologia 7: 34–38PubMedGoogle Scholar
  113. 113.
    Mathew NT, Meyer JS, Ott EO (1975) Increased cerebral blood volume in benign intracranial hypertension. Neurology 25: 646–649PubMedGoogle Scholar
  114. 114.
    Mathew NT, Ravishankar K, Sanin LC (1996) Coexistence of migraine and idiopathic intracranial hypertension without papilledema [see comments]. Neurology 46: 1226–1230PubMedGoogle Scholar
  115. 115.
    McGonigal A, Bone I, Teasdale E (2004) Resolution of transverse sinus stenosis in idiopathic intracranial hypertension after L-P shunt. Neurology 62: 514–515PubMedGoogle Scholar
  116. 116.
    McLaughlin J, Loeser J, Roberts T (1997) Acquired hydrocephalus associated with superior vena cava syndrome in infants. Child’s Nerv Syst 13: 59–63Google Scholar
  117. 117.
    Medlock MD, Olivero WC, Hanigan WC, Wright RM, Winek SJ (1992) Children with cerebral venous thrombosis diagnosed with magnetic resonance imaging and magnetic resonance angiography. Neurosurgery 31: 870–876; discussion 876PubMedGoogle Scholar
  118. 118.
    Mitchell D, Fisher J, Irving D, Gazzard BG, Guiloff RJ (1986) Lateral sinus thrombosis and intracranial hypertension in essential thrombocythaemia [letter]. J Neurol Neurosurg Psychiatry 49: 218–219PubMedGoogle Scholar
  119. 119.
    Mokri B, Jack CR, Jr, Petty GW (1993) Pseudotumor syndrome associated with cerebral venous sinus occlusion and antiphospholipid antibodies. Stroke 24: 469–472PubMedGoogle Scholar
  120. 120.
    Moser FG, Hilal SK, Abrams G, Bello JA, Schipper H, Silver AJ (1988) MR imaging of pseudotumor cerebri. AJR Am J Roentgenol 150: 903–909PubMedGoogle Scholar
  121. 121.
    Newton Pitt G (1890) An analysis of 57 fatal cases of ear disease and of the complication which led to death. BMJ 1: 643–647Google Scholar
  122. 122.
    Noggle JD, Rodning CB (1986) Rapidly advancing pseudotumor cerebri associated with morbid obesity: an indication for gastric exclusion. South Med J 79: 761–763PubMedGoogle Scholar
  123. 123.
    Nonne M (1904) Über Fälle vom Symptomkomplex “Tumor cerebri” mit Ausgang in Heilling (Pseudotumor cerebri): Über letal verlaufene Fälle von “Pseudotumor cerebri” mit Sektionsbefund. Dtsch Z Nervenheilk 27: 169–216Google Scholar
  124. 124.
    Norrell H, Wilson C, Howieson J et al (1969) Venous factors in infantile hydrocephalus. J Neurosurg 31: 561–569PubMedGoogle Scholar
  125. 125.
    Ogungdo B, Roy D, Gholkar A, Mendelow A (2003) Endovascular stenting of the transverse sinus in a patient presenting with benign intracranial hypertension. Br J Neurosurg 17: 565–568PubMedGoogle Scholar
  126. 126.
    Olivero W, Asner N (1992) Occlusion of the sagittal sinus in craniectomized rabbits. Child’s Nerv Syst 8: 307–309Google Scholar
  127. 127.
    Osterholm J (1970) Reaction of the cerebral venous sinus system to acute intracranial hypertension. J Neurosurg 32: 654–659PubMedGoogle Scholar
  128. 128.
    Owler B, Allan R, Parker G, Besser M (2003) Pseudotumor cerebri, CSF Rhinorrhoea and the role of Venous Sinus Stenting in Treatment. Brit J Neurosurg 17: 79–83Google Scholar
  129. 129.
    Owler B, Pena A, Green H, Donovan T, Carpenter A, Pickard J (2001) A study of benign intracranial hypertension using diffusion tensor imaging. In World Congress of Neurological Surgeons, SydneyGoogle Scholar
  130. 130.
    Owler BK, Parker G, Halmagyi GM et al (2003) Pseudotumor Cerebri Syndrome: Venous sinus obstruction and treatment with venous sinus stenting. J Neurosurg 98: 1045–1055PubMedGoogle Scholar
  131. 131.
    Pierre-Kahn A, Hirsch J, Renier D, Metzger J, Maroteaux P (1980) Hydrocephalus and Achondroplasia. A study of 25 observations. Child’s Brain 7: 205–219PubMedGoogle Scholar
  132. 132.
    Plant G, Donald J, Jackowski A, Vinnicombe S, Kendall B (1991) Partial, non-thrombotic, superior sagittal sinus occlusion due to occipital skull tumors. J Neurol Neurosurg Psychiatry 54: 520–523PubMedGoogle Scholar
  133. 133.
    Powers JM, Schnur JA, Baldree ME (1986) Pseudotumor cerebri due to partial obstruction of the sigmoid sinus by a cholesteatoma. Arch Neurol 43: 519–521PubMedGoogle Scholar
  134. 134.
    Pritz MB (1984) Monitoring cardiac function and intravascular volume in neurosurgical patients. Neurosurgery 15: 775–780PubMedGoogle Scholar
  135. 135.
    Purves M (1972) The physiology of the cerebral circulation. Cambridge University Press, CambridgeGoogle Scholar
  136. 136.
    Quattrone A, Bono F, Oliveri R et al (2001) Cerebral venous thrombosis and isolated intracranial hypertension without papilloedema in CDH. Neurology 57: 31–36PubMedGoogle Scholar
  137. 137.
    Quattrone A, Bono F, Pardatscher K (2002) Manometry combined with cervical puncture in idiopathic intracranial hypertension. Neurology 59: 963PubMedGoogle Scholar
  138. 138.
    Quincke H (1893) Meningitis serosa. Samml Klin Votr, Leipzig 67. Inn Med 23: 655Google Scholar
  139. 139.
    Quincke H (1897) Ueber meningitis serosa und verwandte zustände. Dtsch Z Nervenheilk 9: 149–168Google Scholar
  140. 140.
    Raichle ME, Grubb RL, Jr, Phelps ME, Gado MH, Caronna JJ (1978) Cerebral hemodynamics and metabolism in pseudotumor cerebri. Ann Neurol 4: 104–111PubMedGoogle Scholar
  141. 141.
    Ray B, Dunbar H (1951) Thrombosis of the dural venous sinuses as a cause of “pseudotumor cerebri”. Ann Surg 134: 376–385PubMedGoogle Scholar
  142. 142.
    Roche J, Warner D (1996) Arachnoid granulations in the transverse and sigmoid sinuses: CT, MR, and MR angiographic appearances of a normal anatomic variation. Am J Neuroradiol 17: 677–683PubMedGoogle Scholar
  143. 143.
    Rollins N, Booth T, Shapiro K (2000) MR venography in children with complex craniosynostosis. Pediatr Neurosurg 32: 308–312PubMedGoogle Scholar
  144. 144.
    Ropper AH, Marmarou A (1984) Mechanism of pseudotumor in Guillain-Barre syndrome. Arch Neurol 41: 259–261PubMedGoogle Scholar
  145. 145.
    Rosenberg A, O’Connell J, Ojemann R, Palmer W (1993) Giant cystic arachnoid granulations: a rare cause of lytic skull lesions. Human Pathol 24: 438–441Google Scholar
  146. 146.
    Rosman NP, Shands KN (1978) Hydrocephalus caused by increased intracranial venous pressure: a clinicopathological study. Ann Neurol 3: 445–450PubMedGoogle Scholar
  147. 147.
    Röther J, Waggie K, van Bruggen N, de Crespgny A, Moseley M (1996) Experimental cerebral venous thrombosis: evaluation using magnetic resonance imaging. J Cereb Blood Flow Metabolism 16: 1353–1361Google Scholar
  148. 148.
    Saggi B, Bloomfield G, Sugerman H et al (1999) Treatment of intracranial hypertension using nonsurgical abdominal decompression. The Journal of Trauma: Injury, Infection and Critical Care 46: 646–651Google Scholar
  149. 149.
    Sahs A, Hyndman O (1939) Intracranial hypertension of unknown cause: cerebral oedema. Arch Surg 38: 429–434Google Scholar
  150. 150.
    Sahs A, Joynt R (1956) Brain swelling of unknown cause. Neurol Minneapolis 6: 791–803Google Scholar
  151. 151.
    Sainte-Rose C, LaCombe J, Pierre-Kahn A, Renier D, Hirsch JF (1984) Intracranial venous sinus hypertension: cause or consequence of hydrocephalus in infants? J Neurosurg 60: 727–736PubMedGoogle Scholar
  152. 152.
    Shapiro K, Langfitt T, Weinstein J (1966) Compression of the cerebral vessels by intracranial hypertension. II. Morphological evidence for collapse of vessels. Acta Neurochir (Wien) 15: 223–233Google Scholar
  153. 153.
    Shulman K, Ransohoff J (1964) Sagittal sinus venous pressure in hydrocephalus. 169–173Google Scholar
  154. 154.
    Silbergleit R, Junck L, Gebarski SS, Hatfield MK (1989) Idiopathic intracranial hypertension (pseudotumor cerebri): MR imaging. Radiology 170: 207–209PubMedGoogle Scholar
  155. 155.
    Simpson T (1948) Papilloedema in emphysema. BMJ II: 639–641Google Scholar
  156. 156.
    Sindou M, Auque J (2000) The intracranial venous system as a neurosurgeon’s perspective. Adv Techn Stand Neurosurg 26: 131–216Google Scholar
  157. 157.
    Sindou M, Mercier P, Bokor J, Brunon J (1980) Bilateral thrombosis of the transverse sinuses: microsurgical revascularization with venous bypass. Surg Neurol 13: 215–220PubMedGoogle Scholar
  158. 158.
    Sklar FH, Beyer CW Jr, Ramanathan M, Cooper PR, Clark WK (1979) Cerebrospinal fluid dynamics in patients with pseudotumor cerebri. Neurosurgery 5: 208–216PubMedGoogle Scholar
  159. 159.
    Soleau S, Schmidt R, Stevens S et al (2003) Extensive experience with dural venous sinus thrombosis. Neurosurgery 52: 534–542PubMedGoogle Scholar
  160. 160.
    Soler D, Cox T, Bullock P, Calver DM, Robinson RO (1998) Diagnosis and management of benign intracranial hypertension. Arch Dis Child 78: 89–94PubMedGoogle Scholar
  161. 161.
    Sorensen PS, Thomsen C, Gjerris F, Henriksen O (1990) Brain water accumulation in pseudotumour cerebri demonstrated by MR-imaging of brain water self-diffusion. Acta Neurochir (Wien) [Suppl] 51: 363–365Google Scholar
  162. 162.
    Sorensen PS, Thomsen C, Gjerris F, Schmidt J, Kjaer L, Henriksen O (1989) Increased brain water content in pseudotumour cerebri measured by magnetic resonance imaging of brain water self diffusion. Neurol Res 11: 160–164PubMedGoogle Scholar
  163. 163.
    Steinbok P, Hall J, Flodmark O (1989) Hydrocephalus in achondroplasia: the role of intracranial venous hypertension. J Neurosurg 71: 42–48PubMedGoogle Scholar
  164. 164.
    Stewart D, Johnson D, Myers G (1975) Hydrocephalus as a complication of jugular catheterisation during total parental nutrition. J Pediatric Surg 10: 771–777Google Scholar
  165. 165.
    Sugerman H, Felton W, Sismanis A et al (1999) Effect of externally applied negative abdominal pressure device (ABSHELL) on headaches and pulsatile tinnitus in patients with pseudotumor cerebri. Neurology 526 [Suppl] 2: A34–35Google Scholar
  166. 166.
    Sugerman HJ, DeMaria EJ, Felton WL, 3rd, Nakatsuka M, Sismanis A (1997) Increased intra-abdominal pressure and cardiac filling pressures in obesity-associated pseudotumor cerebri. Neurology 49: 507–511PubMedGoogle Scholar
  167. 167.
    Sugerman HJ, Felton WL, 3rd, Salvant JB, Jr, Sismanis A, Kellum JM (1995) Effects of surgically induced weight loss on idiopathic intracranial hypertension in morbid obesity. Neurology 45: 1655–1659PubMedGoogle Scholar
  168. 168.
    Sugerman HJ, Felton WL 3rd, Sismanis A, Kellum JM, DeMaria EJ, Sugerman EL (1999) Gastric surgery for pseudotumor cerebri associated with severe obesity. Ann Surg 229: 634–640; discussion 640–642PubMedGoogle Scholar
  169. 169.
    Sussman J, Leach M, Greaves M, Malia R, Davies-Jones GA (1997) Potentially prothrombotic abnormalities of coagulation in benign intracranial hypertension. J Neurol Neurosurg Psychiatry 62: 229–233PubMedGoogle Scholar
  170. 169a.
    Sussman J, Sarkies N, Pickard JD (1998) Benign intracranial hypertension. Adv Tech Stand Neurosurg 24: 261–305PubMedGoogle Scholar
  171. 170.
    Symonds C (1931) Otitic Hydrocephalus. Brain 54: 55–71Google Scholar
  172. 171.
    Taylor W, Hayward R, Lasjaunias P et al (2001) Enigma of raised pressure in patients with complex craniosynostosis: the role of abnormal intracranial venous drainage. J Neurosurg 94: 377–385PubMedGoogle Scholar
  173. 172.
    Tinney W, Hall B, Giffin H (1943) CNS manifestations of polycythemia vera. Proc Mayo Clin 18: 300–303Google Scholar
  174. 173.
    Tokiguchi S, Ando K, Tsuchiya T, Ito J (1986) Fat in the dural sinus. Neuroradiol 28: 267–270Google Scholar
  175. 174.
    Tokiguchi S, Kurashima A, Ito J, Takahashi H, Shimbo Y (1988) Fat in the dural sinus — CT and anatomical correlations. Neuroradiol 30: 78–80Google Scholar
  176. 175.
    Upton M, Weller R (1985) The morphology of cerebrospinal sluid drainage pathways in human arachnoid granulations. J Neurosurg 63: 867–875PubMedGoogle Scholar
  177. 176.
    Wall M, Dollar JD, Sadun AA, Kardon R (1995) Idiopathic intracranial hypertension. Lack of histologic evidence for cerebral edema. Arch Neurol 52: 141–145PubMedGoogle Scholar
  178. 177.
    Wall M, George D (1991) Idiopathic intracranial hypertension. A prospective study of 50 patients. Brain 114: 155–180PubMedGoogle Scholar
  179. 178.
    Wall M, Giuseffi V, Rojas P (1989) Symptoms and disease associations in pseudotumor cerebri: a case-control study. Neurology [Suppl] 39: 210PubMedGoogle Scholar
  180. 179.
    Wang S, Silberstein S, Patterson S, Young W (1998) Idiopathic intracranial hypertension without papilloedema: a case-control study in a headache center. Neurology 51: 245–249PubMedGoogle Scholar
  181. 180.
    Weed L, Flexner L (1933) The relations of the intracranial pressures. Am J Physiol 105: 266–272Google Scholar
  182. 181.
    Wright R (1938) Experimental observations on increased intracranial pressure. ANZ J Surg 7–8: 215–235Google Scholar
  183. 182.
    Yamada H (1981) Neurological manifestations of paediatric achondroplasia. J Neurosurg 54: 49–57PubMedGoogle Scholar

Copyright information

© Springer-Verlag/Wien 2005

Authors and Affiliations

  • B. K. Owler
    • 1
    • 2
  • G. Parker
    • 3
  • G. M. Halmagyi
    • 1
  • I. H. Johnston
    • 1
  • M. Besser
    • 1
    • 2
  • J. D. Pickard
    • 4
  • J. N. Higgins
    • 5
  1. 1.T. Y. Nelson Departments of Neurosurgery and NeurologyInstitute of Clinical Neurosciences, Royal Prince Alfred HospitalSydneyAustralia
  2. 2.Department of SurgeryUniversity of SydneySydneyAustralia
  3. 3.Department of RadiologyRoyal Prince Alfred HospitalSydneyAustralia
  4. 4.Department of NeurosurgeryAcademic Neurosurgical Unit, University of Cambridge, Addenbrookes HospitalCambridgeUK
  5. 5.Department of NeuroradiologyAddenbrookes HospitalCambridgeUK

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