Abstract：
OBJECTIVE: Idiopathic intracranial hypertension syndrome (IIH) is a pathology characterized by headache, visual disturbances, papilledema, increased cerebrospinal fluid pressure with normal cytochemistry that is not attributable to cerebral structural alterations. This study aimed to describe the usefulness of cerebral angiography in the diagnostic approach and management of patients with clinical suspicion of IIH at a fourth level hospital in Cali, Colombia.
METHODS: This was a retrospective study. Patients diagnosed with IIH at the hospital [Blinded], Cali, Colombia, from October 2013 to May 2018 were included. Their medical records were reviewed, and clinical and diagnostic variables were collected along with outcomes and follow-up data.
RESULTS: A series of 13 cases, 12 women and 1 man, between the second and fifth decade of life, with an average age of 29.4 years were included. All presented with headache; 12 had papilledema (92%), and diplopia and palsy of cranial nerve VI were observed in 3 cases (46%). All patients underwent simple CT scan of the brain and simple and gadolinium-enhanced MRI of the brain, none of which showed lesions that would explain the intracranial hypertension; however, upon resonance angiography followed by cerebral angiography, 8 cases (61%) of cerebral venous sinus involvement were found.
CONCLUSIONS: Patients who present with a clinical picture compatible with IIH should undergo intra-arterial digital subtraction angiography (IADSA) to rule out cerebrovascular alterations.
METHODS: This was a retrospective study. Patients diagnosed with IIH at the hospital [Blinded], Cali, Colombia, from October 2013 to May 2018 were included. Their medical records were reviewed, and clinical and diagnostic variables were collected along with outcomes and follow-up data.
RESULTS: A series of 13 cases, 12 women and 1 man, between the second and fifth decade of life, with an average age of 29.4 years were included. All presented with headache; 12 had papilledema (92%), and diplopia and palsy of cranial nerve VI were observed in 3 cases (46%). All patients underwent simple CT scan of the brain and simple and gadolinium-enhanced MRI of the brain, none of which showed lesions that would explain the intracranial hypertension; however, upon resonance angiography followed by cerebral angiography, 8 cases (61%) of cerebral venous sinus involvement were found.
CONCLUSIONS: Patients who present with a clinical picture compatible with IIH should undergo intra-arterial digital subtraction angiography (IADSA) to rule out cerebrovascular alterations.
摘要：
目的：特发性颅内高压综合征（IIH）是一种以头痛为特征的病理，视觉障碍,乳头水肿,脑脊液压力升高，细胞化学正常，这与脑结构改变无关。这项研究旨在描述脑血管造影在卡利市第四级医院临床怀疑IIH患者的诊断方法和管理中的有用性，哥伦比亚。
方法：这是一项回顾性研究。在医院诊断为IIH的患者[失明]，卡利,哥伦比亚,包括2013年10月至2018年5月。他们的医疗记录被审查了,收集临床和诊断变量以及结局和随访数据.
结果：一系列13例，12个女人和1个男人,在生命的第二个和第五个十年之间，平均年龄为29.4岁。所有患者均出现头痛；12例有乳头水肿（92%），3例（46％）观察到复视和颅神经VI麻痹。所有患者都接受了简单的大脑CT扫描和简单的和钆增强的大脑MRI，其中没有一个显示可以解释颅内高压的病变；然而，在共振血管造影术后进行脑血管造影术，8例(61%)脑静脉窦受累。
结论：具有与IIH相符的临床表现的患者应进行动脉内数字减影血管造影（IADSA）以排除脑血管改变。
方法：这是一项回顾性研究。在医院诊断为IIH的患者[失明]，卡利,哥伦比亚,包括2013年10月至2018年5月。他们的医疗记录被审查了,收集临床和诊断变量以及结局和随访数据.
结果：一系列13例，12个女人和1个男人,在生命的第二个和第五个十年之间，平均年龄为29.4岁。所有患者均出现头痛；12例有乳头水肿（92%），3例（46％）观察到复视和颅神经VI麻痹。所有患者都接受了简单的大脑CT扫描和简单的和钆增强的大脑MRI，其中没有一个显示可以解释颅内高压的病变；然而，在共振血管造影术后进行脑血管造影术，8例(61%)脑静脉窦受累。
结论：具有与IIH相符的临床表现的患者应进行动脉内数字减影血管造影（IADSA）以排除脑血管改变。
