Intracranial venous sinus hypertension: cause or consequence of hydrocephalus in infants?

Journal of Neurosurgery
Christian Sainte-RoseJ F Hirsch

Abstract

From a previous study of achondroplasia as well as from the observation of patients with hydrocephalus associated with craniostenosis, the authors have concluded that an increased superior sagittal sinus venous pressure (SSVP) could be the cause of the enlarged ventricles. However, other workers have demonstrated that an increased SSVP could be the consequence of increased intracranial pressure (ICP). Therefore, the authors undertook a study to determine if there was a physiological test that could distinguish between rare instances of increased SSVP caused by structural and irreversible narrowing of the sinus and those caused by increased ICP. In 20 hydrocephalic infants and children, pressure was simultaneously measured in the lateral ventricle, the superior sagittal sinus, and the jugular vein. Stable baseline pressures were recorded, as well as the variations observed after the withdrawal of an amount of cerebrospinal fluid (CSF) sufficient to lower ICP to zero. Similar recordings were taken after reinjection of an equal quantity of CSF. In all of the patients, SSVP was increased, but not as much as the ICP. In the cases of hydrocephalus without any associated cranial malformation, and therefore without any likely anatomica...Continue Reading

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Methods Mentioned

BETA
sedation

Related Concepts

Achondroplasia, Severe, With Developmental Delay And Acanthosis Nigricans
Diastolic Blood Pressure
Cranial Sinuses
Brachycephaly
Aqueductal Stenosis
Intracranial Pressure
Pseudotumor Cerebri

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