Concordance between venous sinus pressure and intracranial pressure in patients investigated for idiopathic intracranial hypertension.

Humans Female Adult Male Intracranial Pressure / physiology Pseudotumor Cerebri / physiopathology Cranial Sinuses / physiopathology Retrospective Studies Spinal Puncture Venous Pressure / physiology
Concordance Idiopathic intracranial hypertension Lumbar puncture Transverse venous sinus stenosis

Journal

The journal of headache and pain
ISSN: 1129-2377
Titre abrégé: J Headache Pain
Pays: England
ID NLM: 100940562

Informations de publication

Date de publication:
17 Sep 2024
Historique:
received: 05 06 2024
accepted: 09 09 2024
medline: 18 9 2024
pubmed: 18 9 2024
entrez: 17 9 2024
Statut: epublish

Résumé

Idiopathic intracranial hypertension (IIH) is a cause of chronic headaches that are probably driven by raised intracranial pressure (ICP). Cerebral venous sinus pressure is thought to play a role in the underlying pathology, but its relation with intracranial pressure requires further investigation. We aimed to evaluate the concordance between lumbar puncture opening pressure (LPOP) as indicator of the ICP and cerebral venous sinus pressure in patients investigated for IIH. In this case-series replication study, all patients with IIH suspicion and who underwent cerebral venous sinus pressure measurement followed immediately by LP opening pressure (LPOP) measurement were retrospectively included. Pearson's correlation and measurement agreement (Bland-Altman plots) between venous pressure and LPOP were analyzed. 52 consecutive patients (46 women; median age, 31 years [IQR = 25-42]) were included. The mean pressure in the superior sagittal sinus (SSS) and in the torcular were 20.9mmHg (SD ± 7.3) and 20.8 mmHg (SD ± 6.8), respectively. The mean LPOP was 22mmHg (SD ± 6.4). Pressure measured in the transverse venous sinus, the torcular, and the SSS correlated with LPOP (p < 0.001). Bland-Altman plots showed that torcular pressure strongly agreed with LPOP (mean difference of 1.7mmHg). The limit of agreement (LOA) (mean difference ± 1.96SD) contained 98.1% of the differences between the two methods, confirming the concordance between the two measures. Torcular pressure and LPOP were consistent in patients with a trans-stenotic pressure gradient ≥ or < to 8 mmHg (mean difference: 1mmHg and 2.4mmHg, respectively), and for those with a LP OP ≥ or < to 18mmHg (mean difference: 1.8mmHg and 1.95mmHg, respectively). In patients investigated for IIH, the ICP measured at the LP is correlated and concordant with the torcular pressure. These results confirm previous findings and further corroborate the hypothesis that cerebral venous system plays a major role in CSF dynamics and ICP.

Sections du résumé

BACKGROUND BACKGROUND
Idiopathic intracranial hypertension (IIH) is a cause of chronic headaches that are probably driven by raised intracranial pressure (ICP). Cerebral venous sinus pressure is thought to play a role in the underlying pathology, but its relation with intracranial pressure requires further investigation. We aimed to evaluate the concordance between lumbar puncture opening pressure (LPOP) as indicator of the ICP and cerebral venous sinus pressure in patients investigated for IIH.
METHODS METHODS
In this case-series replication study, all patients with IIH suspicion and who underwent cerebral venous sinus pressure measurement followed immediately by LP opening pressure (LPOP) measurement were retrospectively included. Pearson's correlation and measurement agreement (Bland-Altman plots) between venous pressure and LPOP were analyzed.
RESULTS RESULTS
52 consecutive patients (46 women; median age, 31 years [IQR = 25-42]) were included. The mean pressure in the superior sagittal sinus (SSS) and in the torcular were 20.9mmHg (SD ± 7.3) and 20.8 mmHg (SD ± 6.8), respectively. The mean LPOP was 22mmHg (SD ± 6.4). Pressure measured in the transverse venous sinus, the torcular, and the SSS correlated with LPOP (p < 0.001). Bland-Altman plots showed that torcular pressure strongly agreed with LPOP (mean difference of 1.7mmHg). The limit of agreement (LOA) (mean difference ± 1.96SD) contained 98.1% of the differences between the two methods, confirming the concordance between the two measures. Torcular pressure and LPOP were consistent in patients with a trans-stenotic pressure gradient ≥ or < to 8 mmHg (mean difference: 1mmHg and 2.4mmHg, respectively), and for those with a LP OP ≥ or < to 18mmHg (mean difference: 1.8mmHg and 1.95mmHg, respectively).
CONCLUSIONS CONCLUSIONS
In patients investigated for IIH, the ICP measured at the LP is correlated and concordant with the torcular pressure. These results confirm previous findings and further corroborate the hypothesis that cerebral venous system plays a major role in CSF dynamics and ICP.

Identifiants

DOI: 10.1186/s10194-024-01865-5 PMID: 39289632
pubmed: 39289632
doi: 10.1186/s10194-024-01865-5
pii: 10.1186/s10194-024-01865-5
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

153

Informations de copyright

© 2024. The Author(s).

Références

Friedman DI, Liu GT, Digre KB (2013) Revised diagnostic criteria for the pseudotumor cerebri syndrome in adults and children. Neurology 81:1159–1165
pubmed: 23966248 doi: 10.1212/WNL.0b013e3182a55f17
Mollan SP, Grech O, Sinclair AJ (2021) Headache attributed to idiopathic intracranial hypertension and persistent post-idiopathic intracranial hypertension headache: a narrative review. Headache: J Head Face Pain 61:808–816
doi: 10.1111/head.14125
Markey KA, Mollan SP, Jensen RH, Sinclair AJ (2016) Understanding idiopathic intracranial hypertension: mechanisms, management, and future directions. Lancet Neurol 15:78–91
pubmed: 26700907 doi: 10.1016/S1474-4422(15)00298-7
Fargen KM (2020) Idiopathic intracranial hypertension is not idiopathic: proposal for a new nomenclature and patient classification. J Neurointerv Surg 12:110–114
pubmed: 31776170 doi: 10.1136/neurintsurg-2019-015498
Pollay M (2010) The function and structure of the cerebrospinal fluid outflow system. Cerebrospinal Fluid Res 7:9
pubmed: 20565964 pmcid: 2904716 doi: 10.1186/1743-8454-7-9
Lee K et al (2021) Correlation between intracranial pressure and venous sinus pressures in patients undergoing cerebral venography and manometry. J Neurointerv Surg 13:1162–1166
pubmed: 33674395 doi: 10.1136/neurintsurg-2020-017161
Fargen KM, Garner RM, Kittel C, Wolfe S (2020) Q. A descriptive study of venous sinus pressures and gradients in patients with idiopathic intracranial hypertension. J Neurointerv Surg 12:320–325
pubmed: 31473648 doi: 10.1136/neurintsurg-2019-015251
Kahan J et al (2021) Predicting the need for retreatment in venous sinus stenting for idiopathic intracranial hypertension. J Neurointerv Surg 13:574–579
pubmed: 32895320 doi: 10.1136/neurintsurg-2020-016550
Lalou A-D et al (2020) Coupling of CSF and sagittal sinus pressure in adult patients with pseudotumour cerebri. Acta Neurochir (Wien) 162:1001–1009
pubmed: 31832847 doi: 10.1007/s00701-019-04095-w
Liu J et al (2016) Correlation and agreement: overview and clarification of competing concepts and measures. Shanghai Arch Psychiatry 28:115–120
pubmed: 27605869 pmcid: 5004097
West JL et al (2019) Correlation between angiographic stenosis and physiologic venous sinus outflow obstruction in idiopathic intracranial hypertension. J Neurointerv Surg 11:90–94
pubmed: 29858399 doi: 10.1136/neurintsurg-2018-014004
Yuh WT et al (2000) MR imaging of pituitary morphology in idiopathic intracranial hypertension. J Magn Reson Imaging 12:808–813
pubmed: 11105018 doi: 10.1002/1522-2586(200012)12:6<808::AID-JMRI3>3.0.CO;2-N
Kwee RM, Kwee TC (2019) Systematic review and meta-analysis of MRI signs for diagnosis of idiopathic intracranial hypertension. Eur J Radiol 116:106–115
pubmed: 31153551 doi: 10.1016/j.ejrad.2019.04.023
Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition - PubMed. https://pubmed.ncbi.nlm.nih.gov/29368949/
Frisén L (2017) Swelling of the Optic nerve head: a backstage view of a staging Scheme. J Neuroophthalmol 37:3–6
pubmed: 28187078 doi: 10.1097/WNO.0000000000000419
Yano I et al (1998) Pharmacokinetics and pharmacodynamics of acetazolamide in patients with transient intraocular pressure elevation. Eur J Clin Pharmacol 54:63–68
pubmed: 9591933 doi: 10.1007/s002280050422
Raper DMS et al (2017) Intracranial venous pressures under conscious sedation and general anesthesia. J Neurointerv Surg 9:986–989
pubmed: 28360352 doi: 10.1136/neurintsurg-2017-012984
Fargen KM et al (2017) Comparison of venous sinus manometry gradients obtained while awake and under general anesthesia before venous sinus stenting. J Neurointerv Surg 9:990–993
pubmed: 27634954 doi: 10.1136/neurintsurg-2016-012608
Israelsen IME, Westgate CSJ, Kamp-Jensen C, Jensen RH, Eftekhari S (2023) Effects of caffeine on intracranial pressure and pain perception in freely moving rats. Headache 63:1220–1231
pubmed: 37796087 doi: 10.1111/head.14634
Greenberg MS (2016) Handbook of Neurosurgery. Thieme Medical Pub
Kee LL, Simonson JS, Stotts NA, Skov P (1993) Schiller, N. B. Echocardiographic determination of valid zero reference levels in supine and lateral positions. Am J Crit Care 2:72–80
pubmed: 8353583 doi: 10.4037/ajcc1993.2.1.72
Sjödin C, Sondergaard S, Johansson L (2019) Variability in alignment of central venous pressure transducer to physiologic reference point in the intensive care unit-A descriptive and correlational study. Aust Crit Care 32:213–217
pubmed: 29866610 doi: 10.1016/j.aucc.2018.05.001
Tsutsumi S, Ono H, Ishii H (2022) Correlation of the external occipital protuberance with venous sinuses: a magnetic resonance imaging study. Surg Radiol Anat 44:999–1006
pubmed: 35737086 doi: 10.1007/s00276-022-02969-w
Song I-K et al (2017) Reference levels for central venous pressure and pulmonary artery occlusion pressure monitoring in the lateral position. J Cardiothorac Vasc Anesth 31:939–943
pubmed: 27919724 doi: 10.1053/j.jvca.2016.09.005
Pedersen SH, Andresen M, Lilja-Cyron A, Petersen LG, Juhler M (2021) Lumbar puncture position influences intracranial pressure. Acta Neurochir (Wien) 163:1997–2004
pubmed: 33797628 doi: 10.1007/s00701-021-04813-3
Woo MS, Kessner SS, Schlemm E, Gerloff C (2022) Atraumatic spinal needle indicates correct CSF opening pressure. Sci Rep 12:21089
pubmed: 36473905 pmcid: 9726855 doi: 10.1038/s41598-022-25455-0
Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1:307–310
pubmed: 2868172 doi: 10.1016/S0140-6736(86)90837-8
Ahmed RM et al (2011) Transverse sinus stenting for idiopathic intracranial hypertension: a review of 52 patients and of model predictions. AJNR Am J Neuroradiol 32:1408–1414
pubmed: 21799038 pmcid: 7964366 doi: 10.3174/ajnr.A2575
Radvany MG et al (2013) Visual and neurological outcomes following endovascular stenting for pseudotumor cerebri associated with transverse sinus stenosis. J Neuroophthalmol 33:117–122
pubmed: 23502837 doi: 10.1097/WNO.0b013e31827f18eb
Inam ME et al (2022) Venous sinus stenting for low pressure gradient stenoses in idiopathic intracranial hypertension. Neurosurgery 91:734–740
pubmed: 35960743 pmcid: 10553007 doi: 10.1227/neu.0000000000002095
Welch K, Friedman V (1960) The cerebrospinal fluid valves. Brain 83:454–469
pubmed: 13784191 doi: 10.1093/brain/83.3.454
Shulman K, Yarnell P, Ransohoff J (1964) Dural sinus pressure. In normal and hydrocephalic dogs. Arch Neurol 10:575–580
pubmed: 14130416 doi: 10.1001/archneur.1964.00460180041003
Eshtiaghi A, Zaslavsky K, Nicholson P, Margolin E (2022) Extent of transverse sinus stenosis does not predict visual outcomes in idiopathic intracranial hypertension. Eye (Lond) 36:1390–1395
pubmed: 34183795 doi: 10.1038/s41433-021-01651-6
Bono F, Quattrone A (2013) Clinical course of idiopathic intracranial hypertension with transverse sinus stenosis. Neurology 81:695
pubmed: 23940023 doi: 10.1212/01.wnl.0000433838.88247.f3
Schartz D, Finkelstein A, Bender M, Kessler A, Zhong J (2024) Association of Extent of transverse sinus stenosis with cerebral glymphatic clearance in patients with idiopathic intracranial hypertension. Neurology 103:e209529
pubmed: 38833652 doi: 10.1212/WNL.0000000000209529
Czosnyka M, Pickard JD (2004) Monitoring and interpretation of intracranial pressure. J Neurol Neurosurg Psychiatry 75:813–821
pubmed: 15145991 pmcid: 1739058 doi: 10.1136/jnnp.2003.033126
Brain Trauma, Foundation et al (2007) Guidelines for the management of severe traumatic brain injury. Introduction. J Neurotrauma 24(Suppl 1):S1–2
Uppal V et al (2023) Consensus Practice guidelines on Postdural puncture Headache from a Multisociety, International Working Group: a Summary Report. JAMA Netw Open 6:e2325387
pubmed: 37581893 doi: 10.1001/jamanetworkopen.2023.25387
Rk T et al (2022) Major complications of dural venous sinus stenting for idiopathic intracranial hypertension: case series and management considerations. J Neurointerventional Surg 14

Auteurs

Federico Cagnazzo (F)

Neuroradiology department, Montpellier University Hospital, Gui De Chauliac, 80 Avenue Augustin Fliche, Montpellier, 34000, France. f-cagnazzo@chu-montpellier.fr.

Max Villain (M)

Department of Ophthalmology, Gui de Chauliac Hospital, Montpellier, France.

Liesjet Eh van Dokkum (LE)

Neuroradiology department, Montpellier University Hospital, Gui De Chauliac, 80 Avenue Augustin Fliche, Montpellier, 34000, France.

Răzvan Alexandru Radu (RA)

Neuroradiology department, Montpellier University Hospital, Gui De Chauliac, 80 Avenue Augustin Fliche, Montpellier, 34000, France.

Riccardo Morganti (R)

Section of Statistics, University of Pisa, Pisa, Italy.

Gregory Gascou (G)

Neuroradiology department, Montpellier University Hospital, Gui De Chauliac, 80 Avenue Augustin Fliche, Montpellier, 34000, France.

Cyril Dargazanli (C)

Neuroradiology department, Montpellier University Hospital, Gui De Chauliac, 80 Avenue Augustin Fliche, Montpellier, 34000, France.

Pierre-Henri Lefevre (PH)

Neuroradiology department, Montpellier University Hospital, Gui De Chauliac, 80 Avenue Augustin Fliche, Montpellier, 34000, France.

Emmanuelle Le Bars (E)

Neuroradiology department, Montpellier University Hospital, Gui De Chauliac, 80 Avenue Augustin Fliche, Montpellier, 34000, France.

Gaetano Risi (G)

Neuroradiology department, Montpellier University Hospital, Gui De Chauliac, 80 Avenue Augustin Fliche, Montpellier, 34000, France.

Nicola Marchi (N)

Institute of Functional Genomics, University of Montpellier, CNRS, INSERM, Montpellier, France.

Anne Ducros (A)

Neurology department, Montpellier University Hospital, Gui-de-Chauliac, Montpellier, France.

Vincent Costalat (V)

Neuroradiology department, Montpellier University Hospital, Gui De Chauliac, 80 Avenue Augustin Fliche, Montpellier, 34000, France.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female

Evaluation of Low-Value Services Across Major Medicare Advantage Insurers and Traditional Medicare.

Ciara Duggan, Adam L Beckman, Ishani Ganguli et al.
1.00
Humans United States Aged Cross-Sectional Studies Medicare Part C

Effectiveness of Virtual Yoga for Chronic Low Back Pain: A Randomized Clinical Trial.

Hallie Tankha, Devyn Gaskins, Amanda Shallcross et al.
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Concordance between venous sinus pressure and...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Concordance between venous sinus pressure and...
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système nerveux › Pression du liquide cérébrospinal › Pression intracrânienne › Concordance between venous sinus pressure and...
questionsmedicales.fr › Maladies du système nerveux › Maladies du système nerveux central › Encéphalopathies › Hypertension intracrânienne › Syndrome d'hypertension intracrânienne bénigne › Concordance between venous sinus pressure and...
questionsmedicales.fr › Système cardiovasculaire › Vaisseaux sanguins › Veines › Sinus veineux crâniens › Concordance between venous sinus pressure and...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Concordance between venous sinus pressure and...
questionsmedicales.fr › Techniques d'investigation › Techniques de laboratoire clinique › Manipulation d'échantillons › Ponction lombaire › Concordance between venous sinus pressure and...
questionsmedicales.fr › Phénomènes physiologiques respiratoires et circulatoires › Phénomènes physiologiques cardiovasculaires › Hémodynamique › Pression sanguine › Pression veineuse › Concordance between venous sinus pressure and...