التفاصيل البيبلوغرافية
| العنوان: |
Pulsatile versus non-pulsatile tinnitus in idiopathic intracranial hypertension. |
| المؤلفون: |
Funnell, Jonathan P.1 jfunnell17@gmail.com, Craven, Claudia L.1 claudia.craven@gmail.com, Thompson, Simon D.1 simon.thompson3@nhs.net, D’Antona, Linda1 linda.D'Antona@uclh.nhs.uk, Chari, Aswin1 aswinchari@gmail.com, Thorne, Lewis1 lewis.thorne@uclh.nhs.uk, Watkins, Laurence D.1 laurence.watkins@uclh.nhs.uk, Toma, Ahmed K.1 ahmedtoma@nhs.net |
| المصدر: |
Acta Neurochirurgica. Oct2018, Vol. 160 Issue 10, p2025-2029. 5p. 1 Chart, 2 Graphs. |
| مصطلحات موضوعية: |
*INTRACRANIAL hypertension, *PULSATILE flow, *CEREBROSPINAL fluid, *TINNITUS, *MAGNETIC resonance imaging |
| مستخلص: |
Introduction: Tinnitus is a symptom commonly associated with idiopathic intracranial hypertension (IIH) that can have a profound effect on quality of life. We aim to determine tinnitus symptom response after dural venous sinus stenting (DVSS) or CSF diversion with a shunt, in patients with both pulsatile (PT) and non-pulsatile tinnitus (NPT).Methods: Single-centre cohort of IIH patients (2006-2016) who underwent 24-h ICP monitoring (ICPM). An un-paired t test compared ICP and pulse amplitude (PA) values in IIH patients with PT vs. NPT.Results: We identified 59 patients with IIH (56 F:3 M), mean age 32.5 ± 9.49 years, 14 of whom suffered from tinnitus. Of these 14, seven reported PT and seven reported NPT. Patients with tinnitus had a mean 24-h ICP and PA of 9.09 ± 5.25 mmHg and 6.05 ± 1.07 mmHg respectively. All 7 patients with PT showed symptom improvement or resolution after DVSS (n = 4), secondary DVSS (n = 2) or shunting (n = 1). In contrast, of the 7 with NPT, only 1 improved post intervention (DVSS), despite 2 patients having shunts and 5 having DVSS.Conclusions: NPT and PT were equally as common in our group of IIH patients. DVSS appears to be an effective management option for IIH patients with a clear history of pulsatile tinnitus. However, non-pulsatile tinnitus was more persistent and did not respond well to either DVSS or CSF diversion. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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