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Stenting versus medical treatment for idiopathic intracranial hypertension: a matched- control study.
- Source :
- Journal of NeuroInterventional Surgery; Oct2023, Vol. 15 Issue 10, p1021-1026, 7p
- Publication Year :
- 2023
-
Abstract
- Background This prospective cohort study compared the outcomes of stenting and medical treatment for patients with idiopathic intracranial hypertension (IIH) and venous sinus stenosis (VSS). Methods In this single- center cohort study, patients with IIH and VSS were evaluated between January 2014 and December 2019 with follow- up periods of 1, 3, and 6 months. The patients received either stenting or medical treatment. The two groups underwent 1:1 matching using propensity score analysis, and the clinical outcomes were compared. Results Following 1:1 matching, 36 patients who underwent stenting and 36 who underwent medical treatment were matched. The median improvements in the papilledema Frisn grade were greater in the stenting group at 1 month (2 vs 0), 3 months (-3 vs -1), and 6 months (-3 vs -1) than in the medical treatment group. Patients who received stenting treatment had a significantly higher prevalence of complete resolution of their respective symptoms (headache, tinnitus, or visual disturbances) at 3 months (58.3% vs 13.9%, OR 8.68, 95% CI 2.74 to 27.52) and 6 months (80.6% vs 22.2%, OR 14.50, 95% CI 4.64 to 45.32) than those receiving medical treatment. Conclusions This matched- control study shows that stenting has a greater efficacy rate and rapid resolution of papilledema and its respective symptoms compared with medical treatment. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 17598478
- Volume :
- 15
- Issue :
- 10
- Database :
- Complementary Index
- Journal :
- Journal of NeuroInterventional Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 173040255
- Full Text :
- https://doi.org/10.1136/jnis-2022-019191