Comparison of the sagittal sinus cross-sectional area between patients with multiple sclerosis, hydrocephalus, intracranial hypertension and spontaneous intracranial hypotension: a surrogate marker of venous transmural pressure?

Abstract There is evidence that patients with multiple sclerosis (MS) and hydrocephalus share some common pathophysiological mechanisms. Alterations in CSF pressure are known to affect cerebral venous sinus geometry. To further explore these mechanisms, we measured the superior sagittal sinus (SSS)...

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Main Authors: Grant A. Bateman, Jeannette Lechner-Scott, Ross Copping, Christopher Moeskops, Swee Leong Yap
Format: Article
Language:English
Published: BMC 2017-07-01
Series:Fluids and Barriers of the CNS
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12987-017-0066-1
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author Grant A. Bateman
Jeannette Lechner-Scott
Ross Copping
Christopher Moeskops
Swee Leong Yap
author_facet Grant A. Bateman
Jeannette Lechner-Scott
Ross Copping
Christopher Moeskops
Swee Leong Yap
author_sort Grant A. Bateman
collection DOAJ
description Abstract There is evidence that patients with multiple sclerosis (MS) and hydrocephalus share some common pathophysiological mechanisms. Alterations in CSF pressure are known to affect cerebral venous sinus geometry. To further explore these mechanisms, we measured the superior sagittal sinus (SSS) cross-sectional area 3 cm above the torcular using T2 images in 20 MS, 10 spontaneous intracranial hypotension (SIH), 21 hydrocephalus and 20 idiopathic intracranial hypertension (IIH) patients and compared with 20 matched controls. The SSS area was reduced by 25% in hydrocephalus (p = 0.0008), increased by 22% (p = 0.037) in SIH and unchanged in IIH compared to matched controls. In MS there was a 16% increase in SSS area (p = 0.01).The findings suggest that changes in SSS cross-sectional are common between MS and SIH patients, while in hydrocephalus and IIH these are different.
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spelling doaj.art-beb3d6b3f8234435b07af78f994a3c872022-12-21T19:34:40ZengBMCFluids and Barriers of the CNS2045-81182017-07-011411510.1186/s12987-017-0066-1Comparison of the sagittal sinus cross-sectional area between patients with multiple sclerosis, hydrocephalus, intracranial hypertension and spontaneous intracranial hypotension: a surrogate marker of venous transmural pressure?Grant A. Bateman0Jeannette Lechner-Scott1Ross Copping2Christopher Moeskops3Swee Leong Yap4Department of Medical Imaging, John Hunter HospitalNewcastle University Faculty of Health, Callaghan Campus NewcastleDepartment of Medical Imaging, John Hunter HospitalDepartment of Medical Imaging, John Hunter HospitalDepartment of Medical Imaging, John Hunter HospitalAbstract There is evidence that patients with multiple sclerosis (MS) and hydrocephalus share some common pathophysiological mechanisms. Alterations in CSF pressure are known to affect cerebral venous sinus geometry. To further explore these mechanisms, we measured the superior sagittal sinus (SSS) cross-sectional area 3 cm above the torcular using T2 images in 20 MS, 10 spontaneous intracranial hypotension (SIH), 21 hydrocephalus and 20 idiopathic intracranial hypertension (IIH) patients and compared with 20 matched controls. The SSS area was reduced by 25% in hydrocephalus (p = 0.0008), increased by 22% (p = 0.037) in SIH and unchanged in IIH compared to matched controls. In MS there was a 16% increase in SSS area (p = 0.01).The findings suggest that changes in SSS cross-sectional are common between MS and SIH patients, while in hydrocephalus and IIH these are different.http://link.springer.com/article/10.1186/s12987-017-0066-1Multiple sclerosisHydrocephalusIdiopathic intracranial hypertensionSpontaneous intracranial hypotension
spellingShingle Grant A. Bateman
Jeannette Lechner-Scott
Ross Copping
Christopher Moeskops
Swee Leong Yap
Comparison of the sagittal sinus cross-sectional area between patients with multiple sclerosis, hydrocephalus, intracranial hypertension and spontaneous intracranial hypotension: a surrogate marker of venous transmural pressure?
Fluids and Barriers of the CNS
Multiple sclerosis
Hydrocephalus
Idiopathic intracranial hypertension
Spontaneous intracranial hypotension
title Comparison of the sagittal sinus cross-sectional area between patients with multiple sclerosis, hydrocephalus, intracranial hypertension and spontaneous intracranial hypotension: a surrogate marker of venous transmural pressure?
title_full Comparison of the sagittal sinus cross-sectional area between patients with multiple sclerosis, hydrocephalus, intracranial hypertension and spontaneous intracranial hypotension: a surrogate marker of venous transmural pressure?
title_fullStr Comparison of the sagittal sinus cross-sectional area between patients with multiple sclerosis, hydrocephalus, intracranial hypertension and spontaneous intracranial hypotension: a surrogate marker of venous transmural pressure?
title_full_unstemmed Comparison of the sagittal sinus cross-sectional area between patients with multiple sclerosis, hydrocephalus, intracranial hypertension and spontaneous intracranial hypotension: a surrogate marker of venous transmural pressure?
title_short Comparison of the sagittal sinus cross-sectional area between patients with multiple sclerosis, hydrocephalus, intracranial hypertension and spontaneous intracranial hypotension: a surrogate marker of venous transmural pressure?
title_sort comparison of the sagittal sinus cross sectional area between patients with multiple sclerosis hydrocephalus intracranial hypertension and spontaneous intracranial hypotension a surrogate marker of venous transmural pressure
topic Multiple sclerosis
Hydrocephalus
Idiopathic intracranial hypertension
Spontaneous intracranial hypotension
url http://link.springer.com/article/10.1186/s12987-017-0066-1
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