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Article Synopsis
  • Chronic headaches can often stem from cerebro-spinal fluid issues, with Idiopathic Intracranial Hypertension (IIH) being a key example that presents with headaches and vision problems along with signs like papilledema.
  • In a study of 168 headache patients, 141 were evaluated, revealing that 27% had IIH, typically characterized by specific headache types, age, and body mass index.
  • Diagnostic methods such as fundus examination and MRI/MR venography prove effective in detecting IIH, even identifying cases lacking typical signs like papilledema.
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Idiopathic intracranial hypertension (IIH) is a disorder characterized by elevated intracranial pressure (ICP) that predominantly affects young obese women. IIH is a diagnosis of exclusion. That is, if increased ICP is suspected, magnetic resonance imaging and magnetic resonance venography of the brain are recommended to exclude secondary causes.

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Classification and treatment of orbital venous malformations: an updated review.

Front Med

October 2019

Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China.

Orbital venous malformation (OVM) is a congenital vascular disease. As a common type of vascular malformation in the orbit, OVM may result in vision deterioration and cosmetic defect. Classification of orbital vascular malformations, especially OVMs, is carried out on the basis of different categories, such as angiogenesis, hemodynamics, and locations.

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Purpose: Dilated superior ophthalmic vein (SOV) is an uncommon radiographic finding. The authors review the presentation, etiology, radiography, and visual implications of 113 patients with dilated SOV.

Methods: An observational case series and multicenter retrospective chart review were conducted.

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In this work the Authors report their experience on the treatment of a case of cavernous venous sinus thrombosis. The diagnosis is clinical and neuroradiological, CT, MRN, cerebral angiography and orbital venography have aided in establishing the diagnosis during life. Very interesting is the therapeutic approach.

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