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Evidence Based Surgery

Shinuo Liu Prof. Stoodley

28/06/12

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Clinical case

• SH, 50 yo RHD Maths teacher.• Dx of BIH from 1980s. Exsmoker and was on OCP.• Failed therapy!• Presented with worsening “high pressure” H/A, colour

disturbance, new central scotoma on the left, bilateral papilloedema.

• Admitted for ICP monitoring. • Underwent venous manometry.

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Question

• P = patients afflicted with benign intracranial hypertension

• I = venous sinus stenting• C =• O = efficacy?

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MEDLINE

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SCOPUS

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EMBASE

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COCHRANE LIBRARY

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Cited in SCOPUS

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Table of results

• Papers from 2002-2012• All case reports or case series (level IV

NHMRC).• A total of 161 patients. 52 patients came from

1 case series (Australian).• All stenoses occurred and were stented at the

transverse sinus.• All patients had pre- and post- Rx venogram

and manometry.

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• 140/161 patients experienced clinical improvement (87%).

• 4 reported complications.

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Non English literature

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