About this trial
This study aims to identify clinical determinants and factors that predict outcome including primary outcome and secondary outcome depending on factors in individual patients with Idiopathic intracranial hypertension treated by Dural venous sinus stenting.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
40 Patients of idiopathic intracranial hypertension subjected to Dural venous sinus stenting met the modified Dandy criteria for (IIH).
Signs and symptoms of increased intracranial pressure: Headaches, nausea, vomiting, visual changes, and papilledema.
No localizing or focal neurologic signs: Except for possible unilateral or bilateral VI nerve paresis.
Elevated cerebrospinal fluid (CSF) pressure: Without cytologic or chemical abnormalities.
Disqualifiers
Age less than or equal to 18 years.
severe allergic reaction to iodine contrast or chronic Kidney disease.
contraindication to general anesthesia or antiplatelet anticoagulants, Hemorrhagic Diathesis
patients with secondary causes of intracranial hypertension: Dural arteriovenous fistula or other arteriovenous lesion affecting cortical venous flow.
Trial design
Single group
Treatments tested in this trial
Dural venous sinus stenting
Procedure/Surgery40 patients with idiopathic intracranial hypertension according to Modified Dandy Criteria will subjected to Dural venous stenting
Treatment groups
Trial outcomes
Primary outcomes
change in headache impact scale(HIT-6)
The Headache Impact Test (HIT) is a tool used to measure the impact headaches have on your ability to function on the job, at school, at home and in social situations. Your score shows you the effect that headaches have on normal daily life and your ability to function. minimum score 36 and maximum score 78
Papilledema Friesen grading scale
The Frisen grading system is an objective criteria used to describe the degree of papilledema, which is swelling of the optic disc from increased ICP grading from zero to 5
Visual filed Assessment Perimetry
Perimetry is the systematic measurement of visual field function (the total area where objects can be seen in the peripheral vision while the eye is focused on a central point).
Changes in other symptoms tinnitus, abducent nerve palsy and Transient visual Obsecuration
changes in other symptomology including tinnitus ,abducent nerve palsyand TVO
Secondary outcomes
Stent Patency and pressure change
Diagnostic DSA follow up and measuring pressure gradient changes pre and post stenting
stent Patency
in stent stenosis and Adjacent stent stenosis
Safety outcome measures
Safety outcomes of occurrences of complication: Subdural Hematoma, Subarachnoid Hemorrhage, Intracerebral hematoma puncture site complication (retroperitoneal hematoma or femoral artery aneurysm)
Quality of life improvement
Quality of life measure: SF-36 for fatigue.
Sponsors and contacts
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