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NEUROLOGY 1995;45:2224-2228
© 1995 American Academy of Neurology

Cerebral venography and manometry in idiopathic intracranial hypertension

J.O. King, MD, FRACP, P.J. Mitchell, MB, FRACR, K.R. Thomson, MB, FRACR and B.M. Tress, MD, FRACR

From the Clinical Neuroscience Centre (Dr. King), Royal Melbourne Hospital, and the Department of Radiology (Drs. Mitchell, Thomson, and Tress), University of Melbourne, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Received September 9, 1994. Accepted in final form April 10, 1995.
Address correspondence and reprint requests to Dr. John King, Box 2017, Royal Melbourne Hospital, Victoria, Australia, 3050.

Cerebral venography and manometry in nine patients with idiopathic intracranial hypertension consistently showed venous hypertension in the superior sagittal sinus and proximal transverse sinuses, with a significant drop in venous pressure at the level of the lateral third of the transverse sinus.The abnormality, clearly demonstrated by manometry, was not well shown on the venous phase of cerebral angiography. The appearance of the transverse sinus on venography varied from smooth tapered narrowing to discrete intraluminal filling defects that resembled mural thrombi. Two patients with intracranial hypertension due to minocycline did not show venous hypertension.

NEUROLOGY 1995;45: 2224-2228




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