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Clinical Neuroradiology
Published in: Clinical Neuroradiology 2/2023

28-12-2022 | Idiopathic Intracranial Hypertension | Original Article

Efficacy of Dural Sinus Quantitative Measurements in Idiopathic Intracranial Hypertension

A Practical Diagnostic Feature

Authors: Bora Korkmazer, Ahmet Kursat Karaman, Esra Kochan Kızılkılıç, Rümeysa Unkun, Serdar Arslan, Uğur Uygunoğlu, Osman Kızılkılıç, Naci Koçer, Civan Islak

Published in: Clinical Neuroradiology | Issue 2/2023

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Abstract

Background and Purpose

This study aimed to investigate the potential contribution of quantitative measurements of dural venous sinuses to the diagnosis of idiopathic intracranial hypertension (IIH) and the relationship between IIH and dural venous sinus dimensions on 3D post-gadolinium T1-weighted magnetic resonance (MR) images.

Material and Methods

A total of 129 individuals (57 IIH patients and 72 controls) who complained of headache and underwent both magnetic resonance venography (MRV) and precontrast/postcontrast 3D T1-weighted MR imaging between 2018 and 2021 were included in this retrospective study. Dural venous sinus and jugular vein diameters were measured in all cases using post-gadolinium 3D T1 TFE images. The presence of transverse sinus (TS) hypoplasia and occipital sinus variation, the number and size of arachnoid granulations in the TS, and the presence of brain parenchymal herniation were also evaluated. Cut-off values that maximized accurate diagnosis of IIH were established on the receiver operating characteristic curve. The sensitivity and specificity of the diagnosis of IIH based on quantitative measurements of the dural sinus were calculated.

Results

The ratios of the maximum to minimum TS diameters and the minimum TS diameters to minimum sigmoid sinus (SS) diameters were significantly higher in IIH patients than in the control group (p < 0.001). The diagnostic sensitivity and specificity values of TSmax/TSmin and TSmin sum/SSmin sum parameters for the detection of IIH were 84.2%, 84.7% and 83.3%, 84.2%, respectively.

Conclusion

Practical measurements from multiplanar T1 sequences can be useful for both quantitative assessment and overcoming misinterpretation due to anatomical variation.
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Metadata
Title
Efficacy of Dural Sinus Quantitative Measurements in Idiopathic Intracranial Hypertension
A Practical Diagnostic Feature
Authors
Bora Korkmazer
Ahmet Kursat Karaman
Esra Kochan Kızılkılıç
Rümeysa Unkun
Serdar Arslan
Uğur Uygunoğlu
Osman Kızılkılıç
Naci Koçer
Civan Islak
Publication date
28-12-2022
Publisher
Springer Berlin Heidelberg
Published in
Clinical Neuroradiology / Issue 2/2023
Print ISSN: 1869-1439
Electronic ISSN: 1869-1447
DOI
https://doi.org/10.1007/s00062-022-01244-0

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