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dc.contributor.author
Hedjoudje, A.  
dc.contributor.author
Piveteau, A.  
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Gonzalez Campo, Cecilia  
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Moghekar, A.  
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Gailloud, P.  
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San Millán, D.  
dc.date.available
2021-08-25T18:56:56Z  
dc.date.issued
2019-06  
dc.identifier.citation
Hedjoudje, A.; Piveteau, A.; Gonzalez Campo, Cecilia; Moghekar, A.; Gailloud, P.; et al.; The Occipital Emissary Vein: A Possible Marker for Pseudotumor Cerebri; American Society of Neuroradiology; American Journal Of Neuroradiology; 40; 6; 6-2019; 973-978  
dc.identifier.issn
0195-6108  
dc.identifier.uri
http://hdl.handle.net/11336/138932  
dc.description.abstract
BACKGROUND AND PURPOSE: Transverse sinus stenosis can lead to pseudotumor cerebri syndrome by elevating the cerebral venous pressure. The occipital emissary vein is an inconstant emissary vein that connects the torcular herophili with the suboccipital veins of the external vertebral plexus. This retrospective study compares the prevalence and size of the occipital emissary vein in patients with pseudotumor cerebri syndrome with those in healthy control subjects to determine whether the occipital emissary vein could represent a marker of pseudotumor cerebri syndrome. MATERIALS AND METHODS: The cranial venous system of 46 adult patients with pseudotumor cerebri syndrome (group 1) was studied on CT venography images and compared with a group of 92 consecutive adult patients without pseudotumor cerebri syndrome who underwent venous assessment with gadolinium-enhanced 3D-T1 MPRAGE sequences (group 2). The presence of an occipital emissary vein was assessed, and its proximal (intraosseous) and distal (extracranial) maximum diameters were measured and compared between the 2 groups. Seventeen patients who underwent transverse sinus stent placement had their occipital emissary vein diameters measured before and after stent placement. RESULTS: Thirty of 46 (65%) patients in group 1 versus 29/92 (31.5%) patients in group 2 had an occipital emissary vein (P < .001). The average proximal and distal occipital emissary vein maximum diameters were significantly larger in group 1 (2.3 versus 1.6 mm, P <.005 and 3.3 versus 2.3 mm, P<.001). The average maximum diameters of the occipital emissary vein for patients who underwent transverse sinus stent placement were larger before stent placement than after stent placement: 2.6 versus 1.8 mm proximally (P<.06) and 3.7 versus 2.6 mm distally (P<.005). CONCLUSIONS: Occipital emissary veins are more frequent and larger in patients with pseudotumor cerebri syndrome than in healthy subjects, a finding consistent with their role as collateral venous pathway in transverse sinus stenosis. A prominent occipital emissary vein is an imaging sign that should raise the suspicion of pseudotumor cerebri syndrome.  
dc.format
application/pdf  
dc.language.iso
eng  
dc.publisher
American Society of Neuroradiology  
dc.rights
info:eu-repo/semantics/openAccess  
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/  
dc.subject
PSEUDOTUMOR CEREBRI  
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EMISSARY VEIN  
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MRI  
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Radiología, Medicina Nuclear y Diagnóstico por Imágenes  
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Medicina Clínica  
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CIENCIAS MÉDICAS Y DE LA SALUD  
dc.title
The Occipital Emissary Vein: A Possible Marker for Pseudotumor Cerebri  
dc.type
info:eu-repo/semantics/article  
dc.type
info:ar-repo/semantics/artículo  
dc.type
info:eu-repo/semantics/publishedVersion  
dc.date.updated
2020-11-20T17:40:38Z  
dc.identifier.eissn
1936-959X  
dc.journal.volume
40  
dc.journal.number
6  
dc.journal.pagination
973-978  
dc.journal.pais
Estados Unidos  
dc.description.fil
Fil: Hedjoudje, A.. Hospital Center University De Rouen; Francia  
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Fil: Piveteau, A.. University Hospital of Geneva; Suiza  
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Fil: Gonzalez Campo, Cecilia. Sion Hospital; Suiza. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Neurociencias Cognitivas y Traslacional; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Neurociencia Cognitiva. Fundación Favaloro. Instituto de Neurociencia Cognitiva; Argentina  
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Fil: Moghekar, A.. The Johns Hopkins Hospital; Estados Unidos  
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Fil: Gailloud, P.. The Johns Hopkins Hospital; Estados Unidos  
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Fil: San Millán, D.. Sion Hospital; Suiza  
dc.journal.title
American Journal Of Neuroradiology  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.3174/ajnr.A6061  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/http://www.ajnr.org/content/40/6/973