1. Evidence Based Surgery
Shinuo Liu
Prof. Stoodley
28/06/12
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2. 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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3. Question
• P = patients afflicted with benign intracranial
hypertension
• I = venous sinus stenting
• C=
• O = efficacy?
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4. MEDLINE
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11. SCOPUS
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13. EMBASE
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14. COCHRANE LIBRARY
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16. Cited in SCOPUS
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17. 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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18. • 140/161 patients experienced clinical
improvement (87%).
• 4 reported complications.
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19. Non English literature
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