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Table 3 Characteristics of chronic IH for each patient

From: Chronic intracranial hypertension after cerebral venous and sinus thrombosis – frequency and risk factors

  Patient 1 Patient 2 Patient 3 Patient 4 Patient 5 Patient 6 Patient 7
Time of IH diagnosis 2 months after CVST 7 months after CVST 8 months after CVST 11 months after CVST 1 month after CVST 5 months after CVST 21 months after CVST
Symptoms of IH headache double vision, papilledema headache, visual disturbances headache, visual disturbances visual disturbances, papilledema visual disturbances visual disturbances Headache, delirium
Symptoms of previous CVST headache, visual disturbances isolated headache headache, visual disturbances isolated headache headache, visual disturbances visual disturbances headache, paresis, focal seizures
Recanalization status partial no recanalization complete partial complete no recanalization partial
CVST recurrence yes (9 months after CVST) yes (1 month and 12 months after CVST) no yes (12 months after CVST) no no yes (in the further course) plus
Dural fistulas
CSF pressure – at the time of diagnosis 500 mmH2O 330 mmH2O 270 mmH2O 410 mmH2O 550 mmH2O 500 mmH2O not performed
Treatment of IH initially acetazolamide and frequently lumbar punctures; due to remaining symptoms after insufficient attempt of mechanical recanalization, shunt-operation acetazolamide acetazolamide intolerant to acetazolamide, short-time therapy with torasemide repeated lumbar punctures initially acetazolamide, but due to increasing CSF pressure and papilledema shunt-operation insufficient attempt of mechanical recanalization, embolization of fistulas
Outcome (mRS) symptom-free
(mRS 0)
improved symptoms but remaining headaches
(mRS 1)
symptom-free
(mRS 0)
symptom-free
(mRS 0)
symptom-free
(mRS 0)
improved symptoms
(mRS 1)
improved symptoms (mRS 2)
Ophthalmological Control improved papilledema improved papilledema no abnormalities not performed not performed improved papilledema on the right, severe left papillary atrophy not performed