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Ebs stenting june - copy

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  • 1. Evidence Based SurgeryShinuo LiuProf. Stoodley28/06/12 EBS presentation 1
  • 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. EBS presentation 2
  • 3. Question• P = patients afflicted with benign intracranial hypertension• I = venous sinus stenting• C=• O = efficacy? EBS presentation 3
  • 4. MEDLINE EBS presentation 4
  • 5. EBS presentation 5
  • 6. EBS presentation 6
  • 7. EBS presentation 7
  • 8. EBS presentation 8
  • 9. EBS presentation 9
  • 10. EBS presentation 10
  • 11. SCOPUS EBS presentation 11
  • 12. EBS presentation 12
  • 13. EMBASE EBS presentation 13
  • 14. COCHRANE LIBRARY EBS presentation 14
  • 15. EBS presentation 15
  • 16. Cited in SCOPUS EBS presentation 16
  • 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. EBS presentation 17
  • 18. • 140/161 patients experienced clinical improvement (87%).• 4 reported complications. EBS presentation 18
  • 19. Non English literature EBS presentation 19
  • 20. EBS presentation 20
  • 21. EBS presentation 21