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Ebs stenting june - copy

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Ebs stenting june - copy

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

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