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- Title
JEDI (jugular entrapment, dilated ventricles, intracranial hypertension) syndrome: a new clinical entity? A case report.
- Authors
De Bonis, Pasquale; Menegatti, Erica; Cavallo, Michele Alessandro; Sisini, Francesco; Trapella, Giorgio; Scerrati, Alba; Zamboni, Paolo
- Abstract
Patients with idiopathic intracranial hypertension are frequently obese women with normal/slit ventricles. Patients with high-pressure hydrocephalus, instead, present enlarged ventricles. We describe a 63-year-old woman with signs and symptoms of intracranial hypertension. Brain MRI revealed hydrocephalus. Venous Doppler ultrasound showed external compression of the omohyoid muscles on the internal jugular veins. During jugular vein decompression, intracranial pressure dropped from 18 to 6 mmHg. Patient is asymptomatic at 2-year follow-up, with decreased brain ventricles. These findings could represent a novel form of high-pressure hydrocephalus that can be successfully treated without a CSF shunt. We called this syndrome JEDI (jugular entrapment dilated ventricles intracranial hypertension).
- Subjects
INTRACRANIAL hypertension; CEREBRAL ventricles; ESSENTIAL hypertension; JUGULAR vein; DOPPLER ultrasonography; SYMPTOMS
- Publication
Acta Neurochirurgica, 2019, Vol 161, Issue 7, p1367
- ISSN
0001-6268
- Publication type
Article
- DOI
10.1007/s00701-019-03908-2