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Interrelation Between Cerebrospinal Fluid Pressure, Intracranial Morphology and Venous Hemodynamics Studied by 4D Flow MRI.

Florian F SchuchardtAxel J KrafftLidia Miguel TelegaSebastian KüchlinWolf A LagrèzeTheo DemerathPhilipp Georg ArnoldChristian FungLuisa M KrausAnja HennemuthJuergen BeckHorst UrbachCornelius WeillerAndreas Harloff
Published in: Clinical neuroradiology (2024)
We were able to demonstrate the interaction of CSF pressure, venous volumetry, venous hemodynamics and ONSD using multiparametric brain MRI. Closure of CSF leaks in SIH patients resulted in symptoms suggestive of increased intracranial pressure and caused a subsequent decrease of intracranial venous volume and of blood flow within the superior sagittal sinus while ONSD increased. In contrast, blood flow parameters from 4D flow MRI did not discriminate IIH, SIH and controls as hemodynamics at baseline overlapped at most vessel cross-sections.
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