Evidence map›Paper›PMID 40924175›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2025

Intracranial venous pressures and endovascular outcomes in pediatric patients with cerebral venous sinus stenosis.

Sage P Rahm, Matthew Thomas Cleveland Jarrell, Sasha Howell, Anil Mahavadi, Anastasia Smith, James M Johnston, Jesse G A Jones

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Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sage P RahmDepartment of Neurosurgery, Division of Pediatric Neurosurgery, University of Alabama at Birmingham, Children's of Alabama, 1600 7TH Avenue South, Lowder 400, Birmingham, AL, 35233, USA.
Matthew Thomas Cleveland JarrellDepartment of Neurosurgery, Division of Pediatric Neurosurgery, University of Alabama at Birmingham, Children's of Alabama, 1600 7TH Avenue South, Lowder 400, Birmingham, AL, 35233, USA. jessejones@uabmc.edu.
Sasha HowellDepartment of Neurosurgery, Division of Pediatric Neurosurgery, University of Alabama at Birmingham, Children's of Alabama, 1600 7TH Avenue South, Lowder 400, Birmingham, AL, 35233, USA.
Anil MahavadiDepartment of Neurosurgery, Division of Pediatric Neurosurgery, University of Alabama at Birmingham, Children's of Alabama, 1600 7TH Avenue South, Lowder 400, Birmingham, AL, 35233, USA.
Anastasia SmithDepartment of Neurosurgery, Division of Pediatric Neurosurgery, University of Alabama at Birmingham, Children's of Alabama, 1600 7TH Avenue South, Lowder 400, Birmingham, AL, 35233, USA.
James M JohnstonDepartment of Neurosurgery, Division of Pediatric Neurosurgery, University of Alabama at Birmingham, Children's of Alabama, 1600 7TH Avenue South, Lowder 400, Birmingham, AL, 35233, USA.
Jesse G A JonesDepartment of Neurosurgery, Division of Pediatric Neurosurgery, University of Alabama at Birmingham, Children's of Alabama, 1600 7TH Avenue South, Lowder 400, Birmingham, AL, 35233, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDiagnostic cerebral venograms are the gold standard for evaluating cerebral venous sinus stenosis (CVSS). Venous sinus stenting (VSS) and less commonly venous sinus angioplasty are emerging endovascular treatments in pediatric patients. This study examines the baseline intracranial venous pressures and postoperative endovascular outcomes in pediatric patients with CVSS.

methodsA retrospective chart review was performed on patients ≤ 18 years old with CVSS between October 2021 and August 2024.

resultsA total of fifteen patients with CVSS underwent 20 endovascular procedures. The average age was 13.0 years of age (IQR 6-15 years of age) and 53.3% female. Eight patients (53%) were diagnosed with IIH by the revised Friedman criteria. Papilledema was present in 73.3% of patients with an average lumbar puncture or ventriculostomy opening pressure of 409 mmH

conclusionInitial dural venous sinus stenting significantly reduced the trans-stenotic gradient in all pediatric CVSS patients. Of the patients who underwent venous sinus angioplasty, 100% required further surgical intervention for management of their ICPs. There was one perioperative complication (5%) associated with CVSS endovascular interventions.

Indexed as

Cranial SinusesEndovascular ProceduresIntracranial PressureAdolescentChildConstriction, PathologicFemaleHumansMaleRetrospective StudiesStentsTreatment OutcomeVenous PressureBalloon angioplastyCerebral venous sinus stenosisDiagnostic cerebral venogramIdiopathic intracranial hypertensionVenous sinus pressuresVenous sinus stenting

Identifiers

PMID40924175
PMCPMC12420681

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.