000			01789 am a22002173u 4500
042			_adc
100	1	0	_aHiggins, Nicholas _eauthor
700	1	0	_aHall, Frances _eauthor _92476
700	1	0	_aPickard, John _eauthor
245	0	0	_aStent-Mediated Redistribution of Cerebral Venous Outflow in the Treatment of Severe Intractable Headache: A Case Report
260			_c2014-04.
500			_a/pmc/articles/PMC7614099/
520			_aWe describe a patient with multiple symptoms but whose primary complaint was of headache, in whom no firm diagnosis was made in two years, who was resistant to all treatment, until a markedly asymmetrical cranial venous outflow came to be regarded, not as normal variant anatomy but as fundamental to the clinical problem. Deliberately altering this anatomy in favour of a more symmetrical arrangement by stenting a hypoplastic transverse sinus brought about an immediate, profound and sustained clinical improvement. This result challenges the existing consensus on what is acceptable as normal in respect of cranial venous outflow. It raises intriguing questions about the relationship between neurological symptoms and the vagaries of cranial venous outflow anatomy. It suggests there may be new opportunities in the investigation of chronic headache.
540			_a
540			_ahttps://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
546			_aen
690			_aArticle
655	7		_aText _2local
786	0		_nJ Obs Pain Med
856	4	1	_u/pubmed/36699959 _zConnect to this object online.
999			_c2143 _d2143