scholarly journals Bilateral Transverse Sinus Angioplasty for the Treatment of Idiopathic Intracranial Hypertension – Case Report and Literature Review

2019 ◽  
Vol 38 (03) ◽  
pp. 203-209 ◽  
Author(s):  
Luciano B. Manzato ◽  
Paulo Moacir Mesquita Filho ◽  
Leonardo Frighetto ◽  
Nério Dutra Azambuja ◽  
Rafael Cordeiro ◽  
...  
Keyword(s):  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension ◽  
Transverse Sinus ◽  
Venous Sinuses ◽  
Nerve Sheath ◽  
Sinus Stenosis ◽  
The Subject ◽  
Bilateral Stenting ◽  
Visual Disturbances ◽  
Dural Venous Sinuses

AbstractIdiopathic intracranial hypertension (IIH) is a disease characterized by an increase in intracranial pressure, without presence of parenchymal lesions or hydrocephalus that justify it. Over 90% of cases there is association with stenosis of the dural venous sinuses. It is characterized by headache, tinidus, nausea, vomiting and visual disturbances. Initial treatment is clinical and when it fails there is indication of invasive procedures, among them shunts and fenestration of the optic nerve sheath. Angioplasty of dural venous sinuses, when indicated, has shown an alternative with better results and less complications. We report a case of a female patient, with 27 years old, diagnosed with IIH and bilateral transverse sinus stenosis, which was treated by bilateral stenting and total resolution of symptoms. Besides describing the case we review the literature about the subject.

scholarly journals Intracranial Venous Sinus Stenting in Idiopathic Intracranial Hypertension: A Case Report and Review of the Literature

2021 ◽  
Vol 11 (3) ◽  
pp. 382
Author(s):  
Dinesh Ramanathan ◽  
Zachary D. Travis ◽  
Emmanuel Omosor ◽  
Taylor Wilson ◽  
Nikhil Sahasrabudhe ◽  
...  
Keyword(s):  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension ◽  
Vision Loss ◽  
Transverse Sinus ◽  
Venous Sinus ◽  
Subdural Hygroma ◽  
Presenting Symptoms ◽  
Minimal Improvement ◽  
Sinus Stenosis ◽  
Work Up

We describe a case of severe headaches, double vision, and progressive vision loss secondary to a ruptured intracranial cyst (IAC) in a 31-year-old woman with no relevant past medical history. The case is peculiar because drainage of the subdural hygroma led to a minimal improvement in vision with persistent elevated intracranial pressure (ICP). Further exploration revealed transverse sinus stenosis necessitating stenting. Evaluation post-stenting showed marked reduction of ICP and improvement in symptoms. This report underscores the importance of comprehensive work-up and suspicion of multiple underlying etiologies that may be crucial to complete resolution of presenting symptoms in some cases. We provide an overview of the clinical indications and evidence for venous sinus stenting in treating idiopathic intracranial hypertension (IIH).

Retrograde 3D rotational venography (3DRV) for venous sinus stent placement in idiopathic intracranial hypertension

2017 ◽  
Vol 10 (8) ◽  
pp. 777-779 ◽  
Author(s):  
Christopher C Young ◽  
Ryan P Morton ◽  
Basavaraj V Ghodke ◽  
Michael R Levitt
Keyword(s):  
Intracranial Hypertension ◽  
Stent Placement ◽  
Idiopathic Intracranial Hypertension ◽  
Three Dimensional ◽  
Venous Sinus ◽  
Flat Panel ◽  
Venous Sinuses ◽  
Contrast Enhanced ◽  
Sinus Stenosis ◽  
Dural Venous Sinus

BackgroundDural venous sinus stenting has emerged as an effective and durable treatment for idiopathic intracranial hypertension (IIH). Improved visualization of the venous sinuses can improve stent placement.MethodsWe present two cases of IIH treated with venous sinus stenting in which retrograde three-dimensional rotational venography (3DRV) provided superior anatomical details of the venous sinuses for optimal sizing and positioning of stent.ResultsComparison of pre-stent 3DRV with post-stent contrast-enhanced flat panel detector CT allowed confirmation of stent placement and the result of stenosis dilation.ConclusionThis 3DRV technique provides precise visualization of venous sinus stenosis prior to stenting without the need for arterial cerebral angiography during the treatment course.

scholarly journals Dynamic nature of intracranial venous sinuses in idiopathic intracranial hypertension

2019 ◽  
Vol 26 (1) ◽  
pp. 118-120 ◽  
Author(s):  
Patrick Nicholson ◽  
Stéphanie Lenck ◽  
Walter Kucharczyk ◽  
Vitor Mendes-Pereira
Keyword(s):  
Case Report ◽  
Intracranial Hypertension ◽  
Medical Therapy ◽  
Idiopathic Intracranial Hypertension ◽  
Complete Resolution ◽  
Transverse Sinus ◽  
Venous Sinus ◽  
Dynamic Nature ◽  
Venous Sinuses ◽  
Transverse Sinuses

There is increasing interest in venous sinus stenting in patients with idiopathic intracranial hypertension who are refractory to medical therapy. Often the transverse sinus stenoses are bilateral, however, and there is no clear evidence for whether we should stent one or both sides in these patients. Our practice is to first stent one side, and in this brief case report, we demonstrate complete resolution of the contralateral stenosis in one such patient who underwent stenting. Her symptoms also completely resolved, and so this case highlights the dynamic fluctuant nature of the transverse sinuses.

Idiopathic intracranial hypertension and transverse sinus stenosis: a modelling study

2007 ◽  
Vol 24 (1) ◽  
pp. 85-109 ◽  
Author(s):  
Scott A. Stevens ◽  
Michelle Previte ◽  
William D. Lakin ◽  
Nimish J.Thakore ◽  
Paul L. Penar ◽  
...  
Keyword(s):  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension ◽  
Transverse Sinus ◽  
Sinus Stenosis ◽  
Modelling Study

scholarly journals Clinical course of idiopathic intracranial hypertension with transverse sinus stenosis

Neurology ◽  
2013 ◽  
Vol 81 (7) ◽  
pp. 695-695 ◽  
Author(s):  
F. Bono ◽  
A. Quattrone ◽  
B. B. Bruce ◽  
N. J. Newman ◽  
V. Biousse
Keyword(s):  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension ◽  
Clinical Course ◽  
Transverse Sinus ◽  
Sinus Stenosis

scholarly journals Endovascular Treatment for Idiopathic Intracranial Hypertension Improves Clinical Symptoms and Signs

2017 ◽  
Vol 36 (01) ◽  
pp. 01-06
Author(s):  
João Silva ◽  
Mario Conti ◽  
Guilherme Aguiar ◽  
Mauricio Jory ◽  
Paulo Monzillo ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension ◽  
Clinical Symptoms ◽  
Venous Drainage ◽  
Transverse Sinus ◽  
Pressure Gradients ◽  
Sinus Stenosis ◽  
Symptoms And Signs

Introduction New physiopathological concepts regarding idiopathic intracranial hypertension (IIH) recommend the endovascular treatment in refractory patients with transverse sinus stenosis. Objectives To assess the role of the transverse sinus stenting treatment in the symptomatology of patients with IIH. Method Clinically refractory patients with impaired venous drainage of the transverse sinus were submitted to cerebral angiographies. Patients with pre and post-stenotic pressure gradients > 8 mmHg were submitted to endovascular treatment. Results Seven patients underwent cerebral angiography with manometry. Stenting was performed in six cases after pressure gradient assessment. All cases showed improvements in headache and resolution of papilledema. Discussion and Conclusion Although the role of endovascular therapy should be further studied, our data suggest it may improve the clinical symptoms and signs of IIH in selected patients.

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