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- Title
Endovascular Treatment of Idiopathic Intracranial Hypertension with Stenting of the Transverse Sinus Stenosis.
- Authors
Shigeru Miyachi; Ryo Hiramatsu; Hiroyuki Ohnishi; Kenkichi Takahashi; Toshihiko Kuroiwa
- Abstract
For many years, the pathophysiology of idiopathic intracranial hypertension (IIH) was interpreted as "secondary intracranial hypertension," and IIH was considered to be caused by brain edema due to obstructive sleep apnea. Another theory proposed cerebrospinal fluid (CSF) absorption impairment due to excessive medication with vitamin A derivatives. Other reports pointed out the importance of obesity, which may cause an impairment of intracranial venous drainage due to elevated right atrial pressure. Patients with medically refractory IIH have traditionally undergone a CSF diversion. Venous outlet impairment on IIH has recently been reported as a causative or contributory cause, and thus focused venoplasty of the stenotic sinus with a stent has emerged as a new treatment strategy. We report the cases of two patients who presented with headache and papilledema with IIH. They successfully underwent stent placement at the stenosis of the transverse sinus and experienced complete resolution of symptoms.
- Subjects
INTRACRANIAL hypertension; CEREBRAL edema; CEREBROSPINAL fluid; SURGICAL stents; HEADACHE; STENOSIS
- Publication
Neurointervention, 2018, Vol 13, Issue 2, p138
- ISSN
2093-9043
- Publication type
Case Study
- DOI
10.5469/neuroint.2018.00990