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Bilateral transverse sinus stenosis causing intracranial hypertension
M Neil Woodall1, Khoi D Nguyen, Cargill H Alleyne
1Department of Neurological Surgery, Georgia Regents University, Augusta, Georgia, USA.
BMJ Case Reports
|August 22, 2013
Summary
Idiopathic intracranial hypertension (IIH) can be linked to transverse sinus stenosis. In this case, a ventriculoperitoneal shunt effectively resolved IIH symptoms, offering a treatment alternative.
Area of Science:
- Neurology
- Radiology
- Neurosurgery
Background:
- Idiopathic intracranial hypertension (IIH) is a condition often associated with transverse sinus stenosis.
- Transverse sinus stenosis may contribute to increased intracranial pressure and pseudotumor symptoms.
Observation:
- A 19-year-old male presented with IIH and bilateral transverse sinus stenosis.
- CT venography and MRI confirmed the stenosis, revealing dilated collateral veins on VENBOLD sequences.
Findings:
- Treatment options considered included CSF shunting, optic nerve fenestrations, and transverse sinus stenting.
- A ventriculoperitoneal shunt was surgically placed in the patient.
Implications:
- The ventriculoperitoneal shunt led to a prompt resolution of pseudotumor symptoms.
- This case highlights the efficacy of CSF shunting as a treatment for IIH associated with transverse sinus stenosis.
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