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Cerebral venous sinus stenting for pseudotumor cerebri: A review
Sivashakthi Kanagalingam1, Prem S Subramanian2
1Department of Ophthalmology, The Johns Hopkins Hospital, Baltimore, MD, USA.
Abstract:
Pseudotumor cerebri is characterized by headaches, visual field changes, papilledema and an elevated cerebrospinal fluid opening pressure without evidence of an intracranial mass. In the setting of failed medical therapy, surgical options such as ventriculoperitoneal shunts and optic nerve sheath fenestrations are considered. Recently, venous sinus stenting has emerged as a new treatment option for patients with pseudotumor cerebri. We review the role of cerebral venous sinus stenting in the management of patients with medically refractory pseudotumor cerebri. Although long- term studies are needed in this field, the current reports indicate a favorable outcome for preventing vision loss and symptom control.
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