Related Experiment Video
Updated: Jul 9, 2025
07:43
Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
18.9K
Severe bilateral papilledema after sigmoid sinus constriction surgery: a case report
Xi Chen1,2, Yizhou Ren1,2, Fang Chen3,4
1Department of Ophthalmology, Northern Jiangsu People's Hospital, Yangzhou, Jiangsu Province, China.
BMC Ophthalmology
|December 9, 2023
Summary
Severe papilledema developed after sigmoid sinus constriction surgery due to intracranial hypertension. Prompt surgical correction resolved symptoms, emphasizing careful treatment selection for pulsatile tinnitus.
Area of Science:
- Ophthalmology
- Neurosurgery
- Vascular Surgery
Background:
- Papilledema, a sign of increased intracranial pressure (ICP), necessitates timely diagnosis and treatment.
- Pulsatile tinnitus is often treated with surgical sigmoid sinus constriction.
Observation:
- A 25-year-old female presented with severe bilateral papilledema, headache, and vomiting one month post-sigmoid sinus constriction surgery.
- Elevated cerebrospinal fluid (CSF) pressure and imaging confirmed sigmoid sinus stenosis.
- Diuretic treatment was ineffective.
Findings:
- Surgical removal of the implanted gelatin sponge resolved the sigmoid sinus stenosis and relieved intracranial hypertension.
- Papilledema and symptoms completely resolved post-intervention, with no recurrence at 3-year follow-up.
Implications:
- This case highlights a rare complication of sigmoid sinus constriction surgery, leading to intracranial hypertension and papilledema.
- Ophthalmologists and surgeons must collaborate for accurate diagnosis and management of such cases.
- Surgical sinus constriction is not recommended for pulsatile tinnitus due to risks.
