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Venous sinus stenting is a valuable treatment for fulminant idiopathic intracranial hypertension.

Publication ,  Journal Article
Elder, BD; Goodwin, CR; Kosztowski, TA; Radvany, MG; Gailloud, P; Moghekar, A; Subramanian, PS; Miller, NR; Rigamonti, D
Published in: J Clin Neurosci
April 2015

Over the past 10 years, transverse sinus stenting has grown in popularity as a treatment for idiopathic intracranial hypertension. Although promising results have been demonstrated in several reported series, the vast majority of patients in these series have been treated on an elective basis rather than in the setting of fulminant disease with acute visual deterioration. We identified four patients who presented with severe acute vision loss between 2008 and 2012 who were treated with urgent transverse sinus stenting with temporary cerebrospinal fluid (CSF) diversion with lumbar puncture or lumbar drain as a bridge to therapy. All patients presented with headache, and this was stable or had improved at last follow-up. Three patients had improvement in some or all visual parameters following stenting, whereas one patient who presented with severe acute vision loss and optic disc pallor progressed to blindness despite successful stenting. We hypothesize that she presented too late in the course of the disease for improvement to occur. Although the management of fulminant idiopathic intracranial hypertension remains challenging, we believe that transverse sinus stenting, in conjunction with temporary CSF diversion, represents a viable treatment option in the acute and appropriate setting.

Duke Scholars

Published In

J Clin Neurosci

DOI

EISSN

1532-2653

Publication Date

April 2015

Volume

22

Issue

4

Start / End Page

685 / 689

Location

Scotland

Related Subject Headings

  • Young Adult
  • Visual Acuity
  • Vision Tests
  • Vision Disorders
  • Treatment Outcome
  • Tinnitus
  • Stents
  • Pseudotumor Cerebri
  • Optic Disk Drusen
  • Neurosurgical Procedures
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Elder, B. D., Goodwin, C. R., Kosztowski, T. A., Radvany, M. G., Gailloud, P., Moghekar, A., … Rigamonti, D. (2015). Venous sinus stenting is a valuable treatment for fulminant idiopathic intracranial hypertension. J Clin Neurosci, 22(4), 685–689. https://doi.org/10.1016/j.jocn.2014.10.012
Elder, Benjamin D., C Rory Goodwin, Thomas A. Kosztowski, Martin G. Radvany, Philippe Gailloud, Abhay Moghekar, Prem S. Subramanian, Neil R. Miller, and Daniele Rigamonti. “Venous sinus stenting is a valuable treatment for fulminant idiopathic intracranial hypertension.J Clin Neurosci 22, no. 4 (April 2015): 685–89. https://doi.org/10.1016/j.jocn.2014.10.012.
Elder BD, Goodwin CR, Kosztowski TA, Radvany MG, Gailloud P, Moghekar A, et al. Venous sinus stenting is a valuable treatment for fulminant idiopathic intracranial hypertension. J Clin Neurosci. 2015 Apr;22(4):685–9.
Elder, Benjamin D., et al. “Venous sinus stenting is a valuable treatment for fulminant idiopathic intracranial hypertension.J Clin Neurosci, vol. 22, no. 4, Apr. 2015, pp. 685–89. Pubmed, doi:10.1016/j.jocn.2014.10.012.
Elder BD, Goodwin CR, Kosztowski TA, Radvany MG, Gailloud P, Moghekar A, Subramanian PS, Miller NR, Rigamonti D. Venous sinus stenting is a valuable treatment for fulminant idiopathic intracranial hypertension. J Clin Neurosci. 2015 Apr;22(4):685–689.
Journal cover image

Published In

J Clin Neurosci

DOI

EISSN

1532-2653

Publication Date

April 2015

Volume

22

Issue

4

Start / End Page

685 / 689

Location

Scotland

Related Subject Headings

  • Young Adult
  • Visual Acuity
  • Vision Tests
  • Vision Disorders
  • Treatment Outcome
  • Tinnitus
  • Stents
  • Pseudotumor Cerebri
  • Optic Disk Drusen
  • Neurosurgical Procedures