Cheyuo Cletus, Rosen Charles L, Rai Ansaar, Cifarelli Christopher P, Qaiser Rabia
Neurosurgery, West Virginia University, Morgantown, USA.
Neurosurgery, Central Illinois Neuro Health Sciences, Bloomington, USA.
Cureus. 2019 Jun 20;11(6):e4953. doi: 10.7759/cureus.4953.
Intracranial venous hypertension is a rare presentation of meningiomas in the transverse-sigmoid sinus region. We describe a case of a young patient presenting with intracranial hypertension due to a meningioma causing compression of the dominant sigmoid sinus. We were able to document the cerebral venous pressure gradient across the lesion confirming our hypothesis that compression of the sigmoid sinus from the meningioma was the cause of intracranial hypertension. The patient is a 17-year-old male who presented with intracranial hypertension due to meningioma at the right dominant sigmoid sinus, which was treated by a Simpson grade IV surgical resection followed by stereotactic radiosurgery. Following treatment, his papilledema resolved and he remains symptom-free at 18 months. In conclusion, venous manometry is a useful adjunct to diagnose intracranial hypertension in non-idiopathic causes of intracranial hypertension. A multimodal management approach of intracranial hypertension due to outflow obstruction from the dominant sinus led to an excellent recovery on follow up.
颅内静脉高压是横窦-乙状窦区域脑膜瘤的一种罕见表现。我们描述了一例年轻患者，因脑膜瘤压迫优势乙状窦而出现颅内高压。我们能够记录病变部位的脑静脉压力梯度，证实了我们的假设，即脑膜瘤对乙状窦的压迫是颅内高压的原因。该患者为17岁男性，因右侧优势乙状窦处的脑膜瘤导致颅内高压，接受了辛普森IV级手术切除，随后进行立体定向放射外科治疗。治疗后，他的视乳头水肿消退，在18个月时仍无症状。总之，静脉测压是诊断非特发性颅内高压病因导致的颅内高压的有用辅助手段。对于因优势窦流出道梗阻导致的颅内高压，采用多模式管理方法可使患者在随访中获得极佳的恢复效果。
