Ramanathan Dinesh, Travis Zachary D, Omosor Emmanuel, Wilson Taylor, Sahasrabudhe Nikhil, Sen Anish
Department of Neurosurgery, Loma Linda University Medical Center, Loma Linda, CA 92354, USA.
School of Medicine, Loma Linda University, Loma Linda, CA 92350, USA.
Brain Sci. 2021 Mar 17;11(3):382. doi: 10.3390/brainsci11030382.
We describe a case of severe headaches, double vision, and progressive vision loss secondary to a ruptured intracranial cyst (IAC) in a 31-year-old woman with no relevant past medical history. The case is peculiar because drainage of the subdural hygroma led to a minimal improvement in vision with persistent elevated intracranial pressure (ICP). Further exploration revealed transverse sinus stenosis necessitating stenting. Evaluation post-stenting showed marked reduction of ICP and improvement in symptoms. This report underscores the importance of comprehensive work-up and suspicion of multiple underlying etiologies that may be crucial to complete resolution of presenting symptoms in some cases. We provide an overview of the clinical indications and evidence for venous sinus stenting in treating idiopathic intracranial hypertension (IIH).
我们描述了一例31岁无相关既往病史的女性，因颅内囊肿破裂继发严重头痛、复视和进行性视力丧失的病例。该病例较为特殊，因为硬膜下积液引流后视力仅有轻微改善，颅内压（ICP）持续升高。进一步检查发现横窦狭窄，需要进行支架置入术。支架置入术后评估显示ICP显著降低，症状改善。本报告强调了全面检查以及怀疑多种潜在病因的重要性，在某些情况下，这对于完全缓解现有症状可能至关重要。我们概述了静脉窦支架置入术治疗特发性颅内高压（IIH）的临床适应症和证据。
