A Case of Bilateral Papilledema With Improved Clinical Symptoms by Venous Stenting for Superior Sagittal Sinus Stenosis

Superior sagittal sinus (SSS) obstruction causes intracranial hypertension, often requiring surgical stenting. Consensus on treating brain venous sinus stenosis, another cause, is lacking. This study reports a case of SSS stenosis and intracranial hypertension treated with venous stenting, improving...

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Detalles Bibliográficos
Autores principales: Miyoshi, Masaki, Tabuchi, Akio, Mimura, Osamu, Nagahama, Atsufumi, Tabuchi, Hitoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Neurology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10509490/
https://www.ncbi.nlm.nih.gov/pubmed/37736463
http://dx.doi.org/10.7759/cureus.43828
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author Miyoshi, Masaki
Tabuchi, Akio
Mimura, Osamu
Nagahama, Atsufumi
Tabuchi, Hitoshi
author_facet Miyoshi, Masaki
Tabuchi, Akio
Mimura, Osamu
Nagahama, Atsufumi
Tabuchi, Hitoshi
author_sort Miyoshi, Masaki
collection PubMed
description Superior sagittal sinus (SSS) obstruction causes intracranial hypertension, often requiring surgical stenting. Consensus on treating brain venous sinus stenosis, another cause, is lacking. This study reports a case of SSS stenosis and intracranial hypertension treated with venous stenting, improving bilateral papilledema. A 51-year-old with a headache and visual disturbance had papilledema and visual field loss. MR venography showed SSS stenosis, leading to a neurosurgery referral. Lumbar puncture confirmed intracranial hypertension (>35 cmH2O), prompting venous stenting. Post-procedure, papilledema, headache, and visual field loss improved. Venous stenting could be effective for SSS stenosis with clinically proven or recurrent pressure differences. Further cases are needed for standardization.
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spelling pubmed-105094902023-09-21 A Case of Bilateral Papilledema With Improved Clinical Symptoms by Venous Stenting for Superior Sagittal Sinus Stenosis Miyoshi, Masaki Tabuchi, Akio Mimura, Osamu Nagahama, Atsufumi Tabuchi, Hitoshi Cureus Neurology Superior sagittal sinus (SSS) obstruction causes intracranial hypertension, often requiring surgical stenting. Consensus on treating brain venous sinus stenosis, another cause, is lacking. This study reports a case of SSS stenosis and intracranial hypertension treated with venous stenting, improving bilateral papilledema. A 51-year-old with a headache and visual disturbance had papilledema and visual field loss. MR venography showed SSS stenosis, leading to a neurosurgery referral. Lumbar puncture confirmed intracranial hypertension (>35 cmH2O), prompting venous stenting. Post-procedure, papilledema, headache, and visual field loss improved. Venous stenting could be effective for SSS stenosis with clinically proven or recurrent pressure differences. Further cases are needed for standardization. Cureus 2023-08-20 /pmc/articles/PMC10509490/ /pubmed/37736463 http://dx.doi.org/10.7759/cureus.43828 Text en Copyright © 2023, Miyoshi et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurology
Miyoshi, Masaki
Tabuchi, Akio
Mimura, Osamu
Nagahama, Atsufumi
Tabuchi, Hitoshi
A Case of Bilateral Papilledema With Improved Clinical Symptoms by Venous Stenting for Superior Sagittal Sinus Stenosis
title A Case of Bilateral Papilledema With Improved Clinical Symptoms by Venous Stenting for Superior Sagittal Sinus Stenosis
title_full A Case of Bilateral Papilledema With Improved Clinical Symptoms by Venous Stenting for Superior Sagittal Sinus Stenosis
title_fullStr A Case of Bilateral Papilledema With Improved Clinical Symptoms by Venous Stenting for Superior Sagittal Sinus Stenosis
title_full_unstemmed A Case of Bilateral Papilledema With Improved Clinical Symptoms by Venous Stenting for Superior Sagittal Sinus Stenosis
title_short A Case of Bilateral Papilledema With Improved Clinical Symptoms by Venous Stenting for Superior Sagittal Sinus Stenosis
title_sort case of bilateral papilledema with improved clinical symptoms by venous stenting for superior sagittal sinus stenosis
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10509490/
https://www.ncbi.nlm.nih.gov/pubmed/37736463
http://dx.doi.org/10.7759/cureus.43828
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