Venous Sinus Stenting for Idiopathic Intracranial Hypertension
摘要
Idiopathic intracranial hypertension (IIH), formerly known as pseudotumor cerebri, is a neurological condition in which intracranial pressures are elevated in the absence of an underlying mass lesion or dilated ventricular system and manifested by progressive headaches, papilledema, vision loss, and occasionally pulsatile tinnitus. Several types of treatments have been utilized, including medical management with carbonic anhydrase inhibitors and surgical management with cerebrospinal fluid (CSF) diversion; however, venous sinus stenting has been performed increasingly over the past decade for treatment in patients found to have a venous sinus stenosis along with IIH symptoms. Venous sinus stenting has been shown to be a safe and effective treatment for these patients, and its application will likely continue to grow as a primary treatment for those patients with venous sinus stenosis and IIH symptoms.