Delayed relapse in pseudotumor cerebri due to new stenosis after transverse sinus stenting

J Neurointerv Surg. 2016 Oct;8(10):e41. doi: 10.1136/neurintsurg-2015-011896.rep. Epub 2015 Sep 14.

Abstract

A patient presented with recurrent severe pseudotumor cerebri (PTC). Transverse sinus stenting is a very effective treatment option, however stenosis and intracranial hypertension can recur. In our patient, stenting initially resulted in resolution of papilloedema. However, after 5 years, a new stenosis developed which required further stenting. This case highlights the fact that, in patients with PTC who undergo transverse sinus stenting, a small proportion require repeat treatment due to formation of a new stenosis, usually adjacent to the existing stent. Patients with severe disease, such as ours, may be at higher risk of recurrence. Regardless of the severity, all patients who undergo stenting should have regular ocular follow-up.

Keywords: Intracranial Pressure; Stenosis; Stent.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cerebral Angiography
  • Constriction, Pathologic / diagnostic imaging
  • Constriction, Pathologic / etiology
  • Constriction, Pathologic / therapy
  • Diagnosis, Differential
  • Female
  • Humans
  • Magnetic Resonance Angiography
  • Obesity / complications
  • Papilledema / etiology
  • Papilledema / therapy
  • Pseudotumor Cerebri / complications*
  • Pseudotumor Cerebri / diagnostic imaging
  • Pseudotumor Cerebri / therapy*
  • Recurrence
  • Stents*
  • Transverse Sinuses*
  • Treatment Outcome
  • Vision Disorders / etiology
  • Vision Disorders / therapy