Endovascular stenting of the superior sagittal sinus to alleviate venous compression caused by a parasagittal meningioma.
Publication/Presentation Date
4-5-2019
Abstract
Idiopathic intracranial hypertension (IIH) is a challenging disease with unclear pathophysiology. Recognition of venous sinus stenting to improve intracranial pressure is increasing.We present a 56-year-old man diagnosed with IIH. A parasagittal meningioma abutting the sagittal sinus causing venous compression was found. Venous sinus stenting via endovascular approach using a WALLSTENT was performed. Intravascular pressures recorded after stenting demonstrated resolution of the pressure gradient.The patient had no complications from the procedure and reported substantial symptomatic improvement. Subsequent ophthalmologic exam demonstrated resolution of the bilateral papilledema noted prior to stenting. Endovascular treatment of venous sinus stenosis in the treatment of IIH is an emerging technique. Treatment of venous compromise due to a mass lesion with stenting is a rarely described concept. For our patient, endovascular stenting was the primary treatment modality, allowing the tumour to be followed with serial imaging.
Volume
12
Issue
4
ISSN
1757-790X
Published In/Presented At
Entezami, P., Gooch, M. R., & Dalfino, J. (2019). Endovascular stenting of the superior sagittal sinus to alleviate venous compression caused by a parasagittal meningioma. BMJ case reports, 12(4), e227935. https://doi.org/10.1136/bcr-2018-227935
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
30954959
Department(s)
Administration and Leadership
Document Type
Article