Idiopathic intracranial hypertension; immediate resolution of venous sinus "obstruction" after reducing cerebrospinal fluid pressure to<10cmH(2)O.
It has been postulated that cerebral venous outflow "obstruction" is a precipitating factor for many cases of idiopathic intracranial hypertension (IIH). We describe a 17-year-old woman with IIH, and "venous obstruction" repeatedly demonstrated on magnetic resonance venography (MRV) that within minutes resolved partially when the cerebrospinal fluid (CSF) pressure was reduced to 11 cmH(2)O and completely when the pressure was reduced to 8cmH(2)O. These findings further support the view that raised pressure is the cause of the "obstruction", rather than the obstruction being the primary cause of the IIH. It also raises questions about how low the CSF pressure should be reduced at therapeutic lumbar puncture.
Lee
Shane Wei
SW
Neuroscience Department, The Geelong Hospital, Barwon Health, PO Box 281, Geelong, Victoria 3220, Australia.
Gates
Peter
P
Morris
Peter
P
Whan
Andrew
A
Riddington
Leisha
L
D000293:Adolescent; D002533:Cerebral Angiography / Q000379:methods; D015170:Cerebrospinal Fluid Pressure / Q000502:physiology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D011559:Pseudotumor Cerebri / Q000209:etiology / Q000628:therapy*; D012851:Sinus Thrombosis, Intracranial / Q000150:complications / Q000628:therapy*