title: Which is the best peri-operative anti-coagulative therapy of transverse sinus stenting for refractory idiopathic intracranial hypertension?
abstract: Treatment of refractory idiopathic intracranial hypertension (IIH) is a challenging problem. We reported a refractory IIH patient who manifested with typical intracranial hypertensive symptoms successfully treated with endovascular stent implantation. Pre-operative cerebrospinal fluid (CSF) opening pressure is 36 cmH2O. Cerebral angiography demonstrated a stenotic lesion located at the right transverse sinus (TS). The stenotic TS returned to its normal caliber and the pressure gradient deceased from 36 mmHg to 4 mmHg after the stent placement. The intracranial hypertensive symptoms resolved and one month later, the CSF opening pressure decreased to 14 cmH2O.
authors.affiliation: Department of Neurosurgery, Shanghai Changzheng Hospital, the Second Military Medical University, Shanghai 200003, China.
authors.forename: Qi-Yong
authors.initials: QY
authors.lastname: Mei
authors.forename: Wen-Ze
authors.initials: WZ
authors.lastname: Xiao
authors.forename: Huai-Rui
authors.initials: HR
authors.lastname: Chen
authors.forename: Ru-Lin
authors.initials: RL
authors.lastname: Bai
authors.forename: Ke-Hua
authors.initials: KH
authors.lastname: Sun
authors.forename: Li-Jun
authors.initials: LJ
authors.lastname: Hou
mesh_terms: D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D011559:Pseudotumor Cerebri / Q000000981:diagnostic imaging / Q000601:surgery*; D054064:Transverse Sinuses / Q000000981:diagnostic imaging / Q000601:surgery*