title: Venous stenting with concurrent intracranial pressure monitoring for the treatment of pseudotumor cerebri.
abstract: Increasing evidence supports dural venous sinus stenosis as the patho-etiology of pseudotumor cerebri (PTC) in a subset of affected patients. In this video, we demonstrate our technique for 1) diagnostic venous manometry to identify a flow-limiting stenosis of the transverse sinus in a PTC patient; and 2) successful treatment of the patient with venous stenting across the structural and physiological stricture in the dural sinus. The pressure gradient decreased from 20 mmHg pre-stent to 3 mmHg post-stent. In order to further quantify the effect of our intervention, concurrent intracranial pressure monitoring was performed. The video can be found here: http://youtu.be/auxRg17F8yI .
authors.affiliation: Departments of Neurological Surgery, and.
authors.forename: Dale
authors.initials: D
authors.lastname: Ding
authors.forename: Robert M
authors.initials: RM
authors.lastname: Starke
authors.forename: Christopher R
authors.initials: CR
authors.lastname: Durst
authors.forename: R Webster
authors.initials: RW
authors.lastname: Crowley
authors.forename: Kenneth C
authors.initials: KC
authors.lastname: Liu
mesh_terms: D000328:Adult; D002533:Cerebral Angiography; D003251:Constriction, Pathologic / Q000209:etiology*; D003392:Cranial Sinuses / Q000601:surgery; D005260:Female; D006801:Humans; D007427:Intracranial Pressure / Q000502:physiology*; D008991:Monitoring, Physiologic / Q000009:adverse effects*; D011559:Pseudotumor Cerebri / Q000150:complications* / Q000628:therapy*
keywords: angioplasty; endovascular procedures; idiopathic intracranial hypertension; intracranial pressure monitoring; pseudotumor cerebri; stents; venous stenosis; video