title: Delayed relapse in pseudotumor cerebri due to new stenosis after transverse sinus stenting.
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.
authors.affiliation: Department of Radiology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
authors.forename: Hugh Stephen
authors.initials: HS
authors.lastname: Winters
authors.affiliation: Department of Interventional Neuroradiology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
authors.forename: Geoff
authors.initials: G
authors.lastname: Parker
authors.affiliation: Department of Neurology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
authors.forename: Gabor Michael
authors.initials: GM
authors.lastname: Halmagyi
authors.affiliation: Department of Ophthalmology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
authors.forename: Ankur
authors.initials: A
authors.lastname: Mehta
authors.affiliation: Department of Ophthalmology, Royal Prince Alfred Hospital, Dubbo, New South Wales, Australia.
authors.forename: Thomas
authors.initials: T
authors.lastname: Atkins
mesh_terms: D000328:Adult; D002533:Cerebral Angiography; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D009765:Obesity / Q000150:complications; D010211:Papilledema / Q000209:etiology / Q000628:therapy; D011559:Pseudotumor Cerebri / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D012008:Recurrence; D015607:Stents; D054064:Transverse Sinuses; D016896:Treatment Outcome; D014786:Vision Disorders / Q000209:etiology / Q000628:therapy
keywords: Intracranial Pressure; Stenosis; Stent