Intracranial hypertension secondary to a skull lesion without mass effect.
We report and discuss five patients with intracranial hypertension due to a skull lesion reducing cerebral sinus patency with a compressive, non-thrombotic mechanism. We illustrate the importance of a high level of suspicion for this condition in patients presenting with headache, papilledema and increased intracranial pressure in the absence of focal signs or radiological evidence of mass effect.
Department of Physiology and Cell Biology, Zlotowski Center for Neuroscience, Ben-Gurion University of the Negev, Beer-Sheva 8410501, Israel. Electronic address: serliny@post.bgu.ac.il.
Yonatan
Y
Serlin
Department of Neurosurgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Mony
M
Benifla
Department of Ophthalmology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Anat
A
Kesler
Department of Neurosurgery, Soroka Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Avi
A
Cohen
Department of Radiology, Soroka Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Ilan
I
Shelef
D000368:Aged; D002533:Cerebral Angiography; D002648:Child; D003392:Cranial Sinuses / Q000000981:diagnostic imaging / Q000503:physiopathology; D005260:Female; D006261:Headache / Q000503:physiopathology; D006801:Humans; D019586:Intracranial Hypertension / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010211:Papilledema / Q000503:physiopathology; D010690:Phlebography; D012886:Skull / Q000293:injuries / Q000473:pathology*; D014057:Tomography, X-Ray Computed; D055815:Young Adult
Cerebral sinus obstruction; Intracranial hypertension; Skull lesion