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Case report
Delayed relapse in pseudotumor cerebri due to new stenosis after transverse sinus stenting
  1. Hugh Stephen Winters1,
  2. Geoff Parker2,
  3. Gabor Michael Halmagyi3,
  4. Ankur Mehta4,
  5. Thomas Atkins5
  1. 1Department of Radiology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
  2. 2Department of Interventional Neuroradiology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
  3. 3Department of Neurology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
  4. 4Department of Ophthalmology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
  5. 5Department of Ophthalmology, Royal Prince Alfred Hospital, Dubbo, New South Wales, Australia
  1. Correspondence to Dr Hugh Stephen Winters, Department of Radiology, Royal Prince Alfred Hospital, Missenden Road, Sydney, NSW 2050, Australia; stephen.winters{at}gmail.com

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.

  • Intracranial Pressure
  • Stent
  • Stenosis

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