Case ReportEndovascular Treatment of Cerebral Venous Sinus Stenosis Based on Hemodynamic Assessment Using Pressure Wire
Introduction
Idiopathic intracranial hypertension is mostly caused by increased cerebral venous pressure, and recently, interest has developed in the stenosis of intracranial venous sinuses.1,2 Restoring the patency of cerebral venous pressure gradient (CVSS) with stent placement can normalize intracranial pressure and significantly improve associated symptoms.3 Here, we report a case of CVSS that was successfully treated via endovascular treatment (EVT) based on hemodynamic assessment with a pressure wire.
Section snippets
Case Description
A 27-year-old woman was referred to our hospital with a chief complaint of headache and neckache for 7 weeks, with an 8-day history of binocular diplopia and blurred vision. She had a 10-year history of systemic lupus erythematosus, taking 17.5 mg of prednisone daily for a long period, and no history of migraine. On examination, both eyes were incapable of outward movements. Her pupillary light reflex was normal. Funduscopic examination revealed that the border of the left optic nerve head was
Discussion
We present a case of CVSS, which was successfully treated via EVT based on a hemodynamic assessment using a pressure wire. To the best of our knowledge, this is the first reported case of pressure wire-guided EVT of CVSS. EVT appears to be a new option for CVSS, especially for patients with idiopathic intracranial hypertension, that can more smoothly alleviate the headache symptom and intravenous pressure gradients in these patients.5,6 Despite rapid developments in noninvasive imaging,
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Conflict of interest statement: The authors declare that the article content was composed in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.