‘Surgical’ causes of benign intracranial hypertension

Bodkin, Peter; Hassan, Faizul; Kane, Philip; Brady, Nick; Whittle, Ian R.

doi:10.1258/jrsm.2008.070386

Cited by 8 publications

(8 citation statements)

References 3 publications

(2 reference statements)

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“…This diagnostic error occurred despite previously reported cases in the literature of patients with symptomatically elevated ICP in the setting of meningiomas involving the DVS (Table 1). [11][12][13][14][15][16][17][18][19][20] Our large series of 16 cases should persuade clinicians to not assume that mass lesions involving a venous sinus found during a workup for elevated ICP are incidental. Additionally, four of our patients who had diagnostic delay underwent MRV as a subsequent study after an initial brain MRI was read as normal or was misinterpreted.…”

Section: Discussionmentioning

confidence: 99%

“…3 Isolated intracranial hypertension secondary to venous hypertension from meningiomas or other neoplasms involving the DVS represents a unique diagnostic challenge, especially when the mass is small (Table 1). [11][12][13][14][15][16][17][18][19][20] We present a case series describing the occurrence of isolated intracranial hypertension mimicking idiopathic intracranial hypertension (IIH) secondary to meningiomas engaging the major DVS.…”

Section: Introductionmentioning

confidence: 99%

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Papilloedema from Dural Venous Sinus Compression by Meningiomas

Hartmann

Latting

Lee

et al. 2018

Neuro-Ophthalmology

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Intracranial mass lesions may cause intracranial hypertension secondary to venous hypertension when they compress the dural venous sinuses (DVS) and may present with isolated papilloedema, mimicking idiopathic intracranial hypertension. We report a series of 16 patients with isolated papilloedema related to meningiomas compressing the DVS seen from 2012 to 2016 at three institutions. Correct diagnosis was delayed in 10/16 patients and treatment required a multidisciplinary approach, often with multiple sequential interventions, including combinations of acetazolamide, cerebrospinal fluid-shunt, optic nerve sheath fenestration, surgical resection of the meningioma, radiation therapy, and endovascular venous stenting. Two patients also received anticoagulation for venous thrombosis secondary to venous sinus compression.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Papilloedema from Dural Venous Sinus Compression by Meningiomas

Hartmann

Latting

Lee

et al. 2018

Neuro-Ophthalmology

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“…5) Similar reports have been made concerning lesions other than meningioma, 6) including Ewing's sarcoma, metastatic tumors, 7) epidermoid cysts, 8) and eosinophilic granuloma. 9) Tumor-induced intracranial hypertension may cause dural arteriovenous fistula in the transverse-sigmoid sinus region 10) and hemorrhage around the tumor. 11,12) The pattern of the venous sinuses is markedly diverse.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Treatment of Intracranial Hypertension Associated with Venous Sinus Stenosis due to Tumor Compression

Mizuhashi

Kohyama

2020

JNET

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We report a patient with intracranial hypertension associated with venous sinus stenosis due to tumor compression. Embolization of tumor feeding blood vessels reduced the tumor volume, improved venous sinus stenosis, and alleviated the symptoms of intracranial hypertension. Case Presentation: The patient was a 46-year-old woman with chronic headache and blurred vision. Magnetic resonance venography (MRV) revealed stenosis of the right transverse-sigmoid sinus. Intracranial hypertension was diagnosed by lumbar puncture. A high-intensity 2-cm tumor was detected on T2-weighted magnetic resonance imaging (MRI), and the homogenously enhanced tumor was adjacent to the right transverse-sigmoid sinus. Cerebral angiography demonstrated tumor staining mainly from the right occipital artery (OA). Collateral venous flow was minimal. In such cases, resection and reconstruction of the involved sinus segment have a high risk of venous infarction. Accordingly, percutaneous transluminal angioplasty (PTA) was performed, but dilation of the stenosis was poor. Thus, feeder occlusion of the tumor was added and lumboperitoneal (LP) shunt was placed, alleviating the headache and blurred vision. Ten months later, reduction of the tumor volume and improvement of sinus stenosis were observed, and the LP-shunt system was removed. A decrease in tumor volume via feeder occlusion may lead to partial sinus decompression and increased venous flow, resulting in long-term clinical remission. Conclusion: Transverse-sigmoid sinus stenosis can be a cause of intracranial hypertension, albeit rare. Embolization of the tumor is considered to be a treatment option for patients who cannot undergo resection.

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“…A hipertensão venosa cerebral tem vindo a ser implicada na etiologia de várias entidades clínicas como o Pseudotumor cerebri 13,16 , enxaquecas, esclerose múltipla 1,19,21,22 , amnésia global transitória, risco aumentado de trombose venosa cerebral, ou mesmo hemorragia da fossa posterior após cirurgia supra-tentorial 17 . A hipertensão venosa, por estase crônica, condicionada por obstrução da drenagem venosa cerebral, tem sido relacionada com queixas de hipertensão intra-craniana, cujo exemplo mais exuberante é a síndrome de hipertensão intra-craniana idiopática, caracterizado por cefaleias crônicas, náuseas e vômitos, visão turva, papiledema, tonturas e tinnitus 2 . A correcção da obstrução à circulação venosa, sempre que esta última se consegue identificar, resulta consistentemente no alívio das queixas dos doentes.…”

Section: Introductionunclassified

Variação Anatômica da Apófise Estilóidea do Osso Temporal como Causa de Hipertensão Venosa Cerebral Súbita

Marques¹,

Cabral²

2018

jbnc

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A obstrução da drenagem venosa cerebral é uma entidade pouco conhecida na prática clínica podendo, no entanto estar implicada na etiopatogenia de situações como Pseudotumor cerebrii, enxaqueca, ou mesmo esclerose múltipla. Quando sintomática, apresenta-se com sinais e sintomas de hipertensão intracraniana crônica, isto é, cefaleias, papiledema e, mais raramente, zumbidos pulsáteis, consequência da estase venosa cerebral. As causas mais comuns são trombose venosa cerebral, compressão extrínseca por lesão tumoral, fratura afundada com comprometimento do sistema venoso e, raramente, a compressão da veia jugular por uma apófise etilóidea do osso temporal hipertrófica. Estão descritas inúmeras variações anatômicas desta apófise, condicionando manifestações clínicas diversas de acordo com a estrutura anatômica por ela afetada. Os autores relatam um caso clínico singular de compressão unilateral da veia jugular interna na região cervical superior (entre uma apófise estilóidea redundante e a massa lateral de C1), que se apresentou por cefaleia súbita e meningismo, mimetizando uma hemorragia subaracnóideia (HSA). Revêem-se as possíveis implicações desta variação anatômica sobre a circulação venosa cerebral, suas eventuais consequências patológicas e opções terapêuticas. Segundo os autores, situações de drenagem venosa deficiente por compressões extrínsecas da veia jugular interna na base do crânio devem ser investigadas sempre que existam queixas de hipertensão intracraniana idiopática ou evidências de hemorragias intracranianas de etiologia não esclarecida.

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‘Surgical’ causes of benign intracranial hypertension

Cited by 8 publications

References 3 publications

Papilloedema from Dural Venous Sinus Compression by Meningiomas

Papilloedema from Dural Venous Sinus Compression by Meningiomas

Endovascular Treatment of Intracranial Hypertension Associated with Venous Sinus Stenosis due to Tumor Compression

Variação Anatômica da Apófise Estilóidea do Osso Temporal como Causa de Hipertensão Venosa Cerebral Súbita

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