TREATMENT OF IDIOPATHIC ENDOCRANIAL HYPERTENSION WITH TRANSVERSE SINUS ANGIOPLASTY.

Technical note

Abstract

BACKGROUND: Idiopathic intracranial hypertension (IIH) is disease of unknown etiology and physiopathology that can generate serious consequences.  The initial classical treatment is weight loss and acetazolamide.  Optic nerve fenestration surgery and CSF diversion are accepted surgical procedures for the treatment of this entity.  In 1995, the association of IIH and dural sinus stenosis by venography was described and in 2002 the first case of stent implantation in transverse sinus as a successful treatment of IIH in a patient was published.  In the last 20 years have been published multiple case reports and case series with excellent results, becoming part of the valid tools for the treatment of this disease.

OBJECTIVE: To describe surgical technique of stenting the transverse sinus in a patient with IIH diagnosis.

MATERIAL AND METHODS: Description of diagnosis steps and stenting technique of transverse sinus in a patient with IIH associated to transverse sinus stenosis.

CONCLUSIONS: We describe stenting technique of transverse sinus in a patient with IIH diagnosis.