Neurosurg Focus (Suppl) 37:Video 2, 2014
Venous stenting with concurrent intracranial pressure monitoring for the treatment of pseudotumor cerebri Dale Ding M.D.,1 Robert M. Starke M.D., M.Sc.,1 Christopher R. Durst, M.D., 2 R. Webster Crowley, M.D.,1,2 and Kenneth C. Liu, M.D.1,2 Departments of 1Neurological Surgery, and 2Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia Increasing evidence supports dural venous sinus stenosis as the patho-etiology of pseudotumor cerebri (PTC) in a subset of affected patients. In this video, we demonstrate our technique for 1) diagnostic venous manometry to identify a flow-limiting stenosis of the transverse sinus in a PTC patient; and 2) successful treatment of the patient with venous stenting across the structural and physiological stricture in the dural sinus. The pressure gradient decreased from 20 mmHg pre-stent to 3 mmHg post-stent. In order to further quantify the effect of our intervention, concurrent intracranial pressure monitoring was performed. The video can be found here: http://youtu.be/auxRg17F8yI. (http://thejns.org/doi/abs/10.3171/2014.V2.FOCUS14162)
Key Words • angioplasty • endovascular procedures • idiopathic intracranial hypertension • intracranial pressure monitoring • pseudotumor cerebri • stents • venous stenosis • video
Manuscript submitted April 30, 2014. Accepted June 2, 2014. Please include this information when citing this paper: DOI: 10.3171/2014.V2.FOCUS14162. Address correspondence to: Kenneth C. Liu, M.D., Department of Neurological Surgery, University of Virginia Health System, P.O. Box 800212, Charlottesville, VA 22908. email: kenneth.c.liu@ virginia.edu.
Neurosurg Focus / Volume 37 / July 2014
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Venous stenting with concurrent intracranial pressure monitoring for the treatment of pseudotumor cerebri Dale Ding M.D.,1 Robert M. Starke M.D., M.Sc.,1 Christopher R. Durst, M.D., 2 R. Webster Crowley, M.D.,1,2 and Kenneth C. Liu, M.D.1,2 Departments of 1Neurological Surgery, and 2Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia Increasing evidence supports dural venous sinus stenosis as the patho-etiology of pseudotumor cerebri (PTC) in a subset of affected patients. In this video, we demonstrate our technique for 1) diagnostic venous manometry to identify a flow-limiting stenosis of the transverse sinus in a PTC patient; and 2) successful treatment of the patient with venous stenting across the structural and physiological stricture in the dural sinus. The pressure gradient decreased from 20 mmHg pre-stent to 3 mmHg post-stent. In order to further quantify the effect of our intervention, concurrent intracranial pressure monitoring was performed. The video can be found here: http://youtu.be/auxRg17F8yI. (http://thejns.org/doi/abs/10.3171/2014.V2.FOCUS14162)
Key Words • angioplasty • endovascular procedures • idiopathic intracranial hypertension • intracranial pressure monitoring • pseudotumor cerebri • stents • venous stenosis • video
Manuscript submitted April 30, 2014. Accepted June 2, 2014. Please include this information when citing this paper: DOI: 10.3171/2014.V2.FOCUS14162. Address correspondence to: Kenneth C. Liu, M.D., Department of Neurological Surgery, University of Virginia Health System, P.O. Box 800212, Charlottesville, VA 22908. email: kenneth.c.liu@ virginia.edu.
Neurosurg Focus / Volume 37 / July 2014
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