• Yudai Morisaki, Ichiro Nakagawa, Koji Omoto, Takeshi Wada, Kimihiko Kichikawa, and Hiroyuki Nakase.
• Department of Neurosurgery, Nara Medical University, Nara Prefecture, Japan.
• Surg Neurol Int. 2019 Jan 1; 10: 47.

BackgroundIdiopathic intracranial hypertension (IIH) shows symptoms by elevating intracranial pressure. Although sinus stenosis has been detected in many patients with IIH, the role of sinus stenosis in IIH remains obscure. Endovascular treatment for IIH due to transverse sinus stenosis has been frequently documented; however, IIH due to multiple sinus stenoses including the superior sagittal sinus (SSS) is rare. Here, we report a case of IIH due to multiple sinus stenoses treated by sinus stenting.Case PresentationA 47-year-old woman suffered from intractable headache with IIH presented with stenosis of the right transverse and SSS. Stent placement was carried out since intracranial hypertension and trans-stenotic cerebral venous pressure gradient (CVPG) were presented, and her intractable headache disappeared.ConclusionIIH can be caused by venous sinus stenoses and stent placement could be an appropriate treatment in patients who demonstrated a CVPG.

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