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Endovascular treatment of fulminant idiopathic intracranial hypertension associated with intracranial venous sinus stenosis: one case report.

Objective To report one case of fulminant idiopathic intracranial hypertension (FIIH) associated with intracranial venous sinus stenosis, and explore its clinical characteristics, diagnostic strategies, and the feasibility and efficacy of endovascular treatment. Methods and Results A 32-year-old fem...

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Published in:Chinese Journal of Contemporary Neurology & Neurosurgery Vol. 25; no. 6; pp. 538 - 543
Main Authors: LIU Shi-min, CAO Xian-min, WU Ling-feng, XIANG Zheng-bing, WEN An, CAO Wen-feng
Format: case study diagnostic images pictorial Journal Article
Published: Chinese Journal of Contemporary Neurology & Neurosurgery Jun2025
Online Access:View this record in EBSCOhost
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      jtl: Chinese Journal of Contemporary Neurology & Neurosurgery
      issn: 16726731
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      dt: Jun2025
      vid: 25
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      pub: Chinese Journal of Contemporary Neurology & Neurosurgery
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        186295681
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        10.3969/j.issn.1672-6731.2025.06.013
        186295681
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        atl: Endovascular treatment of fulminant idiopathic intracranial hypertension associated with intracranial venous sinus stenosis: one case report.
      aug:
        au:
          LIU Shi-min
          CAO Xian-min
          WU Ling-feng
          XIANG Zheng-bing
          WEN An
          CAO Wen-feng
        affil: Department of Neurology, Jiangxi Provincial People's Hospital
      sug:
        subj:
          Intracranial Hypertension Diagnosis
          Intracranial Hypertension Surgery
          Endovascular Procedures
          Cranial Sinuses Pathology
          Constriction, Pathologic Etiology
          Treatment Outcomes
          Cerebrovascular Circulation
          Adult
          Female
          Headache Etiology
          Optic Nerve
          Anemia, Iron Deficiency
          Spinal Puncture
          Visual Acuity
          Adult: 19-44 years
          Female
      ab: Objective To report one case of fulminant idiopathic intracranial hypertension (FIIH) associated with intracranial venous sinus stenosis, and explore its clinical characteristics, diagnostic strategies, and the feasibility and efficacy of endovascular treatment. Methods and Results A 32-year-old female patient presented with progressive headache and rapid visual deterioration. Imaging findings showed optic nerve sheath dilation, posterior globe flattening, and intracranial venous sinus stenosis. Laboratory tests showed iron deficiency anemia, and lumbar puncture showed markedly elevated cerebrospinal fluid (CSF) pressure (> 330 mm H2O). The clinical diagnosis was FIIH, right transverse sinus stenosis, and iron deficiency anemia. Emergency venous sinus stenting was performed, resulting in a marked reduction in CSF pressure and significant improvement in visual acuity. Conclusions There may be a close association between intracranial venous sinus stenosis and FIIH. Early identification and timely intervention are critical for improving prognosis.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        pictorial
        Journal Article
      ougenre: Article
    language: Chinese
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