Hydrocephalus Paper of the Month – April
Hydrocephalus Paper of the Month – April 📰
We are pleased to present this month’s interesting paper,
“Redefining treatment expectations: exploring mid- and long-term outcomes of venous sinus stenting in idiopathic intracranial hypertension”
Authored by: Jackson P Midtlien, Carol Kittel, Lucas A Klever, Nicholas R Kiritsis, Jennifer Bernhardt Aldridge, Kyle M Fargen.
This retrospective study assessed long-term outcomes of venous sinus stenting (VSS) in 178 adults with medically-refractory idiopathic intracranial hypertension (IIH) and ≥3 months follow-up. Patients were grouped by symptom trajectory: sustained improvement (30%), temporary improvement with relapse (57%), and no improvement (13%). Most underwent transverse sinus stenting.
Although symptom recurrence was common, VSS consistently reduced intracranial pressure, with 75% showing papilledema improvement and only 17% requiring further surgery. Findings highlight VSS as a pressure-lowering intervention with frequent symptom relapse, informing long-term management expectations.
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