Subarachnoid Hemorrhage Following Angioplasty and Stenting in a Patient with Primitive Drainage Pattern of the Basal Vein of Rosenthal

J Stroke Cerebrovasc Dis. 2016 Dec;25(12):e222-e226. doi: 10.1016/j.jstrokecerebrovasdis.2016.08.028. Epub 2016 Oct 12.

Abstract

Severe visual loss may occur in patients with pseudotumor cerebri (PTC), also known as idiopathic intracranial hypertension. Transverse sinus stenosis is 1 cause of PTC syndrome. Although the role of transverse sinus stenosis in the pathogenesis of the disease remains controversial, recent case series of transverse sinus stenting have reported very high rates of symptom response and resolution of papilledema with improvement or at least stabilization of the visual fields and visual acuity (Ahmed et al., 2011).1 We report a previously unpublished complication of diffuse, nonaneurysmal subarachnoid hemorrhage following angioplasty and stenting in a patient with refractory PTC.

Keywords: Pseudotumor cerebri; basal vein of Rosenthal; idiopathic intracranial hypertension; stent; subarachnoid hemorrhage; transverse sinus stenosis.

Publication types

  • Case Reports

MeSH terms

  • Angioplasty, Balloon / adverse effects*
  • Angioplasty, Balloon / instrumentation*
  • Central Nervous System Vascular Malformations / complications*
  • Central Nervous System Vascular Malformations / diagnostic imaging
  • Central Nervous System Vascular Malformations / physiopathology
  • Cerebral Angiography / methods
  • Cerebral Veins / abnormalities*
  • Cerebral Veins / diagnostic imaging
  • Cerebral Veins / physiopathology
  • Cerebrovascular Circulation*
  • Computed Tomography Angiography
  • Female
  • Humans
  • Middle Aged
  • Phlebography / methods
  • Pseudotumor Cerebri / complications
  • Pseudotumor Cerebri / diagnostic imaging
  • Pseudotumor Cerebri / physiopathology
  • Pseudotumor Cerebri / therapy*
  • Stents*
  • Subarachnoid Hemorrhage / diagnostic imaging
  • Subarachnoid Hemorrhage / etiology*
  • Transverse Sinuses / physiopathology
  • Treatment Outcome
  • Vision Disorders / etiology