A Case of Bilateral Papilledema With Improved Clinical Symptoms by Venous Stenting for Superior Sagittal Sinus Stenosis

Superior sagittal sinus (SSS) obstruction causes intracranial hypertension, often requiring surgical stenting. Consensus on treating brain venous stenosis, another cause, is lacking. This study reports a case of SSS stenosis and hypertension treated with stenting, improving bilateral papilledema. A 51-year-old headache visual disturbance had papilledema field loss. MR venography showed leading to neurosurgery referral. Lumbar puncture confirmed (>35 cmH2O), prompting Post-procedure, papilledema, headache, loss improved. Venous stenting could be effective for clinically proven or recurrent pressure differences. Further cases are needed standardization.