Case Report: Idiopathic Intracranial Hypertension with Venous Sinus Stenosis in a Young Female

We report a case of a 19-year-old female who presented with transient, painless left eye vision loss and left-sided headache for 2 weeks. The patient, a known carrier of TTN mutation, which is a gene code for titin (mutations are inherited in an autosomal dominant pattern). The patient was diagnosed with idiopathic intracranial hypertension secondary to bilateral transverse sigmoid venous sinus stenosis. The differential diagnosis included ocular migraine, transient ischemic attack) and optic neuritis, but subsequent imaging and lumbar puncture revealed elevated intracranial pressure and significant venous stenosis. This case highlights the importance of an early identification and intervention to prevent long-term complications such as vision loss.

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Published
2025-05-01
DOI
https://doi.org/10.31986/issn.2689-0690_rdw.stratford_research_day.29_2025
Primary Topic
Cerebral Venous Sinus Thrombosis
Type
article
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article

Case Report: Idiopathic Intracranial Hypertension with Venous Sinus Stenosis in a Young Female

Zain Raza
Cerebral Venous Sinus Thrombosis
article

Case Report: Idiopathic Intracranial Hypertension with Venous Sinus Stenosis in a Young Female

Zain Raza
article en

Abstract

We report a case of a 19-year-old female who presented with transient, painless left eye vision loss and left-sided headache for 2 weeks. The patient, a known carrier of TTN mutation, which is a gene code for titin (mutations are inherited in an autosomal dominant pattern). The patient was diagnosed with idiopathic intracranial hypertension secondary to bilateral transverse sigmoid venous sinus stenosis. The differential diagnosis included ocular migraine, transient ischemic attack) and optic neuritis, but subsequent imaging and lumbar puncture revealed elevated intracranial pressure and significant venous stenosis. This case highlights the importance of an early identification and intervention to prevent long-term complications such as vision loss.

Rowan University (US)
Openalex Percentile: Top 64%
Cerebral Venous Sinus Thrombosis
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