Transverse Venous Sinus Stenting For Pseudotumor Cerebri Syndrome in a Child Using Recombinant Human Growth Hormone - Abstract
Objective: To report a rare case of intracranial hypertension with papilledema and visual field loss in a 14-year-old boy receiving recombinant human growth hormone. Method: Case report. Results: Lumbar puncture revealed an elevated cerebrospinal fluid opening pressure of 47cmH2O. The hormone was descontinued and acetazolamide 500mg four times daily initiated. However, lumbar pressure was 51cmH2O one week later. Cerebral angiography revealed transverse sinus stenosis. The patient was treated with venous sinus stent implant, with a gradual improvement of the symptoms. Conclusion: Transverse sinus angioplasty may improve the clinical symptoms and signs of intracranial hypertension in selected patients. Additional research is needed to confirm these findings.