Cerebral Venous Sinus Thrombosis Presenting with Features of Raised Intracranial Tension and En Plaque Meningeal Thickening; A Case Report

Agrawal, Arpit; Prajapati, Chintan; Vishnu, V.Y.; Srivastava, MV Padma; Goyal, Vinay; Singh, Mohan B.; Garg, Ajay; Singh, Manmohan

doi:10.4103/aian.aian_633_20

Cited by 1 publication

(1 citation statement)

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“…These meningiomas constitute only 2% to 9% of all meningiomas, making them quite rare. MEPs are predominantly found in the spheno-orbital region and are associated with symptoms reflective of their location and degree of invasion [ 9 , 10 ]. Therefore, the most common symptoms of MEP in the sphenoid wing include ocular deficits, such as proptosis, followed by decreased visual acuity, retrobulbar pressure, visual field defects, headaches, orbital pain, temporal swelling, and periorbital swelling.…”

Section: Discussionmentioning

confidence: 99%

Increased Intracranial Pressure Due to Transverse Sinus Compression by a Meningioma En Plaque

Healy¹,

Singh²,

Bhatia³

et al. 2023

Cureus

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Idiopathic intracranial hypertension (IIH) is defined as raised intracranial pressure of unknown etiology. Looking for underlying causes needs to be undertaken before the diagnosis is confirmed and managed accordingly. We are reporting a rare and unique case of a patient with the clinical diagnosis of idiopathic intracranial hypertension or pseudotumor cerebri. She is not obese and not taking any predisposing medication. Her first magnetic resonance imaging (MRI) and magnetic resonance venogram (MRV) were reported as showing left transverse sinus thrombosis. She was treated with anticoagulation. Her final diagnosis of left transverse sinus compression by a meningioma en plaque (MEP) was finally made with a repeat MRI. A high index of suspicion of unusual causes is important when IIH presents in an atypical patient or with an atypical presentation. The prognosis and management of real IIH and raised intracranial pressure due to other causes are different.

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Section: Discussionmentioning

confidence: 99%