ArticleJournal of neurological surgery reports2015
Brain Slump Caused by Jugular Venous Stenoses Treated by Stenting: A Hypothesis to Link Spontaneous Intracranial Hypotension with Idiopathic Intracranial Hypertension.
Article in Journal of neurological surgery reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Azygos Vein Stenosis in Frontotemporal Dementia Sagging Brain Syndrome.AJNR. American journal of neuroradiology · 2025Article
- Multiple Bilateral CSF-venous Fistulas in Spontaneous Intracranial Hypotension : A Therapeutic Challenge.Clinical neuroradiology · 2023Article
- Case report: Post-traumatic Tourette syndrome resolving with treatment of jugular venous narrowing; reconciling organic brain dysfunction following whiplash trauma with the absence of direct brain injury.Frontiers in neurology · 2023Article
- Life changing response to successive surgical interventions on cranial venous outflow: A case report on chronic fatigue syndrome.Frontiers in neurology · 2023Article
- A proposed framework for cerebral venous congestion.The neuroradiology journal · 2022Article
- A paradigm for chronic fatigue syndrome: caught between idiopathic intracranial hypertension and spontaneous intracranial hypotension; caused by cranial venous outflow obstruction.Fatigue : biomedicine, health & behavior · 2021Article
- Spontaneous Intracranial Hypotension Complicated by Subdural Effusions Treated by Surgical Relief of Cranial Venous Outflow Obstruction.Journal of neurological surgery reports · 2020Article
- Headache, Cerebrospinal Fluid Leaks, and Pseudomeningoceles after Resection of Vestibular Schwannomas: Efficacy of Venous Sinus Stenting Suggests Cranial Venous Outflow Compromise as a Unifying Pathophysiological Mechanism.Journal of neurological surgery. Part B, Skull base · 2019Article
- An Evaluation of Styloidectomy as an Adjunct or Alternative to Jugular Stenting in Idiopathic Intracranial Hypertension and Disturbances of Cranial Venous Outflow.Journal of neurological surgery. Part B, Skull base · 2017Article
- Article
- Borderline Intracranial Hypertension Manifesting as Chronic Fatigue Syndrome Treated by Venous Sinus Stenting.Journal of neurological surgery reports · 2015Article
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Authors and funding
4 authors.
Funding
Abstract
Spontaneous intracranial hypotension, of which brain slump is an extreme expression, is caused by a cerebrospinal fluid leak. The reason the leak develops in the first place, however, is unknown, and some cases can be very difficult to manage. We describe a patient with severe symptoms of spontaneous intracranial hypotension and brain slump documented by magnetic resonance imaging whose clinical syndrome and structural brain anomaly resolved completely after treatment directed exclusively at improving cranial venous outflow. Diagnostics included computed tomography (CT) venography, catheter venography, and jugular venoplasty. CT venography showed narrowing of both internal jugular veins below the skull base. Catheter venography confirmed that these were associated with pressure gradients. Jugular venoplasty performed on two separate occasions as a clinical test gave temporary respite. Lasting remission (2 years of follow-up) was achieved by stenting the dominant internal jugular vein. These findings and this outcome suggest a mechanism for the development of spontaneous intracranial hypotension that would link it to idiopathic intracranial hypertension and have cranial venous outflow obstruction as the underlying cause.
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