Transvers sinus stenting for treatment of resistant tinnitus due to pseudotumor cerebri syndrome without papilloedema

Introduction

Pseudotumor cerebri is one of the complex diseases in the field of neurology and neurosurgery. Although it’s classical form manifests with headache and blurred vision, and papilledema is seen in the ophthalmological examination, but its clinical manifestations can be without blurred vision and papilledema, and even without headache.

Here, we present a diagnostically challenging pseudotumor cerebri case who presented only with refractory tinnitus and had increased intracranial pressure, and the tinnitus was completely resolved with transverse sinus stenting.

Conclusion

This case showed that pseudotumor cerebri can have atypical manifestations such as resistant tinnitus without papilledema, and in these cases, intracranial pressure should be measured and its causes, especially cerebral venous sinus stenosis should be investigated and treated.