What is your approach to the treatment of idiopathic intracranial hypertension with transverse sinus stenosis?  

I don't know of a way to determine whether the venous stenosis is the cause. It's a common finding in intracranial hypertension and unclear whether it is the cause or effect of intracranial hypertension. If the patient is not having vision deterioration and can be managed with medication and weight ...

Cerebral venous sinuses are thin-walled vessels. The finding of venous sinus stenosis is at least a soft sign of IIH but also in some cases is not only the result of elevated ICP but the cause. Finding a significant pressure gradient across an apparent stenosis helps resolve this chicken versus egg ...

If transverse sinus stenosis is considered the cause of intracranial hypertension, then the diagnosis is not "idiopathic". Furthermore, if the stenosis is deemed to be the underlying cause, some cases may be amenable to intervention by an interventional radiologist. Alternatively, if intervention is...