When do you consider treatment with temporal bone windows to decrease intracranial pressure for patients with Idiopathic Intracranial Hypertension?

What is your approach to treating Idiopathic intracranial hypertension with vision changes not responsive to diamox?

• Lumbo-peritoneal shunt
• Ventriculo-peritoneal shunt
• Endovascular venous stenting
• Temporal bone windows
• Other