{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T05:07:40Z","timestamp":1770354460409,"version":"3.49.0"},"reference-count":48,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"25","license":[{"start":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T00:00:00Z","timestamp":1702857600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,18]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Venous sinus stenosis has been implicated in intracranial hypertension and can lead to papilledema and blindness. The authors report the unique case of a cerebellar transtentorial lesion resulting in venous sinus stenosis in the torcula and bilateral transverse sinuses that underwent resection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 5-year-old male presented with subacute vision loss and bilateral papilledema. Imaging demonstrated a lesion causing mass effect on the torcula\/transverse sinuses and findings of increased intracranial pressure (ICP). A lumbar puncture confirmed elevated pressure, and the patient underwent bilateral optic nerve sheath fenestration. Cerebral angiography and venous manometry showed elevated venous sinus pressures suggestive of venous hypertension. The patient underwent a craniotomy and supracerebellar\/infratentorial approach. A stalk emanating from the cerebellum through the tentorium was identified and divided. Postoperative magnetic resonance imaging showed decreased lesion size and improved sinus patency. Papilledema resolved and other findings of elevated ICP improved. Pathology was consistent with atrophic cerebellar cortex. Serial imaging over 6 months demonstrated progressive decrease in the lesion with concurrent improvements in sinus patency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Although uncommon, symptoms of intracranial hypertension in patients with venous sinus lesions should prompt additional workup ranging from dedicated venous imaging to assessments of ICP and venous manometry.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case23363","type":"journal-article","created":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T18:53:55Z","timestamp":1702925635000},"source":"Crossref","is-referenced-by-count":0,"title":["Supracerebellar infratentorial resection of a torcular lesion causing fulminant intracranial hypertension: illustrative case"],"prefix":"10.3171","volume":"6","author":[{"given":"Jonathan","family":"Dallas","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica R","family":"Lane","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Virginia Commonwealth University School of Medicine, Richmond, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin S","family":"Hopkins","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melinda","family":"Chang","sequence":"additional","affiliation":[{"name":"Division of Ophthalmology, Children\u2019s Hospital Los Angeles, Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Borchert","sequence":"additional","affiliation":[{"name":"Division of Ophthalmology, Children\u2019s Hospital Los Angeles, Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nestor R","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Cedars-Sinai Medical Center, Los Angeles, California; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter A","family":"Chiarelli","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California"},{"name":"Department of Surgery, Division of Neurological Surgery, Children\u2019s Hospital Los Angeles, Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason K","family":"Chu","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California"},{"name":"Department of Surgery, Division of Neurological Surgery, Children\u2019s Hospital Los Angeles, Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"5","key":"b1","series-title":"Lancet Neurol","first-page":"433","article-title":"Idiopathic intracranial hypertension","volume":"5","author":"Ball AK","year":"2006","unstructured":"Ball AK, Clarke CE. 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Neurosurg Focus. 2007;23(5):E7."},{"key":"b4","series-title":"SAGE Open Medical Case Rep","first-page":"2050313X2094557","article-title":"Acute presentation of idiopathic intracranial hypertension with severe vision deficits","volume":"8","author":"Shaia JK","year":"2020","unstructured":"Shaia JK, Elzie C. Acute presentation of idiopathic intracranial hypertension with severe vision deficits. SAGE Open Medical Case Rep. 2020;8:2050313X2094557."},{"key":"b5","series-title":"Eye Brain","first-page":"1","article-title":"Exploring the current management idiopathic intracranial hypertension, and understanding the role of dural venous sinus stenting","volume":"12","author":"Gurney S","year":"2020","unstructured":"Gurney S, Ramalingam S, Thomas A, Sinclair A, Mollan S. Exploring the current management idiopathic intracranial hypertension, and understanding the role of dural venous sinus stenting. 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