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Case Report
Papilledema and diplopia due to meningioma inside the superior sagittal sinus: A case report and review of the literature
1 Department of Neurosurgery, Hospital Santa Creu i Sant Pau, Barcelona, Carrer de Sant Quintí, 89, Barcelona, Spain
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Marta Rico Pereira
MD, Department of Neurosurgery, Hospital Santa Creu i Sant Pau, Barcelona, Carrer de Sant Quintí, 89, 08041, Barcelona,
Spain
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Article ID: 101114Z01MP2020
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Rico Pereira M, Asencio Cortés C. Papilledema and diplopia due to meningioma inside the superior sagittal sinus: A case report and review of the literature. Int J Case Rep Images 2020;11:101114Z01MP2020.ABSTRACT
Introduction: Small lesions involving or compressing dural sinuses are frequent but secondary intracranial hypertension is not very common, with few examples reported in the literature. This event may be explained in the setting of anatomic variants in pattern of venous sinus circulation.
Case Report: We present the case of a patient who presented with papilledema and loss of visual acuity due to a small meningioma located inside the superior sagittal sinus (SSS). The patient underwent a lumboperitoneal (LP) shunt placement with recovery of symptoms. Available literature is also reviewed.
Conclusion: Intracranial hypertension secondary to a meningioma located in the SSS is an uncommon entity. In its management, cerebrospinal fluid (CSF) shunts should be considered for symptomatic management. The definitive treatment may be targeted depending on multiple factors taking into account risk and benefit.
Keywords: Intracranial hypertension, Lumboperitoneal shunt, Meningioma, Papilledema, Superior sagittal sinus
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Author Contributions
Marta Rico Pereira - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Carlos Asencio Cortés - Conception of the work, Design of the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Marta Rico Pereira et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
