Intracranial hypertension with polyradiculopathy – early CSF diversion to optimize neurological recovery

Abstract

Cerebral venous sinus thrombosis (CVST) and idiopathic intracranial hypertension (IIH) are common considerations in young patients presenting with isolated intracranial hypertension. We report two patients with progressive visual failure and polyradiculopathy with areflexic quadriparesis, secondary to raised intracranial pressure (ICP). Both underwent cerebrospinal fluid diversion with complete recovery. Such a fulminant presentation of raised ICP with an excellent outcome has rarely been reported in the literature.

Keywords::

• sinus thrombosis
• benign intracranial hypertension
• anticoagulation
• CSF diversion

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.