Table 2.

Proposed criteria for dural venous sinus stenting in IIH adapted from Teleb et al⁴²

Major Criteria (all required for qualification)

o Failed MMT for at least one month or Fulminant course refractory to medical treatment with rapidly worsening vision.

o Presence of pressure gradient across the stenosis ≥10 mmHg.

o Pressure ≥25 mmHg.

o Pulsatility seen on manometry that is attenuated post-stenosis.

o Visual changes, papilledema, or other focal objective neurological symptoms. Headaches only if severely disabling.

o No contraindications to dual antiplatelet therapy.

Minor Criteria (one required for qualification)

o Intolerance to repeated lumbar puncture or lumbar drain.

o Diagnosis of DSS ≥50% on CT or MR venogram or catheter angiography.

o Failed surgical shunting procedure or Failed optic nerve fenestration.

o Patient preference.

Note: Reproduced from Teleb et al., Stenting and Angioplasty for Idiopathic IntracranialHypertension: A Case Series with Clinical, Angiographic, Ophthalmological, Complication, and Pressure Reporting. John Wiley and Sons. Copyright © 2013 by the American Society of Neuroimaging.