Table 2.

Major and minor criteria for cerebral sinus stenting [9]

Major criteria for cerebral sinus stenting (all required) Refractory to maximal medical therapy Pressure gradient across stenosis 8 mm Hg ICP 22 mm Hg Visual changes, papilledema, focal neurological deficits, severely disabling headache No contraindication to dual platelet therapy

Minor criteria for cerebral sinus stenting (one required) Intolerance to repeated lumbar puncture or lumbar drain Dural sinus stenosis of 50% on CT or MR venography Failed surgical interventions, including shunting or optic nerve fenestration Pulsatility detected by manometry which is reduced after stenosis Patient preference