Elusive Neck Carcinoma Simulating Idiopathic Intracranial Hypertension Due to Jugular Venous Outflow Obstruction - Case Report. (2nd November 2022)

• Record Type: Journal Article
• Authors: Miller, Hayley V.; Wolin, Mitchell J.; Gardner, Stephen
• Is Part Of: Neuro-ophthalmology. Volume 46:Number 6(2022)
• Page Start: 420
• Page End: 424
• Publication Date: 2022-11-02
• Subjects: Idiopathic intracranial hypertension -- jugular venous outflow -- neck carcinoma -- venous sinus stenosis -- pseudotumor cerebri; Neuroophthalmology -- Periodicals; 617.7
• DOI: 10.1080/01658107.2022.2049318
• Languages: English
• ISSNs: 0165-8107

Abstract

ABSTRACT: Few cases have been reported of extra-cranial tumours in the neck causing intracranial hypertension due to jugular vein compression and consequent outflow obstruction. We present a case of a patient presenting with transient vision loss due to intracranial hypertension of unidentifiable cause on initial imaging workup. Upon further evaluation, the patient was found to have a neck tumour compressing the right jugular vein with stenosis of the ipsilateral transverse sinus – both contributing to his intracranial hypertension. Atypical patients presenting with symptoms concerning for intracranial hypertension may benefit from imaging below the level of the head to evaluate for extra-cranial causes.