Keywords
IIH, venous sinus stenosis, adolescent, TTN mutation, headache, vision loss
Date of Presentation
5-1-2025 12:00 AM
Poster Abstract
We report a case of a 19-year-old female who presented with transient, painless left eye vision loss and left-sided headache for 2 weeks. The patient, a known carrier of TTN mutation, which is a gene code for titin (mutations are inherited in an autosomal dominant pattern). The patient was diagnosed with idiopathic intracranial hypertension secondary to bilateral transverse sigmoid venous sinus stenosis. The differential diagnosis included ocular migraine, transient ischemic attack) and optic neuritis, but subsequent imaging and lumbar puncture revealed elevated intracranial pressure and significant venous stenosis. This case highlights the importance of an early identification and intervention to prevent long-term complications such as vision loss.
Disciplines
Cardiovascular System | Diagnosis | Emergency Medicine | Medicine and Health Sciences | Nervous System | Nervous System Diseases | Neurology | Pathological Conditions, Signs and Symptoms
Included in
Cardiovascular System Commons, Diagnosis Commons, Emergency Medicine Commons, Nervous System Commons, Nervous System Diseases Commons, Neurology Commons, Pathological Conditions, Signs and Symptoms Commons
Case Report: Idiopathic Intracranial Hypertension with Venous Sinus Stenosis in a Young Female
We report a case of a 19-year-old female who presented with transient, painless left eye vision loss and left-sided headache for 2 weeks. The patient, a known carrier of TTN mutation, which is a gene code for titin (mutations are inherited in an autosomal dominant pattern). The patient was diagnosed with idiopathic intracranial hypertension secondary to bilateral transverse sigmoid venous sinus stenosis. The differential diagnosis included ocular migraine, transient ischemic attack) and optic neuritis, but subsequent imaging and lumbar puncture revealed elevated intracranial pressure and significant venous stenosis. This case highlights the importance of an early identification and intervention to prevent long-term complications such as vision loss.
