Complete Bilateral Ophthalmoplegia in the Setting of Elevated Intracranial Pressure that Improved with Transverse Venous Sinus Stenting (.pdf)

Elevated ICP is known to cause vision loss, abducens nerve palsy, and rarely oculomotor and trochlear nerve palsies. Severe dysmotility of both eyes in all gazes has not been reported. Venous sinus stenosis has been postulated as a possible pathophysiologic mechanism underlying elevated ICP in the setting of idiopathic intracranial hypertension, and stenting of the transverse sinus has been therapeutic 3,4. The current report describes resolution of complete ophthalmoplegia in the setting of secondary elevated ICP treated with transverse venous sinus stenting.