Venous Sinus Stenting Versus Ventriculoperitoneal Shunting for Idiopathic Intracranial Hypertension: A Propensity Score-Weighted Comparative Analysis of Safety and Clinical Outcomes

AND OBJECTIVES: Venous sinus stenting (VSS) and ventriculoperitoneal shunting (VPS) are established interventions for idiopathic intracranial hypertension (IIH), yet comparative evidence remains limited. Treatment selection is often influenced by institutional preference, and retrospective studies are frequently affected by baseline differences between patient groups....

No actionable change for most audiologists; however, those managing patients with pulsatile tinnitus or IIH should note that venous sinus stenting is being evaluated as a viable alternative to shunting, which may influence referral pathways.

IIH frequently presents with pulsatile tinnitus, so neurosurgical outcome data comparing stenting and shunting is peripherally relevant to audiologists involved in tinnitus workup and multidisciplinary care.

1. 01Propensity score weighting was used to reduce selection bias in this non-randomised comparison.
2. 02Venous sinus stenting and ventriculoperitoneal shunting both treat elevated intracranial pressure in IIH.
3. 03IIH commonly causes pulsatile tinnitus, creating an indirect link to audiology practice.
4. 04Safety and clinical outcome differences between the two procedures are quantified.
5. 05Findings may influence neurosurgical referral decisions for IIH patients presenting with auditory symptoms.

PMID

42059592

DOI

10.1227/neu.0000000000004075.

Journal

Neurosurgery

Publication type

research_article

Evidence level

2b

Population

Patients with idiopathic intracranial hypertension undergoing surgical intervention

Intervention

Venous sinus stenting

Comparator

Ventriculoperitoneal shunting