Venous sinus stent placement is associated with improvement in volumetric skull base thickness

Venous sinus stenting (VSS) is an established treatment for patients with idiopathic intracranial hypertension (IIH). However, the associated effect of VSS on skull base remodeling has not been described.

✦ Clinical Takeaway ✦

No actionable change for audiologists — this neurovascular/neurology study is not directly applicable to audiology practice, though IIH can present with pulsatile tinnitus and hearing changes worth recognizing in referral pathways.

✦ Why It Matters ✦

Idiopathic intracranial hypertension can cause pulsatile tinnitus and hearing symptoms, so evidence supporting effective treatments for IIH has peripheral relevance to audiologists managing complex tinnitus cases.

✦ Key Points ✦

01Venous sinus stenting associated with reduction in skull base bone thickness in IIH patients.
02Study published in JNIS (Journal of NeuroInterventional Surgery).
03IIH (raised brain pressure with no known cause) can present with pulsatile tinnitus and hearing changes.
04Findings are associational; causality and long-term outcomes require further study.
05Relevant to referral awareness for audiologists encountering pulsatile tinnitus patients.

✦ Claims & Evidence ✦

ClaimEvidenceSupport

Venous sinus stent placement is associated with improvement in volumetric skull base thickness in patients with idiopathic intracranial hypertension.

studypartially supported

✦ Research metadata ✦

PMID: 42134824
DOI: 10.1136/jnis-2026-025367.
Journal: Journal of NeuroInterventional Surgery
Publication type: research_article
Evidence level: 4
Population: Patients with idiopathic intracranial hypertension (raised brain pressure of unknown cause) undergoing venous sinus stenting
Intervention: Venous sinus stent placement

Primary outcomes

Volumetric skull base thickness measured pre- and post-stenting

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