Cerebral venous sinus stenting (CVSS) is an established treatment for idiopathic intracranial hypertension (IIH) and pulsatile tinnitus (PT). Despite frequent bilateral venous sinus stenosis, treatment is typically unilateral, and data on sequential contralateral stenting for persistent or recurrent symptoms remain limited....
No actionable change in general audiology practice; the procedure is a neurovascular/neurointerventional decision, but audiologists managing pulsatile tinnitus patients should be aware that bilateral venous sinus stenting is an emerging rescue option after failed unilateral stenting.
Bilateral sequential venous sinus stenting represents a potential next-step strategy for refractory pulsatile tinnitus and IIH, a clinically challenging population that often reaches audiologists before neurovascular specialists.
- 01Single-center case series — the lowest level of clinical evidence; results should be interpreted cautiously.
- 02Targets patients with persistent or recurrent pulsatile tinnitus or IIH after initial unilateral stenting.
- 03Sequential contralateral stenting was evaluated as a rescue or staged intervention.
- 04Pulsatile tinnitus is a symptom with vascular origins; management falls in neurovascular, not audiology, practice.
- 05Small case series design cannot determine safety or efficacy definitively.
Sequential contralateral venous sinus stenting can reduce persistent or recurrent pulsatile tinnitus or IIH symptoms after failed unilateral stenting.
studypartially supported- PMID
- 42235752
- DOI
- 10.1016/j.wneu.2026.125096.
- Journal
- World Neurosurgery
- Publication type
- case_report
- Evidence level
- 4
- Population
- Patients with persistent or recurrent pulsatile tinnitus or idiopathic intracranial hypertension (IIH) following unilateral venous sinus stenting
- Intervention
- Sequential contralateral venous sinus stenting
Primary outcomes
Resolution or reduction of pulsatile tinnitus symptoms; Resolution or reduction of IIH symptoms