6.6.2 Headache attributed to cranial venous sinus stenting

Description:

Unilateral headache caused by and on the same side as cranial venous sinus stenting.

Diagnostic criteria:
  1. New unilateral headache, fulfilling criterion C
  2. Jugular or cranial venous stenting has been performed
  3. Evidence of causation demonstrated by all of the following:
    1. headache has developed within one week of the stenting
    2. headache has resolved within 3 months after the stenting
    3. headache is ipsilateral to the stenting
  4. Not better accounted for by another ICHD-3 diagnosis1.
Note:

In particular, within-stent venous thrombosis has been excluded.

Comments:

Over the past decade, stenting of lateral sinus stenosis has been used to treat idiopathic intracranial hypertension.

Data about 6.6.2 Headache attributed to cranial venous sinus stenting are scarce. In one series of 21 patients stented for idiopathic intracranial hypertension, 10 patients exhibited “stent-headaches” differing from those experienced before treatment, located at the site of the stent, in the mastoid region, and lasting about 3 weeks.