Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleAdult Brain

Empty Sella Is a Sign of Symptomatic Lateral Sinus Stenosis and Not Intracranial Hypertension

A. Zetchi, M.-A. Labeyrie, E. Nicolini, M. Fantoni, M. Eliezer and E. Houdart
American Journal of Neuroradiology October 2019, 40 (10) 1695-1700; DOI: https://doi.org/10.3174/ajnr.A6210
A. Zetchi
aFrom the Service de Neuroradiologie du Pr Houdart, Hôpital Lariboisière, Paris, France.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for A. Zetchi
M.-A. Labeyrie
aFrom the Service de Neuroradiologie du Pr Houdart, Hôpital Lariboisière, Paris, France.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for M.-A. Labeyrie
E. Nicolini
aFrom the Service de Neuroradiologie du Pr Houdart, Hôpital Lariboisière, Paris, France.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for E. Nicolini
M. Fantoni
aFrom the Service de Neuroradiologie du Pr Houdart, Hôpital Lariboisière, Paris, France.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for M. Fantoni
M. Eliezer
aFrom the Service de Neuroradiologie du Pr Houdart, Hôpital Lariboisière, Paris, France.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for M. Eliezer
E. Houdart
aFrom the Service de Neuroradiologie du Pr Houdart, Hôpital Lariboisière, Paris, France.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for E. Houdart
  • Article
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

References

  1. 1.↵
    1. Naing S,
    2. Frohman LA
    . The empty sella. Pediatr Endocrinol Rev 2007;4:335–42 pmid:17643081
    PubMed
  2. 2.↵
    1. Davis S,
    2. Tress B,
    3. King J
    . Primary empty sella syndrome and benign intracranial hypertension. Clin Exp Neurol 1978;15:248–57 pmid:756018
    PubMed
  3. 3.↵
    1. Bidot S,
    2. Saindane AM,
    3. Peragallo JH, et al
    . Brain imaging in idiopathic intracranial hypertension. J Neuroophthalmology 2015;35:400–11 doi:10.1097/WNO.0000000000000303 pmid:26457687
    CrossRefPubMed
  4. 4.↵
    1. Agid R,
    2. Farb RI,
    3. Willinsky RA, et al
    . Idiopathic intracranial hypertension: The validity of cross-sectional neuroimaging signs. Neuroradiology 2006;48:521–27 doi:10.1007/s00234-006-0095-y pmid:16703359
    CrossRefPubMedWeb of Science
  5. 5.↵
    1. Brodsky MC,
    2. Vaphiades M
    . Magnetic resonance imaging in pseudotumor cerebri. Ophthalmology 1998;105:1686–93 doi:10.1016/S0161-6420(98)99039-X pmid:9754178
    CrossRefPubMed
  6. 6.↵
    1. de Vries-Knoppert WA
    . Primary empty sella syndrome and benign intracranial hypertension. Doc Ophthalmol 1986;61:319–25 pmid:3948665
    CrossRefPubMedWeb of Science
  7. 7.↵
    1. Foley KM,
    2. Posner JB
    . Does pseudotumor cerebri cause the empty sella syndrome? Neurology 1975;25:565–69 doi:10.1212/wnl.25.6.565 pmid:1168876
    Abstract/FREE Full Text
  8. 8.↵
    1. Degnan AJ,
    2. Levy LM
    . Pseudotumor cerebri: brief review of clinical syndrome and imaging findings. AJNR Am J Neuroradiol 2011;32:1986–93 doi:10.3174/ajnr.A2404 pmid:21680652
    Abstract/FREE Full Text
  9. 9.↵
    1. Rohr AC,
    2. Riedel C,
    3. Fruehauf MC, et al
    . MR imaging findings in patients with secondary intracranial hypertension. AJNR Am J Neuroradiol 2011;32:1021–29 doi:10.3174/ajnr.A2463 pmid:21511864
    Abstract/FREE Full Text
  10. 10.↵
    1. Ahmed RM,
    2. Wilkinson M,
    3. Parker GD, et al
    . Transverse sinus stenting for idiopathic intracranial hypertension: a review of 52 patients and of model predictions. AJNR Am J Neuroradiol 2011;32:1408–14 doi:10.3174/ajnr.A2575 pmid:21799038
    Abstract/FREE Full Text
  11. 11.↵
    1. Higgins JNP,
    2. Owler BK,
    3. Cousins C, et al
    . Venous sinus stenting for refractory benign intracranial hypertension. Lancet 2002;359:228–30 doi:10.1016/S0140-6736(02)07440-8 pmid:11812561
    CrossRefPubMedWeb of Science
  12. 12.↵
    1. Dinkin MJ,
    2. Patsalides A
    . Venous sinus stenting in idiopathic intracranial hypertension. J Neuroophthalmol 2017;37:113–21 doi:10.1097/WNO.0000000000000426 pmid:27556959
    CrossRefPubMed
  13. 13.↵
    1. Sismanis A
    . Otologic manifestations of benign intracranial hypertension syndrome: diagnosis and management. Laryngoscope 1987;97:1–17 doi:10.1288/00005537-198708001-00001 pmid:27556959
    CrossRefPubMedWeb of Science
  14. 14.↵
    1. Reardon MA,
    2. Raghavan P
    . Venous abnormalities leading to tinnitus: imaging evaluation. Neuroimaging Clin N Am 2016;26:237–45 doi:10.1016/j.nic.2015.12.006 pmid:27154606
    CrossRefPubMed
  15. 15.↵
    1. Dong C,
    2. Zhao PF,
    3. Yang JG, et al
    . Incidence of vascular anomalies and variants associated with unilateral venous pulsatile tinnitus in 242 patients based on dual-phase contrast-enhanced computed tomography. Chin Med J (Engl) 2015;128:581–85 doi:10.4103/0366-6999.151648 pmid:25698187
    CrossRefPubMed
  16. 16.↵
    1. Dietz RR,
    2. Davis WL,
    3. Harnsberger HR, et al
    . MR imaging and MR angiography in the evaluation of pulsatile tinnitus. AJNR Am J Neuroradiol 1994;15:879–89 pmid:8059655
    Abstract/FREE Full Text
  17. 17.↵
    1. Krishnan A,
    2. Mattox DE,
    3. Fountain AJ, et al
    . CT arteriography and venography in pulsatile tinnitus: preliminary results. AJNR Am J Neuroradiol 2006;27:1635–68 pmid:16971601
    Abstract/FREE Full Text
  18. 18.↵
    1. Lenck S,
    2. Labeyrie MA,
    3. Vallee F, et al
    . Stent placement for disabling pulsatile tinnitus caused by a lateral sinus stenosis: a retrospective study. Oper Neurosurg (Hagerstown) 2017;13:560–65 doi:10.1093/ons/opx026 pmid:28922875
    CrossRefPubMed
  19. 19.↵
    1. Yang I-H,
    2. Pereira VM,
    3. Lenck S, et al
    . Endovascular treatment of debilitating tinnitus secondary to cerebral venous sinus abnormalities: a literature review and technical illustration. J Neurointerv Surg 2019;11:841–46 doi:10.1136/neurintsurg-2019-014725 pmid:30872352
    Abstract/FREE Full Text
  20. 20.↵
    1. Levitt MR,
    2. Albuquerque FC,
    3. Gross BA, et al
    . Venous sinus stenting in patients without idiopathic intracranial hypertension. J Neurointerv Surg 2017;9:512–15 doi:10.1136/neurintsurg-2016-012405 pmid:27199383
    Abstract/FREE Full Text
  21. 21.↵
    1. Smith JL
    . Whence pseudotumor cerebri? J Clin Neuroophthalmol 1985;5:55–66 pmid:3156890
    PubMed
  22. 22.↵
    1. Lenck S,
    2. Vallée F,
    3. Labeyrie M-A, et al
    . Stenting of the lateral sinus in idiopathic intracranial hypertension according to the type of stenosis. Neurosurgery 2017;80:393–400 doi:10.1227/NEU.0000000000001261 pmid:27218234
    CrossRefPubMed
  23. 23.↵
    1. Weissman JL,
    2. Hirsch BE
    . Imaging of tinnitus: a review. Radiology 2000;216:342–49 pmid:10924551
    CrossRefPubMedWeb of Science
  24. 24.↵
    1. Silbergleit R,
    2. Junck L,
    3. Gebarski SS, et al
    . Idiopathic intracranial hypertension (pseudotumor cerebri): MR imaging. Radiology 1989;170:207–09 doi:10.1148/radiology.170.1.2909098 pmid:2909098
    CrossRefPubMedWeb of Science
  25. 25.↵
    1. Sismanis A,
    2. Butts FM,
    3. Hughes GB
    . Objective tinnitus in benign intracranial hypertension: an update. Laryngoscope 1990;100:33–36 doi:10.1288/00005537-199001000-00008 pmid:2293699
    CrossRefPubMed
  26. 26.↵
    1. Bracard S,
    2. Schmitt E,
    3. Klein O, et al
    . “Benign” intracranial hypertension: neuroradiology and endovascular treatments (in French). Neurochirurgie 2008;54:721–73 doi:10.1016/j.neuchi.2008.10.005 pmid:19004460
    CrossRefPubMed
  27. 27.↵
    1. Puffer RC,
    2. Mustafa W,
    3. Lanzino G
    . Venous sinus stenting for idiopathic intracranial hypertension: a review of the literature. J Neurointerv Surg 2013;5:483–86 doi:10.1136/neurintsurg-2012-010468 pmid:22863980
    Abstract/FREE Full Text
  28. 28.↵
    1. Kesavadas C,
    2. Thomas B,
    3. Kapilamoorthy T, et al
    . Imaging signs in idiopathic intracranial hypertension: are these signs seen in secondary intracranial hypertension too? Ann Indian Acad Neurol 2013;16:229 doi:10.4103/0972-2327.112476 pmid:23956571
    CrossRefPubMed
  29. 29.↵
    1. Ridha MA,
    2. Saindane AM,
    3. Bruce BB, et al
    . Magnetic resonance imaging findings of elevated intracranial pressure in cerebral venous thrombosis versus idiopathic intracranial hypertension with transverse sinus stenosis. Neuroophthalmology 2013;37:1–6 doi:10.3109/01658107.2012.738759 pmid:24019557
    CrossRefPubMed
  30. 30.↵
    1. Eisenman DJ,
    2. Raghavan P,
    3. Hertzano R, et al
    . Evaluation and treatment of pulsatile tinnitus associated with sigmoid sinus wall anomalies. Laryngoscope 2018;128:S1–13 doi:10.1002/lary.27218 pmid:29756346
    CrossRefPubMed
  31. 31.↵
    1. Markey KA,
    2. Mollan SP,
    3. Jensen RH, et al
    . Understanding idiopathic intracranial hypertension: mechanisms, management, and future directions. Lancet Neurol 2016;15:78–91 doi:10.1016/S1474-4422(15)00298-7 pmid:26700907
    CrossRefPubMed
  32. 32.↵
    1. Weisberg LA,
    2. Housepian EM,
    3. Saur DP
    . Empty sella syndrome as complication of benign intracranial hypertension. J Neurosurg 1975;43:177–80 doi:10.3171/jns.1975.43.2.0177 pmid:1185249
    CrossRefPubMedWeb of Science
  33. 33.↵
    1. Kyung SE,
    2. Botelho JV,
    3. Horton JC
    . Enlargement of the sella turcica in pseudotumor cerebri. J Neurosurg 2014;120:538–42 doi:10.3171/2013.10.JNS131265 pmid:24313606
    CrossRefPubMed
  34. 34.↵
    1. Bjerre P
    . The empty sella: a reappraisal of etiology and pathogenesis. Acta Neurol Scand, Suppl 1990;130:1–25 pmid:2220326
    PubMed
  35. 35.↵
    1. Johnston M,
    2. Zakharov A,
    3. Papaiconomou C, et al
    . Evidence of connections between cerebrospinal fluid and nasal lymphatic vessels in humans, non-human primates and other mammalian species. Cerebrospinal Fluid Res 2004;1:2 doi:10.1186/1743-8454-1-2 pmid:15679948
    CrossRefPubMed
  36. 36.↵
    1. Brinker T,
    2. Stopa E,
    3. Morrison J, et al
    . A new look at cerebrospinal fluid circulation. Fluids Barriers CNS 2014;11:10 doi:10.1186/2045-8118-11-10 pmid:24817998
    CrossRefPubMed
  37. 37.↵
    1. Bulat M,
    2. Klarica M
    . Recent insights into a new hydrodynamics of the cerebrospinal fluid. Brain Res Rev 2011;65:99–112 doi:10.1016/j.brainresrev.2010.08.002 pmid:20817024
    CrossRefPubMedWeb of Science
  38. 38.↵
    1. McComb JG
    . Recent research into the nature of cerebrospinal fluid formation and absorption. J Neurosurg 1983;59:369–83 doi:10.3171/jns.1983.59.3.0369 pmid:6886750
    CrossRefPubMedWeb of Science
  39. 39.↵
    1. Cherian I,
    2. Beltran M,
    3. Kasper E, et al
    . Exploring the Virchow-Robin spaces function: a unified theory of brain diseases. Surg Neurol Int 2016;7(Suppl 26):S711–14 doi:10.4103/2152-7806.192486 pmid:27857861
    CrossRefPubMed
  40. 40.↵
    1. Bateman GA
    . Stenoses in idiopathic intracranial hypertension: to stent or not to stent? AJNR Am J Neuroradiol 2008;29:215 doi:10.3174/ajnr.A0804 pmid:18272567
    FREE Full Text
  41. 41.↵
    1. Fraser JA,
    2. Leung AE
    . Reversibility of MRI features of pseudotumor cerebri syndrome. Can J Neurol Sci 2014;41:530–32 pmid:24878485
    CrossRefPubMed
  42. 42.↵
    1. Rohr A,
    2. Dörner L,
    3. Stingele R, et al
    . Reversibility of venous sinus obstruction in idiopathic intracranial hypertension. AJNR Am J Neuroradiol 2007;28:656–59 pmid:17416816
    Abstract/FREE Full Text
  43. 43.↵
    1. De Simone R,
    2. Ranieri A,
    3. Montella S, et al
    . The role of dural sinus stenosis in idiopathic intracranial hypertension pathogenesis: the self-limiting venous collapse feedback-loop model. Panminerva Med 2014;56:201–09 pmid:24867405
    PubMed
PreviousNext
Back to top

In this issue

American Journal of Neuroradiology: 40 (10)
American Journal of Neuroradiology
Vol. 40, Issue 10
1 Oct 2019
  • Table of Contents
  • Index by author
  • Complete Issue (PDF)
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Empty Sella Is a Sign of Symptomatic Lateral Sinus Stenosis and Not Intracranial Hypertension
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
A. Zetchi, M.-A. Labeyrie, E. Nicolini, M. Fantoni, M. Eliezer, E. Houdart
Empty Sella Is a Sign of Symptomatic Lateral Sinus Stenosis and Not Intracranial Hypertension
American Journal of Neuroradiology Oct 2019, 40 (10) 1695-1700; DOI: 10.3174/ajnr.A6210

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
Empty Sella Is a Sign of Symptomatic Lateral Sinus Stenosis and Not Intracranial Hypertension
A. Zetchi, M.-A. Labeyrie, E. Nicolini, M. Fantoni, M. Eliezer, E. Houdart
American Journal of Neuroradiology Oct 2019, 40 (10) 1695-1700; DOI: 10.3174/ajnr.A6210
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Abstract
    • ABBREVIATIONS:
    • MATERIALS AND METHODS
    • RESULTS
    • DISCUSSION
    • CONCLUSIONS
    • References
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Dural Venous Sinus Stenosis: Why Distinguishing Intrinsic-versus-Extrinsic Stenosis Matters
  • Crossref
  • Google Scholar

This article has not yet been cited by articles in journals that are participating in Crossref Cited-by Linking.

More in this TOC Section

  • Diagnostic Neuroradiology of Monoclonal Antibodies
  • Clinical Outcomes After Chiari I Decompression
  • Segmentation of Brain Metastases with BLAST
Show more Adult Brain

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editor's Choice
  • Fellows' Journal Club
  • Letters to the Editor
  • Video Articles

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

More from AJNR

  • Trainee Corner
  • Imaging Protocols
  • MRI Safety Corner
  • Book Reviews

Multimedia

  • AJNR Podcasts
  • AJNR Scantastics

Resources

  • Turnaround Time
  • Submit a Manuscript
  • Submit a Video Article
  • Submit an eLetter to the Editor/Response
  • Manuscript Submission Guidelines
  • Statistical Tips
  • Fast Publishing of Accepted Manuscripts
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Author Policies
  • Become a Reviewer/Academy of Reviewers
  • News and Updates

About Us

  • About AJNR
  • Editorial Board
  • Editorial Board Alumni
  • Alerts
  • Permissions
  • Not an AJNR Subscriber? Join Now
  • Advertise with Us
  • Librarian Resources
  • Feedback
  • Terms and Conditions
  • AJNR Editorial Board Alumni

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire