Association of Venous Sinus and IJV Stenosis and Some Clinical Pathological Condition

The relationship between idiopathic intracranial hypertension and stenosis of the transverse sinus (TS) has already been described in the past (Johnston et al. 2002; Farb et al. 2003). Venous sinus stenting, as a possible method of therapy, has also been reported (Higgins et al. 2002; Tsumoto et al. 2003). More recently, the association of bilateral stenosis of transverse sinus and migraine has been emphasized by some authors (Bono et al. 2006; De Simone et al. 2012; Fofi et al. 2012). Other authors (Donnet et al. 2013) have reported a study in patients with a special type of headache provoked by several triggering factors such as cough, physical exertion, and sexual activity, well known as a primary cough, exertional, and sexual activity headache (Headache Classification 2004). In many of these patients examined with MR and MR-venography, stenosis of TS and/or IJV was detected. The authors discussed the possibility that headache could be due to the association of a preexistent asymptomatic idiopathic intracranial hypertension which could be increased by cough and physical or sexual activity favored by the preexistent venous abnormalities.