**10. Venous sinus stenting**

Transvenous approaches have become quite useful in the treatment of dural sinus stenosis, often associated with a diverticulum of the sinus [69, 70]. With venous sinus stenting, promising results have been achieved in treating intracranial hypertension and venous stenosis–related pulsatile tinnitus. King et al. (1995) were the first to describe the venous stenosis through venography and manometry in intracranial hypertension but Higgins et al. became the first to stent the venous sinus in 2002 on a female with medically refractory intracranial hypertension [71]. Venography revealed bilateral transverse sinus stenosis and after stenting of one side, there was a significant improvement in trans-stenosis gradient and symptomatic control. Only in severe cases of cerebral sinus thrombosis that do not improve or deteriorate despite anticoagulant therapy, endovascular treatment would be considered.
