Overview
The VEHICLE Registry is a multicenter observational study aimed at evaluating the management and outcomes of patients with Idiopathic Intracranial Hypertension (IIH) undergoing venous sinus stenting in the Middle East and North Africa (MENA) region. The study focuses on assessing clinical characteristics, treatment efficacy, safety, and the role of venous sinus stenting as a therapeutic modality in IIH.
Description
Idiopathic Intracranial Hypertension (IIH) is a condition characterized by elevated intracranial pressure without an identifiable cause, leading to symptoms such as headaches, visual disturbances, and potential vision loss due to papilledema. The condition predominantly affects obese women of childbearing age and is associated with risk factors like obesity, recent weight gain, hypothyroidism, and polycystic ovary syndrome (PCOS).
Venous sinus stenosis has been implicated in the pathophysiology of IIH. Venous sinus stenting has emerged as a promising treatment option for patients who are refractory to medical therapy or intolerant to medications like acetazolamide.
The VEHICLE Registry collects real-world data from multiple centers in the MENA region to evaluate the efficacy and safety of venous sinus stenting in patients with IIH. The registry analyzes patient demographics, clinical presentations, imaging findings, treatment details, and outcomes over a six-month follow-up period to improve understanding and management of IIH in this population.
Eligibility
Inclusion Criteria:
- Adults aged 18 to 60 years.
Diagnosed with Idiopathic Intracranial Hypertension (IIH) based on the modified Dandy criteria, including:
Symptoms of increased intracranial pressure (e.g., headache, visual disturbances).
Elevated opening pressure (>250 mm H₂O) on lumbar puncture with normal cerebrospinal fluid composition.
No evidence of intracranial pathology (e.g., mass lesion, hydrocephalus) on neuroimaging.
Presence of papilledema. Evidence of venous sinus stenosis on Magnetic Resonance Venography (MRV) or Digital Subtraction Angiography (DSA).
Refractory to medical therapy or intolerant to medications (e.g., acetazolamide).
Willingness to undergo venous sinus stenting. Provided informed consent for participation.
Exclusion Criteria:
- Secondary causes of intracranial hypertension (e.g., cerebral venous sinus thrombosis, neoplasm).
Coagulopathies or contraindications to antiplatelet or anticoagulation therapy. Pregnancy or lactation. Incomplete baseline data or inability to complete follow-up assessments. Severe comorbid conditions that preclude endovascular procedures.