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Transient visual obscurations and headache in aqueduct stenosis exacerbated by menstruation.
[hydrocephalus with stenosis of the aqueduct of sylvius]
The
influence
of
female
sex
hormones
is
implicated
in
the
pathogenesis
of
benign
intracranial
hypertension
,
but
their
effect
on
intracranial
pressure
(
ICP
)
in
other
settings
is
not
known
.
We
report
a
23
-
year
-old
white
female
with
catamenial
exacerbations
of
transient
visual
obscurations
and
headache
suggestive
of
raised
ICP
.
The
patient
had
obstructive
hydrocephalus
secondary
to
stenosis
of
the
aqueduct
of
Sylvius
associated
with
a
Chiari
type
I
malformation
.
Exacerbation
of
raised
ICP
during
the
menstrual
period
was
the
most
likely
cause
of
her
symptoms
.
Female
sex
hormones
may
influence
the
secretion
or
absorption
of
cerebrospinal
fluid
in
conditions
other
than
BIH
.