Persistent intracranial hypertension caused by superior sagittal sinus stenosis following depressed skull fracture. Case report and review of the literature.
Intracranial hypertension caused by a compound depressed skull fracture on the posterior part of the superior sagittal sinus is a rare condition, and nonspecific symptoms and signs can delay appropriate diagnosis and treatment. The authors report on a case of intracranial hypertension that persisted despite conservative treatment, including anticoagulation therapy, which did not improve severe flow disturbance related to the venous sinus compression. Management of this rare condition is discussed and the literature is reviewed.
Yokota
Hiroshi
H
Department of Neurosurgery, Osaka-Minami National Hospital, Kawachinagano, Osaka, Japan. hyokota@nmu-gw.naramed-u.ac.jp
Eguchi
Takahiko
T
Nobayashi
Misato
M
Nishioka
Toshikazu
T
Nishimura
Fumihiko
F
Nikaido
Yuji
Y
D000925:Anticoagulants / Q000627:therapeutic use; D002533:Cerebral Angiography; D003251:Constriction, Pathologic / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D003392:Cranial Sinuses / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D019299:Decompression, Surgical; D005500:Follow-Up Studies; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D019586:Intracranial Hypertension / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009777:Occipital Bone / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis; D012851:Sinus Thrombosis, Intracranial / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D020204:Skull Fracture, Depressed / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure
D000925:Anticoagulants; D006493:Heparin