Depressed skull fracture overlying the superior sagittal sinus as a cause of benign intracranial hypertension. Case report.

Abstract:

:The use of surgical treatment for depressed skull fractures that are located over major venous sinuses is a matter of controversy. However, if clinical and radiological findings of sinus obliteration and related intracranial hypertension are present, surgical decompression is indicated. The authors present the case of a 38-year-old man who had a depressed skull fracture overlying the posterior one-third portion of the superior sagittal sinus. The lesion was initially treated conservatively and the patient was readmitted 1 month later with signs and symptoms of intracranial hypertension. The role of radiological investigation in the detection of venous sinus flow and indications for surgical treatment are discussed. If venous sinus flow obstruction is revealed in the presence of signs and symptoms of intracranial hypertension, surgery is indicated as the first line of treatment.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Uzan M,Ciplak N,Dashti SG,Bozkus H,Erdinçler P,Akman C

doi

10.3171/jns.1998.88.3.0598

subject

Has Abstract

pub_date

1998-03-01 00:00:00

pages

598-600

issue

3

eissn

0022-3085

issn

1933-0693

journal_volume

88

pub_type

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