✓ 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.
Abbreviations used in this paper:CT = computerized tomography; MR = magnetic resonance; PIC = α2-plasmin inhibitor–plasmin complex; PT = prothrombin time; PTT = partial thromboplastin time; SSS = superior sagittal sinus; TAT = thrombin–antithrombin III complex.
van den BrinkWAPietermanHAvezaatCJ: Sagittal sinus occlusion, caused by an overlying depressed cranial fracture, presenting with late signs and symptoms of intracranial hypertension: case report. Neurosurgery38:1044–10461996