Abstract
Depressed skull fractures overlying the major venous sinus are often managed nonoperatively because of the high associated risks of surgery in these locations. In the presence of clinical and radiographic evidence of sinus occlusion, however, surgical therapy may be necessary. The authors present the case of a 9-year-old boy with a depressed skull fracture overlying the posterior third of the superior sagittal sinus. After initial conservative treatment, delayed signs of intracranial hypertension and a symptomatic tonsillar herniation with tonsillar necrosis developed. Possible causes as well as diagnostic and treatment options are reviewed.
Original language | English (US) |
---|---|
Pages (from-to) | 458-461 |
Number of pages | 4 |
Journal | Journal of neurosurgery |
Volume | 103 PEDIATRICS |
Issue number | SUPPL. 5 |
State | Published - Nov 1 2005 |
Keywords
- Intracranial hypertension
- Magnetic resonance venography
- Pediatric neurosurgery
- Pseudotumor cerebri
- Skull fracture
- Superior sagittal sinus
- Tonsillar herniation
ASJC Scopus subject areas
- Surgery
- Clinical Neurology