Acute Epidural Hematoma Compressing the Dominant Sigmoid Sinus as an Unusual Cause of Intracranial Hypertension: Case Report and Review of Literature  

作　　者：Gustavo Rajz Ido Ben Zvi José E. Cohen Shalom Michowiz 

机构地区：[1]Department of Neurosurgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel [2]Department of Pediatric Neurosurgery, Schneider Children’s Medical Center of Israel, Petach Tikvah, Israel

出　　处：《Open Journal of Modern Neurosurgery》2014年第2期76-80,共5页现代神经外科学进展（英文）

摘　　要：Post traumatic dural sinus vein stenosis has been rarely described in pediatric population. We present a case of a 9-year-old child that had sustained a head injury after a fall from height causing an acute epidural hematoma compressing the dominant sigmoid sinus. The patient had developed sub acutely signs and symptoms of increased intracranial pressure. Prophylactic treatment with anticoagulants was initiated despite the presence of an intracranial bleeding. Clinical and radiological improvements were achieved. We had also reviewed the literature regarding this uncommon entity and discussed other existing diagnostic and therapeutic alternatives. Further gathering of information is essential in order to form a therapeutic protocol.Post traumatic dural sinus vein stenosis has been rarely described in pediatric population. We present a case of a 9-year-old child that had sustained a head injury after a fall from height causing an acute epidural hematoma compressing the dominant sigmoid sinus. The patient had developed sub acutely signs and symptoms of increased intracranial pressure. Prophylactic treatment with anticoagulants was initiated despite the presence of an intracranial bleeding. Clinical and radiological improvements were achieved. We had also reviewed the literature regarding this uncommon entity and discussed other existing diagnostic and therapeutic alternatives. Further gathering of information is essential in order to form a therapeutic protocol.

关 键 词：DURAL SINUS STENOSIS EPIDURAL HEMATOMA INTRACRANIAL Hypertension 

分 类 号：R5[医药卫生—内科学]