Yokota Hiroshi, Eguchi Takahiko, Nobayashi Misato, Nishioka Toshikazu, Nishimura Fumihiko, Nikaido Yuji
Department of Neurosurgery, Osaka-Minami National Hospital, Kawachinagano, Osaka, Japan.
J Neurosurg. 2006 May;104(5):849-52. doi: 10.3171/jns.2006.104.5.849.
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.
上矢状窦后部复合性颅骨凹陷骨折所致的颅内高压是一种罕见病症,非特异性症状和体征会延误恰当的诊断和治疗。作者报告了一例颅内高压病例,尽管采取了包括抗凝治疗在内的保守治疗,但仍持续存在,抗凝治疗未能改善与静脉窦受压相关的严重血流紊乱。本文讨论了这种罕见病症的处理方法并对相关文献进行了综述。