van den Brink W A, Pieterman H, Avezaat C J
Department of Neurosurgery, Dijkzigt University Hospital, Rotterdam, The Netherlands.
Neurosurgery. 1996 May;38(5):1044-6. doi: 10.1097/00006123-199605000-00039.
A case of delayed signs of intracranial hypertension after open depressed cranial fracture occluding the superior sagittal sinus is reported. Elevating depressed fractures overlying a cranial venous sinus is hazardous. Conservative management of the intracranial hypertension, including repeated lumbar punctures, led to an unimpaired outcome. The options of management of delayed problems caused by traumatic venous occlusion are discussed.
报告了1例开放性颅骨凹陷骨折阻塞上矢状窦后出现颅内高压延迟征象的病例。抬高覆盖颅骨静脉窦的凹陷骨折具有危险性。对颅内高压进行保守治疗,包括反复腰椎穿刺,结果良好。文中讨论了创伤性静脉阻塞所致延迟问题的处理选择。