Abstract
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.
Highlights
Posttraumatic sinodural vein stenosis has been rarely described in pediatric population
We present a case of a traumatic posterior fossa epidural hematoma, causing compression of the dominant sigmoid sinus that led to signs and symptoms of intracranial hypertension
Posttraumatic intracranial hypertension secondary to depressed midline or retromastoid skull fracture compressing the superior sagittal sinus or the dominant sigmoid sinus respectively has been scarcely described [1]-[3] with no description in the pediatric population
Summary
Posttraumatic sinodural vein stenosis has been rarely described in pediatric population. Most of the reported cases are associated with depressed fractures and tend to present a good clinical evolution without specific treatment. Development of increased intracranial hypertension due to venous compromise is among the most feared complications. How to cite this paper: Rajz, G., et al (2014) Acute Epidural Hematoma Compressing the Dominant Sigmoid Sinus as an Unusual Cause of Intracranial Hypertension: Case Report and Review of Literature. To the best of our knowledge acute epidural hematoma compressing the dominant sigmoid sinus and progressively leading to intracranial hypertension was not previously reported. We present a case of a traumatic posterior fossa epidural hematoma, causing compression of the dominant sigmoid sinus that led to signs and symptoms of intracranial hypertension. We will review the literature and discuss the therapeutic implications of this association
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