DEPRESSED SKULL FRACTURE OVERLYING THE SUPERIOR SAGITTAL SINUS AS A CAUSE OF BENIGN INTRACRANIAL HYPERTENSION - CASE-REPORT

The use of surgical treatment for depressed skull fractures that are l ocated over major venous sinuses is a matter of controversy. However, if clinical and radiological findings of sinus obliteration and relate d intracranial hypertension are present, surgical decompression is ind icated. The authors present the case of a 38-year-old man who had a de pressed skull fracture overlying the posterior one-third portion of th e superior sagittal sinus. The lesion was initially treated conservati vely and the patient was readmitted 1 month later with signs and sympt oms of intracranial hypertension. The role of radiological investigati on in the detection of venous sinus flow and indications for surgical treatment are discussed. If venous sinus flow obstruction is revealed in the presence of signs and symptoms of intracranial hypertension, su rgery is indicated as the first line of treatment.