Superior sagittal sinus thrombosis associated with raised intracranial pressure in closed head injury with depressed skull fracture.

A case of delayed signs of intracranial hypertension following closed head injury with a depressed cranial fracture and superior sagittal sinus thrombosis is reported. Conservative treatment of intracranial hypertension, including just repeated lumbar puncture and oral acetazolamide, was performed. Spontaneous recanalization of the superior sagittal sinus was observed. Pathogenesis and different modalities of treatment are discussed. Copyright 2005 S. Karger AG, Basel.