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Child's Nervous System

, Volume 21, Issue 3, pp 262–264 | Cite as

Extradural hematoma causing venous sinus obstruction and pseudotumor cerebri syndrome

  • Brian K. OwlerEmail author
  • Michael Besser
Case Report

Abstract

Case report

The case of a small right occipital extradural hematoma in a 10-year-old girl is presented. The patient had bifrontal occipital headache out of proportion to the size of the hematoma, as well as diplopia. MR venography revealed compression and occlusion of the dominant right transverse sinus resulting in a pseudotumor cerebri syndrome.

Discussion

The relationship between venous sinus obstruction and the pseudotumor syndrome is discussed. Clinicians should be aware of the possible effects of an extra-axial collection on the cerebral venous sinuses.

Keywords

Extradural hematoma Venous sinus stenosis Pseudotumor cerebri 

References

  1. 1.
    Angeli SI, Sato Y et al (1994) Glomus jugulare tumors masquerading as benign intracranial hypertension. Arch Otolaryngol Head Neck Surg 120:1277–1280PubMedGoogle Scholar
  2. 2.
    Beck DW, Kassell NF et al (1979) Glomus jugulare tumor presenting with increased intracranial pressure. Case report. J Neurosurg 50:823–825PubMedGoogle Scholar
  3. 3.
    Biousse V, Ameri A et al (1999) Isolated intracranial hypertension as the only sign of cerebral venous thrombosis. Neurology 53:1537–1542PubMedGoogle Scholar
  4. 4.
    Bousser M, Russell R (1997) Cerebral venous thrombosis. Saunders, LondonGoogle Scholar
  5. 5.
    Cremer PD, Thompson EO et al (1996) Pseudotumor cerebri and cerebral venous hypertension. Neurology 47:1602–1603PubMedGoogle Scholar
  6. 6.
    Farb R, Vanek I et al (2003) Idiopathic intracranial hypertension. The prevalence and morphology of sinovenous stenosis. Neurology 60:1418–1424PubMedGoogle Scholar
  7. 7.
    Higgins J, Cousins C et al (2003) Idiopathic intracranial hypertension: 12 cases treated with venous sinus stenting. J Neurol Neurosurg Psychiatry 74:1662–1666CrossRefPubMedGoogle Scholar
  8. 8.
    Higgins J, Gillard G et al (2004) MR venography in idiopathic intracranial hypertension: unappreciated and misunderstood. J Neurol Neurosurg Psychiatry 75:621–625CrossRefPubMedGoogle Scholar
  9. 9.
    Higgins J, Owler B et al (2002) Venous sinus stenting for refractory benign intracranial hypertension. Lancet 359:228–230CrossRefPubMedGoogle Scholar
  10. 10.
    Johnston I, Kollar C et al (2002) Cranial venous outflow obstruction in the pseudotumor syndrome: incidence, nature and relevance. J Clin Neurosci 9:273–278CrossRefPubMedGoogle Scholar
  11. 11.
    Karahalios DG, Rekate HL et al (1996) Elevated intracranial venous pressure as a universal mechanism in pseudotumor cerebri of varying etiologies. Neurology 46:198–202PubMedGoogle Scholar
  12. 12.
    Keiper GL Jr, Sherman JD et al (1999) Dural sinus thrombosis and pseudotumor cerebri: unexpected complications of suboccipital craniotomy and translabyrinthine craniectomy. J Neurosurg 91:192–197PubMedGoogle Scholar
  13. 13.
    Kim AW, Trobe JD (2000) Syndrome simulating pseudotumor cerebri caused by partial transverse venous sinus obstruction in metastatic prostate cancer. Am J Ophthalmol 129:254–256CrossRefPubMedGoogle Scholar
  14. 14.
    Kinal M (1967) Traumatic thrombosis of dural venous sinuses in closed head injuries. J Neurosurg 27:142–145Google Scholar
  15. 15.
    Lee G, Seex K et al (2001) Pseudotumor cerebri due to a torcular epidermoid cyst. ANZ J Surg 71:385–388CrossRefPubMedGoogle Scholar
  16. 16.
    Owler B, Allan R et al (2003) Pseudotumor cerebri, CSF rhinorrhoea and the role of venous sinus stenting in treatment. Br J Neurosurg 17:79–83PubMedGoogle Scholar
  17. 17.
    Owler BK, Parker G et al (2003) Pseudotumor cerebri syndrome: venous sinus obstruction and treatment with venous sinus stenting. J Neurosurg 98:1045–1055PubMedGoogle Scholar
  18. 18.
    Plant G, Donald J et al (1991) Partial, non-thrombotic, superior sagittal sinus occlusion due to occipital skull tumors. J Neurol Neurosurg Psychiatry 54:520–523PubMedGoogle Scholar
  19. 19.
    Powers JM, Schnur JA et al (1986) Pseudotumor cerebri due to partial obstruction of the sigmoid sinus by a cholesteatoma. Arch Neurol 43:519–521PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  1. 1.TY Nelson Department of Neurology and Neurosurgery, Royal Alexandra Hospital for ChildrenThe Children’s Hospital at WestmeadSydneyAustralia
  2. 2.Department of SurgeryUniversity of SydneySydneyAustralia

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