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Tanya N. Turan, MD; Valérie Biousse, MD; Nancy J. Newman, MD

Arch Neurol. 2004;61:1124-1125.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

Raised intracranial pressure (ICP) from venous sinus thrombosis and cerebrospinal fluid hypotension from cerebrospinal fluid leak may both occur after head injury.

REPORT OF A CASE

A 14-year-old girl fell off a truck, striking her head. She lost consciousness for 7 minutes. Results of initial evaluation and computed tomography (CT) of the head appeared to be unremarkable on the day of her injury. Three days later, she presented with symptoms of increased ICP including persistent headaches, vomiting, and pulsatile tinnitus, as well as decreased hearing on the right. Head CT and a CT angiogram showed a complex right mastoid petrous fracture and a right sigmoid sinus thrombosis with extravasation of blood from the right sigmoid sinus into the middle ear (Figure 1, A). The patient's condition remained stable throughout her 5-day hospital stay, without visual complaints or worsening intracranial hypertension. A . . . [Full Text of this Article]

COMMENT

From the Departments of Neurology (Drs Turan, Biousse and Newman), Ophthalmology (Drs Biousse and Newman), and Neurological Surgery (Dr Newman), Emory University School of Medicine, Atlanta, Ga.