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Case Reports: Unusual presentation of more common disease/injury
Spontaneous chronic subdural haematoma due to hypoplastic rostral superior sagittal sinus
  1. Michael G Brandel,
  2. Mihir Gupta,
  3. J Scott Pannell and
  4. Marc S Schwartz
  1. Neurosurgery, UCSD, La Jolla, California, USA
  1. Correspondence to Dr Marc S Schwartz; m8schwartz{at}health.ucsd.edu

Abstract

The superior sagittal sinus (SSS) is a midline structure of the superficial cerebral venous system that drains the anterior cerebral hemispheres. Hypoplasia of the rostral SSS is a known variant, although associated complications are rare. A woman in her 30s presented for evaluation of a symptomatic left-sided acoustic neuroma and was found to have an incidental chronic subdural haematoma (SDH) over the left frontoparietal convexity without trauma or precipitating event. The SDH expanded on serial imaging and the patient eventually underwent left-sided frontoparietal craniotomy for haematoma evacuation. Haematological evaluation was benign, but angiography revealed absence of the anterior half of the SSS. We report the first case of spontaneous SDH in the setting of hypoplastic rostral SSS.

  • neuroimaging
  • neurological injury
  • neurosurgery

http://dx.doi.org/10.1136/bcr-2022-252016

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    Footnotes

    • Contributors MGB, MG, JSP and MSS drafted and revised the paper. MSS and JSP provided care for the study patient.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.