{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T12:11:16Z","timestamp":1783944676668,"version":"3.55.0"},"reference-count":10,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,7,2]]},"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>Epidural haematomas (EDHs) involving the superior sagittal sinus (SSS) are rare and carry significant surgical risks. We report a man in his 50s who sustained an occipital head injury secondary to a tonic\u2013clonic seizure. Initial imaging revealed a large occipital EDH displacing the SSS, associated with a bifocal parietal fracture. Despite neurological stability and no radiological evidence of active bleeding, conservative management was initially chosen due to high surgical risk and thrombocytopenia. The patient later developed recurrent seizures with rapid neurological deterioration, prompting urgent surgical evacuation after platelet transfusion. Bilateral parasagittal craniotomies preserving a midline bony bridge were performed, allowing effective decompression while avoiding direct SSS manipulation. The patient recovered neurologically and was discharged home with a good functional outcome. This case underscores the need for dynamic clinical assessment and individualised surgical strategies in EDHs involving the SSS, balancing the risks of intervention against potential neurological deterioration.<\/jats:p>","DOI":"10.1136\/bcr-2026-272703","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T11:35:18Z","timestamp":1783942518000},"page":"e272703","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Vertex epidural haematoma secondary to sagittal sinus involvement: a surgical challenge"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6479-2766","authenticated-orcid":false,"given":"Leonardo","family":"Bradaschia","sequence":"first","affiliation":[{"name":"Dipartimento di Neuroscienze 'Rita Levi Montalcini', Universit\u00e0 degli Studi di Torino, Turin, Piedmont, Italy"},{"name":"Dipartimento di Neuroscienze, Azienda Ospedaliero-Universitaria Citt\u00e0 della Scienza e della Salute - presidio Molinette, Turin, Piedmont, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacopo","family":"Talarico","sequence":"additional","affiliation":[{"name":"Dipartimento di Neuroscienze 'Rita Levi Montalcini', Universit\u00e0 degli Studi di Torino, Turin, Piedmont, Italy"},{"name":"Dipartimento di Neuroscienze, Azienda Ospedaliero-Universitaria Citt\u00e0 della Scienza e della Salute - presidio Molinette, Turin, Piedmont, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mattia","family":"De Luca","sequence":"additional","affiliation":[{"name":"Dipartimento di Neuroscienze 'Rita Levi Montalcini', Universit\u00e0 degli Studi di Torino, Turin, Piedmont, Italy"},{"name":"Dipartimento di Neuroscienze, Azienda Ospedaliero-Universitaria Citt\u00e0 della Scienza e della Salute - presidio Molinette, Turin, Piedmont, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco Maria","family":"Calamo Specchia","sequence":"additional","affiliation":[{"name":"Dipartimento di Neuroscienze, Azienda Ospedaliero-Universitaria Citt\u00e0 della Scienza e della Salute - presidio Molinette, Turin, Piedmont, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"key":"2026071304350957000_19.7.e272703.1","doi-asserted-by":"crossref","first-page":"e82","DOI":"10.1016\/j.wneu.2017.11.171","article-title":"The Outcome of Severe Traumatic Brain Injury in Latin America","volume":"111","author":"Bonow","year":"2018","journal-title":"World Neurosurg"},{"key":"2026071304350957000_19.7.e272703.2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1968.29.1.0013"},{"key":"2026071304350957000_19.7.e272703.3","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1016\/j.wneu.2016.06.085","article-title":"Post-Traumatic Bifrontoparietal Extradural Hematoma with Superior Sagittal Sinus Detachment: A Case Report and Review of the Literature","volume":"93","author":"Giannakaki","year":"2016","journal-title":"World Neurosurg"},{"key":"2026071304350957000_19.7.e272703.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2020.02.089"},{"key":"2026071304350957000_19.7.e272703.5","doi-asserted-by":"publisher","DOI":"10.1080\/02688699944258"},{"key":"2026071304350957000_19.7.e272703.6","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1007\/s10143-021-01589-z","article-title":"Clinical features and treatment strategies for vertex epidural hematoma: a systematic review and meta-analysis from individual participant data","volume":"45","author":"Kim","year":"2022","journal-title":"Neurosurg Rev"},{"key":"2026071304350957000_19.7.e272703.7","doi-asserted-by":"crossref","first-page":"480","DOI":"10.13004\/kjnt.2023.19.e45","article-title":"Vertex Epidural Hematomas: Discussion of a Rare Traumatic Injury Through a Mini Series of 3 Cases","volume":"19","author":"Gader","year":"2023","journal-title":"Korean J Neurotrauma"},{"key":"2026071304350957000_19.7.e272703.8","doi-asserted-by":"crossref","DOI":"10.4103\/sni.sni_218_17","article-title":"Acute vertex epidural hematoma","volume":"8","author":"Ben-Israel","year":"2017","journal-title":"Surg Neurol Int"},{"key":"2026071304350957000_19.7.e272703.9","doi-asserted-by":"crossref","DOI":"10.25259\/SNI_1010_2022","article-title":"Acute epidural vertex hematoma with good hemostasis using delayed surgery after monitoring of coagulation and fibrinolytic parameters: A case report","volume":"14","author":"Kotani","year":"2023","journal-title":"Surg Neurol Int"},{"key":"2026071304350957000_19.7.e272703.10","doi-asserted-by":"crossref","first-page":"98","DOI":"10.20408\/jti.2017.30.3.98","article-title":"A Successful Evacuation of Vertex Epidural Hematoma; A Case Report","volume":"30","author":"M.d.","year":"2017","journal-title":"J Trauma Inj"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2026-272703","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T11:35:19Z","timestamp":1783942519000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2026-272703"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":10,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026,7,13]]},"published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1136\/bcr-2026-272703"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2026-272703","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]}}}