Back to Search
Start Over
Traumatic Dural Venous Sinus Injury
- Source :
- Korean Journal of Neurotrauma
- Publication Year :
- 2015
-
Abstract
- Objective The importance of traumatic dural venous sinus injury lies in the probability of massive blood loss at the time of trauma or emergency operation resulting in a high mortality rate during the perioperative period. We considered the appropriate methods of treatment that are most essential in the overall management of traumatic dural venous sinus injuries. Methods We conducted a retrospective review of all cases involving patients with dural venous sinus injury who presented to our hospital between January 1999 and December 2014. Results Between January 1999 and December 2014, 20 patients with a dural venous sinus injury out of the 1,200 patients with severe head injuries who had been operated upon in our clinic were reviewed retrospectively. There were 17 male and 3 female patients. In 11 out of the 13 patients with a linear skull fracture crossing the dural venous sinus, massive blood loss from the injured sinus wall could be controlled by simple digital pressure using Gelfoam. All 5 patients with a linear skull fracture parallel to the sinus over the venous sinus developed massive sinus bleeding that could not be controlled by simple digital pressure. Conclusion When there is a linear skull fracture parallel to the sinus over the dural venous sinus or a depressed skull fracture penetrating the sinus, the surgeon should be prepared for the possibility of potentially fatal venous sinus injury, even in the absence of a hematoma.
- Subjects :
- medicine.medical_specialty
Retrospective review
Clinical Article
business.industry
Cranial sinus
Sinus injury
Injury
Perioperative
medicine.disease
Surgery
Superior sagittal sinus
Skull fractures
Hematoma
medicine.anatomical_structure
Female patient
Dural venous sinuses
medicine
otorhinolaryngologic diseases
business
Sinus (anatomy)
Subjects
Details
- ISSN :
- 22348999
- Volume :
- 11
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Korean journal of neurotrauma
- Accession number :
- edsair.doi.dedup.....d52f0bb5687bf720ad3cb81d9aa2748c