Traumatic Dural Venous Sinus Injury.
10.13004/kjnt.2015.11.2.118
- Author:
You Sub KIM
1
;
Seung Hoon JUNG
;
Dong Ho LIM
;
Tae Sun KIM
;
Jae Hyoo KIM
;
Jung Kil LEE
Author Information
1. Department of Neurosurgery, Chonnam National University Hospital, Gwangju, Korea. jkl@chonnam.ac.kr
- Publication Type:Original Article
- Keywords:
Cranial sinus;
Skull fractures;
Superior sagittal sinus;
Injury
- MeSH:
Craniocerebral Trauma;
Emergencies;
Female;
Gelatin Sponge, Absorbable;
Hematoma;
Hemorrhage;
Humans;
Male;
Mortality;
Perioperative Period;
Retrospective Studies;
Skull Fracture, Depressed;
Skull Fractures;
Superior Sagittal Sinus
- From:Korean Journal of Neurotrauma
2015;11(2):118-123
- CountryRepublic of Korea
- Language:English
-
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.
