|
KMID : 1143720150110020118
|
|
Korean Journal of Neurotrauma
2015 Volume.11 No. 2 p.118 ~ p.123
|
|
|
Traumatic Dural Venous Sinus Injury
|
|
Kim You-Sub
Jung Seung-Hoon
Lim Dong-Ho
Kim Tae-Sun
Kim Jae-Hyoo
Lee Jung-Kil
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Cranial sinus, Skull fractures, Superior sagittal sinus, Injury
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|