Depressed fractures over cranial venous sinus

Özer, Füsun Demirçivi; Yurt, Alaattin; Sucu, Hasan Kamil; Tektaş, Şevket

doi:10.1016/j.jemermed.2005.03.006

Cited by 24 publications

(26 citation statements)

References 3 publications

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“…8 In the present series, there was male preponderance (male:female ratio 2.2:1), and road traffic accident was the common cause of depressed fracture followed by assault, which were similar to studies conducted elsewhere. 4,9,10 of depressed bone fragment, removal of in-driven bone fragment, repair of dural tear, evacuation of hematoma, hemostasis, debridement of wound margin, and primary repair.…”

mentioning

confidence: 99%

A Prospective Study of Spectrum of Depressed Fractures of Skull and its Surgical Outcome

Sidram¹,

Kumar²,

Raghavendra³

2015

International Journal of Head and Neck Surgery

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confidence: 99%

A Prospective Study of Spectrum of Depressed Fractures of Skull and its Surgical Outcome

Sidram¹,

Kumar²,

Raghavendra³

2015

International Journal of Head and Neck Surgery

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“…11 IH caused by impaired cerebral venous outflow due to compression of the SSS is a very rare event with few reports in the literature. 5,7,9,10,20,23,25 The presentations are heterogeneous, some with acute symptoms within 48 hours, and others with delayed symptoms often several weeks after the initial traumatic injury. 12 In the reported cases, compression of the SSS occurred across various parts of the sinus from anterior to posterior.…”

Section: Discussionmentioning

confidence: 99%

Improvement in venous outflow following superior sagittal sinus decompression after a gunshot wound to the head: case report

Birk¹,

Tobin²,

Moss

et al. 2015

JNS

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The most commonly described indications for surgical management of closed depressed skull fractures are hematoma evacuation and repair of extensive cosmetic deformity. Venous sinus injury, which occurs in a subset of depressed skull fractures is not typically listed as an indication for surgical treatment due to the potential for major venous hemorrhage associated with operation near these structures. However, if patients exhibit signs and symptoms of intracranial hypertension and radiographic findings demonstrate sinus compromise, surgical elevation of the depressed skull fragments is indicated. The authors present the case of a 25-year-old woman with a depressed skull fracture secondary to a gunshot wound with symptomatic compromise in venous outflow of the posterior one-third of the superior sagittal sinus. The patient was treated with surgical decompression via bilateral craniectomy along with intracranial pressure lowering medical therapy and had almost full resolution of her presenting symptoms with documented improvement in flow through the superior sagittal sinus. While the use of surgical treatment for these types of injuries is highly debated we demonstrate here that safe, effective surgical management of these patients is possible and that surgical decompression should always be considered in the case of symptomatic venous sinus flow obstruction.

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“…[1][2][3][4] Elevated intracranial pressure secondary to depressed skull fracture on the posterior part of the superior sagittal sinus (SSS) is rare [2] and may account for clinical deterioration. We present one such patient and review the relevant literature.…”

Section: Neurology India | Nov-dec 2009 | Vol 57 | Issuementioning

confidence: 99%

“…The surgical management of depressed skull fractures is indicated when a venous sinus is occluded by the depressed fracture resulting in elevated intracranial pressure. [1][2][3][4] Successful treatment of elevated intracranial pressure in patients with depressed fracture and SSS thrombosis by conservative treatment (repeated lumbar punctures, oral acetazolamide, and anticoagulation) has been described. Probably this approach may not be appropriate in patients with altered mental status.…”

Section: Neurology India | Nov-dec 2009 | Vol 57 | Issuementioning

confidence: 99%

“…[1] Smooth depression can carefully be elevated without any significant bleeding. Depressed fracture with sharp bony spicule overlying major sinus can result in major bleeding from sinuses, [3] which can be treated by headend elevation and compression by Gelfoam. Stay sutures should be used to hold Gelfoam compressed against venous sinuses.…”

Section: Neurology India | Nov-dec 2009 | Vol 57 | Issuementioning

confidence: 99%

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Simple depressed skull fracture causing posterior third superior sagittal sinus occlusion and elevated intracranial pressure

et al. 2009

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artery aneurysm (arrow) on the planum sphenoidale. (b) Right supero-anterior view of the A1s-AComA-aneurysm complex (arrow) on the planum sphenoidale. Both A1s travel not tortuously. (c) Lengths of right and left A1s are 16.0 mm and 20.5 mm, respectively. Rt: right, Lt: left, ICA: internal carotid artery Figure 1: Axial CT scan of the head revealing widespread SAH with intracerebral (a) and intraventricular (b) hemorrhage

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Depressed fractures over cranial venous sinus

Cited by 24 publications

References 3 publications

A Prospective Study of Spectrum of Depressed Fractures of Skull and its Surgical Outcome

A Prospective Study of Spectrum of Depressed Fractures of Skull and its Surgical Outcome

Improvement in venous outflow following superior sagittal sinus decompression after a gunshot wound to the head: case report

Simple depressed skull fracture causing posterior third superior sagittal sinus occlusion and elevated intracranial pressure

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