Traumatic Dural Venous Sinus Injury / 대한신경손상학회지
Korean Journal of Neurotrauma
; : 118-123, 2015.
Article
em En
| WPRIM
| ID: wpr-205822
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Fraturas Cranianas
/
Estudos Retrospectivos
/
Mortalidade
/
Fratura do Crânio com Afundamento
/
Emergências
/
Seio Sagital Superior
/
Período Perioperatório
/
Esponja de Gelatina Absorvível
/
Traumatismos Craniocerebrais
/
Hematoma
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Female
/
Humans
/
Male
Idioma:
En
Revista:
Korean Journal of Neurotrauma
Ano de publicação:
2015
Tipo de documento:
Article