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Transverse sinus air after cranial trauma.

Mutlu Cihangiroglu1, Huseyin Ozdemir, Omer Kalender

  • 1Department of Radiology, Firat University School of Medicine, Elazig, Turkey. mmutlucihan@hotmail.com

European Journal of Radiology
|December 19, 2003
PubMed
Summary

Air in the transverse sinus after cranial trauma is rare. This case details air entering the transverse sinus and sinus confluence via a ruptured superior sagittal sinus (SSS) following skull fractures, visualized by CT scan.

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Area of Science:

  • Neurology
  • Radiology
  • Trauma Surgery

Background:

  • Air embolism in vascular compartments is an uncommon clinical finding.
  • Intracranial air, particularly within venous sinuses, is exceptionally rare following head trauma.

Observation:

  • A case is presented where computed tomography (CT) revealed air within the transverse sinus and superior sagittal sinus (SSS) confluence.
  • The air entered the sinuses through a ruptured SSS, a consequence of parietal and frontal bone fractures.

Findings:

  • This represents a rare instance of air within the transverse sinus.
  • The pathway of air entry was identified as a ruptured SSS, connecting the cranial vault to the venous sinus system.
  • The findings were clearly visualized using computed tomography (CT) imaging.

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Implications:

  • This case highlights a potential, albeit rare, complication of severe cranial trauma involving skull fractures.
  • Understanding the mechanism of air entry into venous sinuses is crucial for accurate diagnosis and management of such injuries.
  • The study contributes to the limited literature on intracranial air following trauma, emphasizing the utility of advanced imaging techniques.