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Depressed fractures over cranial venous sinus
Füsun Demirçivi Ozer1, Alaattin Yurt, H Kamil Sucu
1Department of Neurosurgery, Social Security Educational Hospital, 123/4 Sokak, No: 13, Kat 2, Daire 4, Poligon, Izmir 35350, Turkey.
The Journal of Emergency Medicine
|July 21, 2005
Summary
This study reviewed 17 patients with depressed cranial venous sinus fractures, finding most cases involved the superior sagittal sinus. Surgical management effectively controlled bleeding and infection, with most patients returning to daily activities.
Area of Science:
- Neurosurgery
- Trauma Surgery
- Neurology
Background:
- Depressed skull fractures involving cranial venous sinuses present unique surgical challenges.
- Management strategies for these injuries require careful consideration due to potential for significant hemorrhage and neurological compromise.
Purpose of the Study:
- To retrospectively review surgical outcomes for patients with depressed fractures over cranial venous sinuses.
- To analyze causes, fracture locations, intraoperative complications, and patient recovery.
Main Methods:
- Retrospective review of 17 patients operated on between 1993 and 1998.
- Analysis of patient demographics, trauma mechanisms, fracture sites, surgical interventions, and clinical outcomes.
Main Results:
- Motor vehicle accidents and assaults were the most common causes.
- Fractures frequently involved the superior sagittal sinus, particularly its medial third.
- Massive intraoperative blood loss was managed successfully in 11 cases.
- One case of postoperative infection was treated with antibiotics; two patients died from associated intracerebral lesions.
Conclusions:
- Surgical intervention for depressed fractures over cranial venous sinuses can achieve favorable outcomes.
- Effective management of intraoperative bleeding and postoperative complications is crucial for patient recovery.
- Despite risks, most patients can return to daily living activities.