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Bizarre depressed skull fracture by a tile fragment in a young child, causing superior sagittal sinus injury

Jacob Eapen Mathew1, Alok Sharma

  • 1Department of Neurosurgery, Christian Medical College, Ludhiana - 141 008, Punjab, India.

Surgical Neurology International
|October 27, 2010
PubMed

Insights

A child with a head injury from falling debris, involving the superior sagittal sinus (SSS), underwent successful surgical removal of the foreign body. This case highlights effective neurosurgical management for complex SSS trauma.

Area of Science:

  • Neurosurgery
  • Trauma Care

Background:

  • Head injuries from falls are common in developing nations due to inadequate safety measures.
  • Superior sagittal sinus (SSS) injuries pose significant risks, often managed conservatively.

Observation:

  • A 7-year-old child sustained a penetrating skull injury from a tile fragment.
  • The fragment lodged in the superior sagittal sinus (SSS).

Findings:

  • Urgent surgical exploration and foreign body removal were performed to avert infection and intracranial hypertension.
  • Bleeding from the SSS was managed successfully using head elevation and hemostatic agents.
  • The surgical intervention resulted in a favorable outcome for the child.

Implications:

  • This case demonstrates that surgical intervention, guided by neurosurgical principles, can be safely and effectively employed for SSS penetrating injuries.
  • It challenges the conservative approach for SSS fractures when unique circumstances warrant surgical management.
  • Highlights the importance of adherence to neurosurgical techniques in managing complex head trauma.
Abstract

Keywords:
Depressed skull fracturesuperior sagittal sinustile fragment

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