scholarly journals Rupture of the Superior Sagittal Sinus in Penetrating Head Injury—Management of a Rare Trauma Mechanism

2022 ◽  
Vol 83 (01) ◽  
pp. e3-e7
Author(s):  
Holger Schlag ◽  
Jonathan Neuhoff ◽  
Jens Castein ◽  
Christoph Hoffmann ◽  
Frank Kandziora
Keyword(s):  
Head Injury ◽  
Superior Sagittal Sinus ◽  
Trauma Mechanism ◽  
Venous Outflow ◽  
Penetrating Head Injury ◽  
Sagittal Sinus ◽  
Foreign Objects ◽  
Captive Bolt Gun ◽  
Bone Fragments ◽  
Neurovascular Damage

AbstractCivilian penetrating head injury caused by foreign objects is rare in Germany (Europe), but can result in complex neurovascular damage. We report on a patient who in suicidal intent inflicted on himself a penetrating brain injury near the vertex with a captive bolt gun. A laceration at the junction of the middle to the posterior third of the superior sinus occurred by bolt and bone fragments leading to critical stenosis and subsequent thrombosis. Upon surgery, the proximal and distal sinus openings were completely thrombosed. The sinus laceration was closed by suture and the intraparenchymal bone fragments were retrieved. Postoperative angiography disclosed persistent occlusion of the superior sagittal sinus. The patient did not develop any symptoms due to venous congestion (edema, hemorrhage), suggesting sufficient collateral venous outflow. The patient completely recovered despite the complexity of the lesion.

scholarly journals Glass accidental penetrating head injury across the parietal bone nearby the superior sagittal sinus

2020 ◽  
Vol 13 (2) ◽  
pp. 120
Author(s):  
Khelifa Adel ◽  
Aichaoui Fayçal ◽  
Assoumane Ibrahime ◽  
Bennafaa Toufik ◽  
Morsli Abdelhalim
Keyword(s):  
Head Injury ◽  
Superior Sagittal Sinus ◽  
Parietal Bone ◽  
Penetrating Head Injury ◽  
Sagittal Sinus

scholarly journals Management of superior sagittal sinus injury encountered in traumatic head injury patients: Analysis of 15 cases

2015 ◽  
Vol 10 (1) ◽  
pp. 17 ◽  
Author(s):  
SanjayK Behera ◽  
SatyaBhusan Senapati ◽  
SudhansuSekhar Mishra ◽  
Srikant Das
Keyword(s):  
Head Injury ◽  
Superior Sagittal Sinus ◽  
Traumatic Head Injury ◽  
Sagittal Sinus ◽  
Traumatic Head

scholarly journals Delayed lethal pulmonary air embolism after a gunshot head injury

2018 ◽  
pp. bcr-2017-223545
Author(s):  
Jakob Emanuel Brune ◽  
Denis Laurent Kaech ◽  
Daniel Wyler ◽  
Raphael Jeker
Keyword(s):  
Head Injury ◽  
Negative Pressure ◽  
Superior Sagittal Sinus ◽  
Young Male ◽  
Air Embolism ◽  
Dural Sinus ◽  
Severe Head Trauma ◽  
Sagittal Sinus ◽  
Watertight Closure ◽  
Neurosurgical Intervention

We present a case of a young male patient with a fatal pulmonary air embolism following a penetrating gunshot head injury. He suffered from severe head trauma including a laceration of the superior sagittal sinus. Operative neurosurgical intervention did not establish a watertight closure of the wounds. Eight days after the trauma, the patient suddenly collapsed and died after an attempt to mobilise him to the vertical. Forensic autopsy indicated pulmonary air embolism as the cause of death. Retrospectively, we postulate an entry of air to the venous system via the incompletely occluded wounds and the lacerated superior sagittal sinus while mobilisation to the vertical created a negative pressure in the dural sinus.

Superior Sagittal Sinus Thrombosis after Closed Head Injury

Neurosurgery ◽  
1983 ◽  
Vol 12 (1) ◽  
pp. 95-97 ◽  
Author(s):  
Lynn W. Stringer ◽  
S. J. Peerless
Keyword(s):  
Head Injury ◽  
Superior Sagittal Sinus ◽  
Sinus Thrombosis ◽  
Closed Head Injury ◽  
Clinical Aspects ◽  
Fatal Complication ◽  
Sagittal Sinus ◽  
Closed Head ◽  
Sagittal Sinus Thrombosis ◽  
Superior Sagittal Sinus Thrombosis

Abstract Superior sagittal sinus thrombosis is a rare but often fatal complication of closed head injury. We present a case diagnosed by computed tomography (CT) and managed with corticosteroids and anticonvulsants with a favorable outcome. The clinical aspects and CT findings of this disease are discussed.

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

2015 ◽  
Vol 123 (1) ◽  
pp. 81-85 ◽  
Author(s):  
Daniel M. Birk ◽  
Matthew K. Tobin ◽  
Heather E. Moss ◽  
Eric Feinstein ◽  
Fady T. Charbel ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Surgical Management ◽  
Gunshot Wound ◽  
Superior Sagittal Sinus ◽  
Surgical Decompression ◽  
Venous Sinus ◽  
Skull Fractures ◽  
Venous Outflow ◽  
Radiographic Findings ◽  
Sagittal Sinus

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 surgery 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, the authors 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.

Superior Sagittal Sinus Thrombosis after Closed Head Injury

Neurosurgery ◽  
1985 ◽  
Vol 16 (6) ◽  
pp. 825-828 ◽  
Author(s):  
Roger Hesselbrock ◽  
Raymond Sawaya ◽  
Thomas Tomsick ◽  
Subodh Wadhwa
Keyword(s):  
Prognostic Factors ◽  
Head Injury ◽  
Superior Sagittal Sinus ◽  
Sinus Thrombosis ◽  
Closed Head Injury ◽  
Review Of The Literature ◽  
Sagittal Sinus ◽  
Closed Head ◽  
Sagittal Sinus Thrombosis ◽  
Superior Sagittal Sinus Thrombosis

Abstract A case of superior sagittal sinus thrombosis after a closed head injury is presented along with a review of 11 other reported cases. Review of the literature indicates that this condition is rarely recognized and that further investigation is necessary to define the incidence, prognostic factors, and optimal therapy of this condition.

Diagnosis of superior sagittal sinus thrombosis by computerized tomography

1984 ◽  
Vol 61 (6) ◽  
pp. 1129-1131 ◽  
Author(s):  
Domenico d'Avella ◽  
Antonio Russo ◽  
Giuseppe Santoro ◽  
Nicola Pandolfo ◽  
Franco Cafarelli ◽  
...  
Keyword(s):  
Computerized Tomography ◽  
Superior Sagittal Sinus ◽  
Sinus Thrombosis ◽  
Ct Scanning ◽  
Venous Outflow ◽  
Content Type ◽  
Sagittal Sinus ◽  
History Of ◽  
Sagittal Sinus Thrombosis ◽  
Superior Sagittal Sinus Thrombosis

✓ Superior sagittal sinus thrombosis was diagnosed on computerized tomography (CT) scanning and was subsequently confirmed by angiography in two patients. Small ventricles and filling defects occurring within the sinus (the empty triangle sign) appeared to be highly suggestive of superior sagittal sinus thrombosis, and the association was confirmed angiographically. Potential pitfalls in the CT diagnosis of local obstruction of cerebral venous outflow are described and correlated with the natural history of the disease. The need for improved awareness of the CT appearance of occlusive disease of the dural venous sinuses is stressed.

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