An unusual management of an open compound depressed skull fracture with venous sinus involvement. A case report.
A neurosurgical management of an open compound depressed fracture perforating the superior sagittal sinus is reported. Undue bleeding from the fracture did not allow a conservative management. The patient had been operated primarily at an outside emergency surgery unit. Profuse uncontrollable bleeding made a tamponade of the sinus necessary for transportation to our neurosurgical department. After reconstruction of the sinus he survived without evidence of a neurological deficit.
Schöggl
A
A
Department of Neurosurgery, University of Vienna, Austria.
Reddy
M
M
Saringer
W
W
Matula
C
C
D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D002560:Cerebrovascular Circulation; D003392:Cranial Sinuses / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D004388:Dura Mater / Q000000981:diagnostic imaging / Q000293:injuries / Q000473:pathology / Q000601:surgery; D005597:Fractures, Open / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D011859:Radiography; D020204:Skull Fracture, Depressed / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D016896:Treatment Outcome