[Compound depressed fracture of occipital bone causing laceration of left occipital lobe and injury of superior sagittal sinus--case report].
A case of compound depressed fracture of occipital bone in 52-years old man caused by crane hook is presented. Bone fragments were depressed 40 millimetres causing blindeness and huge hemorrhage with symptoms of hemorrhagic shock. Laceration of left occipital lobe and penetration of superior sagittal sinus were treated during the operation. Primary elevation, debridement and primary bone replacement with additional covering of bone defect by bone cement were performed. Primary wound healing was achieved. Cortical blindeness subsided to the stage of contralateral homonymous hemianopia.
Pribán
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Neurochirurgické oddĕlení, Nemocnice Ceské Budĕjovice a.s. v.priban@centrum.cz
Bombic
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D003392:Cranial Sinuses / Q000293:injuries*; D005597:Fractures, Open / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D022125:Lacerations / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009777:Occipital Bone / Q000293:injuries* / Q000601:surgery*; D009778:Occipital Lobe / Q000293:injuries* / Q000601:surgery*; D020204:Skull Fracture, Depressed / Q000175:diagnosis / Q000601:surgery*