title: Traumatic Dural Venous Sinus Injury.
abstract: OBJECTIVE
  The importance of traumatic dural venous sinus injury lies in the probability of massive blood loss at the time of trauma or emergency operation resulting in a high mortality rate during the perioperative period. We considered the appropriate methods of treatment that are most essential in the overall management of traumatic dural venous sinus injuries.
  
  
  METHODS
  We conducted a retrospective review of all cases involving patients with dural venous sinus injury who presented to our hospital between January 1999 and December 2014.
  
  
  RESULTS
  Between January 1999 and December 2014, 20 patients with a dural venous sinus injury out of the 1,200 patients with severe head injuries who had been operated upon in our clinic were reviewed retrospectively. There were 17 male and 3 female patients. In 11 out of the 13 patients with a linear skull fracture crossing the dural venous sinus, massive blood loss from the injured sinus wall could be controlled by simple digital pressure using Gelfoam. All 5 patients with a linear skull fracture parallel to the sinus over the venous sinus developed massive sinus bleeding that could not be controlled by simple digital pressure.
  
  
  CONCLUSIONS
  When there is a linear skull fracture parallel to the sinus over the dural venous sinus or a depressed skull fracture penetrating the sinus, the surgeon should be prepared for the possibility of potentially fatal venous sinus injury, even in the absence of a hematoma.
authors.affiliation: Department of Neurosurgery, Chonnam National University Hospital, Gwangju, Korea.
authors.forename: You-Sub
authors.initials: YS
authors.lastname: Kim
authors.affiliation: Department of Neurosurgery, Chonnam National University Hospital, Gwangju, Korea.
authors.forename: Seung-Hoon
authors.initials: SH
authors.lastname: Jung
authors.affiliation: Department of Neurosurgery, Chonnam National University Hospital, Gwangju, Korea.
authors.forename: Dong-Ho
authors.initials: DH
authors.lastname: Lim
authors.affiliation: Department of Neurosurgery, Chonnam National University Hospital, Gwangju, Korea.
authors.forename: Tae-Sun
authors.initials: TS
authors.lastname: Kim
authors.affiliation: Department of Neurosurgery, Chonnam National University Hospital, Gwangju, Korea.
authors.forename: Jae-Hyoo
authors.initials: JH
authors.lastname: Kim
authors.affiliation: Department of Neurosurgery, Chonnam National University Hospital, Gwangju, Korea.
authors.forename: Jung-Kil
authors.initials: JK
authors.lastname: Lee
keywords: Cranial sinus; Injury; Skull fractures; Superior sagittal sinus