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Indian Journal of Neurosurgery 2012; 01(02): 149-151
DOI: 10.4103/2277-9167.102286
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Emergency surgical management of traumatic superior sagittal sinus injury: An unusual case

Sudhansu Sekhar Mishra
,
Souvagya Panigrahi
,
Srikant Das
,
Sanjay Kumar Behera
Subject Editor:
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Publication History

Publication Date:
18 January 2017 (online)

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Abstract

Head injuries following fall of heavy objects are not very uncommon in developing countries. However, compound depressed skull fracture with superior sagittal sinus (SSS) laceration caused by a flying asbestos fragment in a stormy afternoon is an unusual mode of head injury. We report such an unusual case of compound depressed skull fracture by an asbestos fragment injuring the middle third of SSS and its successful surgical management in a 14-year-old child. The role of computed tomography (CT) scan of head with 3D reconstruction is highlighted. Early steps taken in this case to check the profuse bleeding, which helped save the life of this boy is interesting to note.

Key words

3D reconstruction - flying asbestos - profuse bleeding - superior sagittal sinus laceration - surgical management
 

  • References

  • 1 Meier U, Gδrtner F, Knopf W, Klϕtzer R, Wolf O. The traumatic dural sinus - A clinical study. Acta Neurochir (Wien) 1992; 119: 91-93
    CrossrefPubMedGoogle Scholar
  • 2 Sani S, Jobe KW, Byrne RW. Successful repair of an intracranial nail-gun injury involving the parietal region and the superior sagittal sinus: Case report. J Neurosurg 2005; 103: 567-569
    CrossrefPubMedGoogle Scholar
  • 3 Balak N, Aslan B, Serefhan A, Elmaci I. Intracranial retained stone after depressed skull fracture: Problems in the initial diagnosis. Am J Forensic Med Pathol 2009; 30: 198-200
    CrossrefPubMedGoogle Scholar
  • 4 Ozer FD, Yurt A, Sucu HK, Tektaş S. Depressed fractures over cranial venous sinus. J Emerg Med 2005; 29: 137-139
    CrossrefPubMedGoogle Scholar
  • 5 Tamimi A, Abu-Elrub M, Shudifat A, Saleh Q, Kharazi K, Tamimi I. Superior sagittal sinus thrombosis associated with raised intracranial pressure in closed head injury with depressed skull fracture. Pediatr Neurosurg 2005; 41: 237-240
    CrossrefPubMedGoogle Scholar
  • 6 Tanaka H, Kobata H. Superior sagittal sinus occlusion caused by a compound depressed skull fracture: A case treated by emergency surgery. No Shinkei Geka 2004; 32: 753-758
    PubMedGoogle Scholar
  • 7 Yadav YR, Parihar V, Sinha M, Jain N. Simple depressed skull fracture causing posterior third superior sagittal sinus occlusion and elevated intracranial pressure. Neurol India 2009; 57: 830-831
    CrossrefPubMedGoogle Scholar