Traumatic injury of dural venous sinus as cause of epidural hematoma: importance of recognition and adequate surgical planning
| Autor: | Guilherme Brasileiro de Aguiar, Leonardo Henrique da Silva Rodrigues, Paulo Adolfo Wessel Xander, Tiago Marques Avelar, Guilherme Henrique Ferreira da Costa, Andrew Vinícius De Souza Batista, José Carlos Esteves Veiga |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Middle meningeal artery Intracranial hematoma Glasgow Coma Scale General Medicine medicine.disease Surgery Epidural hematoma medicine.anatomical_structure Hematoma medicine.artery Dural venous sinuses medicine business Craniotomy Sinus (anatomy) |
| Zdroj: | Revista Chilena de Neurocirugía. 47:40-43 |
| ISSN: | 2452-5553 0716-4491 |
| Popis: | Background: Although most traumatic epidural hematomas are secondary to arterial injuries, particularly rupture of the middle meningeal artery, around 9.7% of cases are associated with dural venous sinus injury, leading to poorer prognosis and greater complications. We report a case of a patient presenting cranial trauma with bone fracture and laceration of the transverse sinus producing epidural hematoma, and discuss the main aspects of this condition. Case description: A 47-year-old man struck by a motorcycle was admitted to the Emergency Room with a score of 15 on the Glasgow Coma Scale, evolving over 5 hours with reduced level of consciousness. A cranial CT scan was performed disclosing right parieto- occipital hyperdensity, consistent with acute epidural hematoma, and a parieto-occipital fracture line crossing the path of the ipsilateral transverse sinus. Parietal craniotomy was performed to drain the hematoma, revealing a venous sinus injury requiring immediate repair. Conclusions: This case and discussion highlight the many details and technical specificities to be taken into account by neurosurgeons when encountering intracranial hematoma caused by traumatic injury of the dural venous sinus, and which are pivotal in determining the efficacy of the treatment approach and prognosis of the patient. |
| Databáze: | OpenAIRE |
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