Rupture of the Superior Sagittal Sinus in Penetrating Head Injury—Management of a Rare Trauma Mechanism
Civilian penetrating head injury caused by foreign objects is rare in Germany (Europe), but can result in complex neurovascular damage. We report on a patient who in suicidal intent inflicted on himself a penetrating brain injury near the vertex with a captive bolt gun. A laceration at the junction...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Georg Thieme Verlag KG
2022-01-01
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| Series: | Journal of Neurological Surgery Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1742103 |
| _version_ | 1811223595880284160 |
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| author | Holger Schlag Jonathan Neuhoff Jens Castein Christoph Hoffmann Frank Kandziora |
| author_facet | Holger Schlag Jonathan Neuhoff Jens Castein Christoph Hoffmann Frank Kandziora |
| author_sort | Holger Schlag |
| collection | DOAJ |
| description | Civilian penetrating head injury caused by foreign objects is rare in Germany (Europe), but can result in complex neurovascular damage. We report on a patient who in suicidal intent inflicted on himself a penetrating brain injury near the vertex with a captive bolt gun. A laceration at the junction of the middle to the posterior third of the superior sinus occurred by bolt and bone fragments leading to critical stenosis and subsequent thrombosis. Upon surgery, the proximal and distal sinus openings were completely thrombosed. The sinus laceration was closed by suture and the intraparenchymal bone fragments were retrieved. Postoperative angiography disclosed persistent occlusion of the superior sagittal sinus. The patient did not develop any symptoms due to venous congestion (edema, hemorrhage), suggesting sufficient collateral venous outflow. The patient completely recovered despite the complexity of the lesion. |
| first_indexed | 2024-04-12T08:35:25Z |
| format | Article |
| id | doaj.art-bdef5ee315bb4411a880f654b10ade2e |
| institution | Directory Open Access Journal |
| issn | 2193-6358 2193-6366 |
| language | English |
| last_indexed | 2024-04-12T08:35:25Z |
| publishDate | 2022-01-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Journal of Neurological Surgery Reports |
| spelling | doaj.art-bdef5ee315bb4411a880f654b10ade2e2022-12-22T03:40:02ZengGeorg Thieme Verlag KGJournal of Neurological Surgery Reports2193-63582193-63662022-01-018301e3e710.1055/s-0041-1742103Rupture of the Superior Sagittal Sinus in Penetrating Head Injury—Management of a Rare Trauma MechanismHolger Schlag0Jonathan Neuhoff1Jens Castein2Christoph Hoffmann3Frank Kandziora4Centre for Spinal Surgery and Neurotraumatology, BG Unfallklinik Frankfurt am Main GmbH, GermanyCentre for Spinal Surgery and Neurotraumatology, BG Unfallklinik Frankfurt am Main GmbH, GermanyCentre for Spinal Surgery and Neurotraumatology, BG Unfallklinik Frankfurt am Main GmbH, GermanyCentre for Spinal Surgery and Neurotraumatology, BG Unfallklinik Frankfurt am Main GmbH, GermanyCentre for Spinal Surgery and Neurotraumatology, BG Unfallklinik Frankfurt am Main GmbH, GermanyCivilian penetrating head injury caused by foreign objects is rare in Germany (Europe), but can result in complex neurovascular damage. We report on a patient who in suicidal intent inflicted on himself a penetrating brain injury near the vertex with a captive bolt gun. A laceration at the junction of the middle to the posterior third of the superior sinus occurred by bolt and bone fragments leading to critical stenosis and subsequent thrombosis. Upon surgery, the proximal and distal sinus openings were completely thrombosed. The sinus laceration was closed by suture and the intraparenchymal bone fragments were retrieved. Postoperative angiography disclosed persistent occlusion of the superior sagittal sinus. The patient did not develop any symptoms due to venous congestion (edema, hemorrhage), suggesting sufficient collateral venous outflow. The patient completely recovered despite the complexity of the lesion.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1742103penetrating head injurysuperior sagittal sinuspenetrating brain injuryfractures |
| spellingShingle | Holger Schlag Jonathan Neuhoff Jens Castein Christoph Hoffmann Frank Kandziora Rupture of the Superior Sagittal Sinus in Penetrating Head Injury—Management of a Rare Trauma Mechanism Journal of Neurological Surgery Reports penetrating head injury superior sagittal sinus penetrating brain injury fractures |
| title | Rupture of the Superior Sagittal Sinus in Penetrating Head Injury—Management of a Rare Trauma Mechanism |
| title_full | Rupture of the Superior Sagittal Sinus in Penetrating Head Injury—Management of a Rare Trauma Mechanism |
| title_fullStr | Rupture of the Superior Sagittal Sinus in Penetrating Head Injury—Management of a Rare Trauma Mechanism |
| title_full_unstemmed | Rupture of the Superior Sagittal Sinus in Penetrating Head Injury—Management of a Rare Trauma Mechanism |
| title_short | Rupture of the Superior Sagittal Sinus in Penetrating Head Injury—Management of a Rare Trauma Mechanism |
| title_sort | rupture of the superior sagittal sinus in penetrating head injury management of a rare trauma mechanism |
| topic | penetrating head injury superior sagittal sinus penetrating brain injury fractures |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1742103 |
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