Summary
In a period of 13 years 978 cases of severe head injuries were operated on in our clinic. An analysis of the medical reports includes injuries of the superficial dural sinus (39 cases=4%): among these injuries of the anterior and central part of the superior sagittal sinus (66 per cent), injuries of the transverse sinus (18 per cent), injuries of the posterior part of the superior sagittal sinus (8 per cent), and combined injuries of different dural sinuses (8 per cent).
Clinical data, i.e. the causes of accident, radiological examination results, intracranial lesions, operation technqiues and outcome are analysed and discussed. The analysis of cases with dural sinus injuries shows a high mortality rate (total mortality rate: 16 patients=41%; intra-operative mortality rate: 8 patients=20%).
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Abderakham SM (1983) Neurosurgical tactics in gunshot wounds of the sagittal-parasagittal region with damage to the dural sinuses. Klin Khir (Rus) 12: 38–40
Berkley LR (1971) The repair of venous sinus wounds by autogenous venorrhaphy. J Neurosurg 35: 392–395
Bonnal J, Buduba C (1974) Surgery of the central third of the superior sagittal sinus. Acta Neurochir (Wien) 30: 207–215
Donaghy RMP, Wallmann LJ, Flanagan LJ, Numoto MJ (1973) Sagittal sinus repair — technical note. J Neurosurg 38: 207–215
Haßler W (1979) Traumatische Sinusverletzungen und ihre operative Therapie unter Berücksichtigung der topographischen Anatomie und der Hirnsinus-Varianten. Neurochirurgia (Stuttg) 22: 165–180
Haßler W (1981) Operative Technik bei traumatischen Sinusverletzungen. Aktuel Traumatol 11: 121–125
Kapp JP, Gielchinsky I (1972) Management of combat wounds of the dural venous sinuses. Surgery 71: 913–917
Kapp JP, Gielchinsky I, Deardourff SL (1977) Operative techniques for management of lesions involving the dural venous sinuses. Surg Neurol 7: 339–342
Meier U, Klages G, Knopf W, Kynast J (1987) Die penetrierende Schädel-Hirn-Verletzung. Zentbl Chir 112: 1473–1480
Meier U, Knopf W, Klötzer R, Gärtner F, Rumpf G, Knauer S, Traebert S (1991) Operationsergebnisse nach schwerem Schädel-Hirn-Trauma. Zentralbl Chir 116: 845–854
Meirowsky AM (1953) Wounds of dural sinuses. J Neurosurg 10: 496–514
Sindou M, Mazoyer JF, Fischer G, Pialat J, Fourcade C (1976) Experimental bypass for sagittal sinus repair. J Neurosurg 44: 325–330
Tönnis W (1935) Die Zulässigkeit der Resektion des Längsblutleiters des Gehirns. Dtsch Ztsch Nervenheilk 136: 186–190
Wu JJ, Shih CJ (1982) Unusual penetrating injury of the superior sagittal sinus. Surg Neurol 17: 43–46
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Meier, U., Gärtner, F., Knopf, W. et al. The traumatic dural sinus injury — a clinical study. Acta neurochir 119, 91–93 (1992). https://doi.org/10.1007/BF01541788
Issue Date:
DOI: https://doi.org/10.1007/BF01541788