Compound Depressed Skull Fracture Compressing the Superior Sagittal Sinus.

DOI 1 Citations 7 References Open Access
  • Uchida Kazuyoshi
    Department of Neurosurgery, St. Mariannna University School of Medicine
  • Uzura Masahiko
    Department of Neurosurgery, St. Mariannna University School of Medicine
  • Hazama Yoshio
    Department of Neurosurgery, St. Mariannna University School of Medicine
  • Nakayama Hirofumi
    Department of Neurosurgery, St. Mariannna University School of Medicine
  • Sekino Hiroaki
    Department of Neurosurgery, St. Mariannna University School of Medicine

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  • 上矢状洞圧迫を伴った開放性頭蓋骨陥没骨折の１例

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We report a 4-year-old girl with a compound depressed skull fracture compressing the superior sagittal sinus. The patient fell from a second storey at home. Computed tomography (CT) showed a compound depressed skull fracture overlying the superior sagittal sinus without hemorrhagic lesions. Angiography showed abnormal blood flow in the left frontal cortical veins and an interrupted superior sagittal sinus. Conservative treatment is generally acceptable for a compound depressed skull fracture overlying a major venous sinus. We hold that surgery in acute phase to reduce the risk of infection and delayed intracranial hypertension is indicated if the patient is conscious.

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