Adeloye A, Odeku E L
Neurosurgery Unit, Department of Surgery, University of Ibadan, Nigeria.
J Neurosurg. 1971 Feb;34(2 Pt 1):155-8. doi: 10.3171/jns.1971.34.2part1.0155.
Six patients with tangential missile wounds of the vertex of the skull presented symptoms of limb paresis which were more marked proximally in the arms and distally in the legs where there was also sensory loss of a cortical type. Carotid cerebral angiography and operative treatment showed patency of the longitudinal sinus and injury to the medial aspects of the frontoparietal cortex. The term "longitudinal sinus syndrome" formerly applied to these cases is therefore a misnomer since the main underlying cause is cortical injury and not thrombotic occlusion of the superior longitudinal sinus, as previously suspected.
6例颅骨顶部切线状导弹伤患者出现肢体轻瘫症状，上肢近端和下肢远端更为明显，下肢还存在皮质型感觉丧失。颈动脉脑血管造影和手术治疗显示纵窦通畅，额顶叶皮质内侧受损。因此，以前用于这些病例的“纵窦综合征”一词是不恰当的，因为主要潜在原因是皮质损伤，而不是如先前怀疑的上矢状窦血栓形成闭塞。
