Beaty Narlin Bennet, Diaz Cara, Crandall Kenneth, Sansur Charles
Department of Neurosurgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.
BMJ Case Rep. 2012 Sep 17;2012:bcr2012006679. doi: 10.1136/bcr-2012-006679.
A 23-year-old man sustained a gunshot wound to the posterior head. Imaging demonstrated a transection of the right transverse sinus, a retained bullet fragment and significant cerebellar oedema. The patient emergently underwent suboccipital decompression associated with brisk bleeding from the transverse sinus. Reported examples of surgical management of cerebral venous sinuses include: packing, grafting, patching and ligation. Our patient had a codominant transverse sinus and underwent successful unilateral ligation. His postoperative course was uneventful, however, he did require a ventriculoperitoneal shunt. He was subsequently discharged to rehab with a favourable outcome.
一名23岁男性后脑部遭受枪伤。影像学检查显示右侧横窦横断、一枚残留子弹碎片以及明显的小脑水肿。患者紧急接受了枕下减压术，术中横窦出现大量出血。已报道的脑静脉窦手术治疗案例包括：填塞、移植、修补和结扎。我们的患者双侧横窦优势相当，接受了成功的单侧结扎。他术后恢复顺利，不过确实需要进行脑室腹腔分流术。随后他被送去康复治疗，预后良好。
