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跳跃岛开颅术：一种在急诊神经外科中处理上矢状窦损伤的技术。

Skip Island Craniotomy: A Technique for Managing Superior Sagittal Sinus Injury in Emergency Neurosurgery.

作者信息

Baig Azam A, Galloway Luke, Soon Wai C, Dias Paul, Krovvidi Hari, Land Thomas, Chelvarajah Ramesh

机构信息

Department of Neurosurgery, Queen Elizabeth Hospital Birmingham, Birmingham, GBR.

Department of Anesthesiology, Queen Elizabeth Hospital Birmingham, Birmingham, GBR.

出版信息

Cureus. 2025 Apr 10;17(4):e82050. doi: 10.7759/cureus.82050. eCollection 2025 Apr.

DOI:10.7759/cureus.82050
PMID:40357101
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12066873/
Abstract

Superior sagittal sinus (SSS) injury can be a life-threatening condition. It is rarely injured by means of penetrating and nonpenetrating traumatic brain injury (TBI). Injury to the SSS can be a surgical challenge and thus provides a conundrum to neurosurgeons on its management in an acute emergency setting. We present a series of two cases that were successfully treated by a novel skip island craniotomy technique after suffering a penetrating and nonpenetrating TBI-related SSS injury, respectively. Both patients had a short period of ITU stay before being managed on the neurosurgery ward and went on to have no neurological deficits. The operative wounds healed well, and overall cosmesis was unaffected. Postoperative computed tomography head scans with 3D reconstruction in bone window demonstrate the island-like pattern with interval burr holes.

摘要

上矢状窦（SSS）损伤可能是一种危及生命的情况。它很少因穿透性和非穿透性创伤性脑损伤（TBI）而受伤。SSS损伤可能是一个手术挑战，因此在急性紧急情况下，其管理给神经外科医生带来了难题。我们报告了一系列两例病例，分别在遭受穿透性和非穿透性TBI相关的SSS损伤后，通过一种新型的跳跃岛状开颅技术成功治疗。两名患者在神经外科病房接受治疗前，在重症监护病房停留时间较短，且均未出现神经功能缺损。手术伤口愈合良好，整体美观未受影响。术后头部计算机断层扫描在骨窗下进行三维重建，显示出带有间隔钻孔的岛状模式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a77/12066873/158c349350c8/cureus-0017-00000082050-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a77/12066873/aeceea55e15c/cureus-0017-00000082050-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a77/12066873/9812143caf85/cureus-0017-00000082050-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a77/12066873/9fc9cfe9aebb/cureus-0017-00000082050-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a77/12066873/dd5104cffc2f/cureus-0017-00000082050-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a77/12066873/158c349350c8/cureus-0017-00000082050-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a77/12066873/aeceea55e15c/cureus-0017-00000082050-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a77/12066873/9812143caf85/cureus-0017-00000082050-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a77/12066873/9fc9cfe9aebb/cureus-0017-00000082050-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a77/12066873/dd5104cffc2f/cureus-0017-00000082050-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a77/12066873/158c349350c8/cureus-0017-00000082050-i05.jpg

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Traumatic Injury of Major Cerebral Venous Sinuses Associated with Traumatic Brain Injury or Head and Neck Trauma: Analysis of National Trauma Data Bank.与创伤性脑损伤或头颈部创伤相关的大脑主要静脉窦创伤性损伤：国家创伤数据库分析
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Management of superior sagittal sinus injury encountered in traumatic head injury patients: Analysis of 15 cases.创伤性颅脑损伤患者上矢状窦损伤的处理：15例分析
Asian J Neurosurg. 2015 Jan-Mar;10(1):17-20. doi: 10.4103/1793-5482.151503.
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