Venous sinus injuries are common with occipital skull fractures
© Hendrickson et al; licensee BioMed Central Ltd. 2014
Published: 7 July 2014
Traumatic cerebral venous sinus injuries are usually managed conservatively, however sinus thrombosis and obstruction can result in refractory intracranial hypertension.
We retrospectively analysed CT venograms performed on 29 patients who had sustained a skull fracture that crossed a venous sinus at a London Major Trauma Centre.
CT Venography should be considered in patients with fractures overlying a venous sinus especially in cases with refractory or disproportionate intracranial hypertension or headache out of keeping with imaging appearances. We demonstrate different types of injury and management options.
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