Çökme kırığının neden olduğu sagittal sinüs oklüzyonu: olgu sunumu
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Date
2004-07-16
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Uludağ Üniversitesi
Abstract
Majör venöz sinüsler üzerindeki kırıkların tedavi şeması tartışmalıdır. Başına taş düşmesi sonrası başvurduğu başka bir merkezde superior sagittal sinüs üzerinde açık çökme kırığı saptanan ve ciltteki kesisi sütüre edilen olgu, dört gün sonra alt ekstremitede güçsüzlük ve artan baş ağrısı şikayetiyle merkezimize başvurdu. Kraniyal bilgisayarlı tomografisinde çökme fraktürü ve manyetik rezonans anjiografide superior sagittal sinüs oklüzyonu tespit edilen olgu opere edildi. Majör venöz sinüsler üzerindeki çökme kırıkları, intrakraniyal hipertansiyon ve nörolojik bulgular varlığında cerrahi olarak dekomprese edilmelidir.
Management of depressed skull fracture overlying major venous sinuses is still under debate. A patient was diagnosed to have open depressed fracture over superior sagittal sinus following his admittion to another hospital after a stone had struck him in the head. Four days after the scalp was sutured, he was admitted to our hospital with the complaint of lower extremity weakness and progresively worsening headache. After demonstration of the depressed fracture and the occlusion in the superior sagittal sinus by cranial computerized tomography and magnetic resonance imaging respectively, he was operated on. It is pointed out that surgical decompression is needed in the depressed skull fracture overlying major venous sinuses if intracranial hypertension and neurological symptoms accompany.
Management of depressed skull fracture overlying major venous sinuses is still under debate. A patient was diagnosed to have open depressed fracture over superior sagittal sinus following his admittion to another hospital after a stone had struck him in the head. Four days after the scalp was sutured, he was admitted to our hospital with the complaint of lower extremity weakness and progresively worsening headache. After demonstration of the depressed fracture and the occlusion in the superior sagittal sinus by cranial computerized tomography and magnetic resonance imaging respectively, he was operated on. It is pointed out that surgical decompression is needed in the depressed skull fracture overlying major venous sinuses if intracranial hypertension and neurological symptoms accompany.
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Keywords
Çökme kırığı, İntrakraniyal hipertansiyon, Manyetik rezonans anjiografi, Venöz sinüs, Depressed skull fracture, Intracranial hypertension, Magnetic resonance angiography, Venous sinus
Citation
Sarıgül, S. vd. (2004). "Çökme kırığının neden olduğu sagittal sinüs oklüzyonu: olgu sunumu". Uludağ Üniversitesi Tıp Fakültesi Dergisi, 30(3), 221-223.