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Abstract
RÉSUMÉ
Epidural hematoma with sinus involvement can be challenging. The authors report their one-year experience at the Yaounde Emergency Center. It was 3 cases of epidural hematoma due to venous sinus injury. Head Ct scan apart from the hematoma, revealed a fracture line over the sinus. The surgical procedure consisted of packing the injured portion of the sinus with haemostatic tissue, muscle patch and tack up dural sutures. Post-operative course was simple. Surgical management of epidural hematomas due to venous sinus injury can be fatal. The apposition of hemostatic tissue with muscle patch and tack up dural sutures can control hemorrhage.
ABSTRACT
L’issue péri-opératoire des hématomes extraduraux par lésion des sinus veineux s’avère souvent fatale du fait d’un saignement massif du sinus. Nous rapportons notre expérience du 1er Octobre 2020 au 30 Septembre 2021 au Centre des Urgences de Yaoundé. Trois cas d’hématomes extraduraux par lésion d’un sinus veineux ont été enregistrés. Le geste chirurgical a consisté en l’apositionnement de tissu hémostatique. Les suites opératoires étaient simples.
La prise en charge des hématomes extraduraux par lésion des sinus veineux est une épreuve pour tout neurochirurgien. L’apositionnement de tissu hémostatique avec patch galéal et suspension de la dure-mère permettent de colmater la lésion.
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References
- [1] Motah M, Sende Charlotte N, Beyiha G, Priso EB, Nguemgne CM, Fotsin JG. Prise en charge des traumatismes crâniens isolés à l’hôpital général de Douala. Health Sci Dis 2011;12. https://doi.org/10.5281/hsd.v12i3.122.
- [2] Jamieson KG, Yelland JD. Extradural hematoma. Report of 167 cases. J Neurosurg 1968; 29:13–23. https://doi.org/10.3171/jns.1968.29.1.0013.
- [3] Giannakaki V, Triantafyllou T, Drossos D, Papapetrou K. Post-Traumatic Bifrontoparietal Extradural Hematoma with Superior Sagittal Sinus Detachment: A Case Report and Review of the Literature. World Neurosurg 2016; 93:489. e17-489.e20. https://doi.org/10.1016/j.wneu.2016.06.085.
- [4] Aggarwal A, Salunke P, Futane S, Sodhi HB. Bilateral posterior fossa and temporo-occipital extra-dural hematomas: A simple novel technique. Asian J Neurosurg 2017; 12:253–5. https://doi.org/10.4103/1793-5482.150008.
- [5] Lapadula G, Caporlingua F, Paolini S, Missori P, Domenicucci M. Epidural hematoma with detachment of the dural sinuses. J Neurosci Rural Pract 2014; 5:191–4. https://doi.org/10.4103/0976-3147.131680.
- [6] Bimpis A, Marcus HJ, Wilson MH. Traumatic bifrontal extradural haematoma resulting from superior sagittal sinus injury: case report. JRSM Open 2015; 6:2054270415579137. https://doi.org/10.1177/2054270415579137.
- [7] Parker SL, Kabani AA, Conner CR, Choi PA, Withrow JS, Cai C, et al. Management of Venous Sinus-Related Epidural Hematomas. World Neurosurg 2020;138: e241–50. https://doi.org/10.1016/j.wneu.2020.02.089.
References
[1] Motah M, Sende Charlotte N, Beyiha G, Priso EB, Nguemgne CM, Fotsin JG. Prise en charge des traumatismes crâniens isolés à l’hôpital général de Douala. Health Sci Dis 2011;12. https://doi.org/10.5281/hsd.v12i3.122.
[2] Jamieson KG, Yelland JD. Extradural hematoma. Report of 167 cases. J Neurosurg 1968; 29:13–23. https://doi.org/10.3171/jns.1968.29.1.0013.
[3] Giannakaki V, Triantafyllou T, Drossos D, Papapetrou K. Post-Traumatic Bifrontoparietal Extradural Hematoma with Superior Sagittal Sinus Detachment: A Case Report and Review of the Literature. World Neurosurg 2016; 93:489. e17-489.e20. https://doi.org/10.1016/j.wneu.2016.06.085.
[4] Aggarwal A, Salunke P, Futane S, Sodhi HB. Bilateral posterior fossa and temporo-occipital extra-dural hematomas: A simple novel technique. Asian J Neurosurg 2017; 12:253–5. https://doi.org/10.4103/1793-5482.150008.
[5] Lapadula G, Caporlingua F, Paolini S, Missori P, Domenicucci M. Epidural hematoma with detachment of the dural sinuses. J Neurosci Rural Pract 2014; 5:191–4. https://doi.org/10.4103/0976-3147.131680.
[6] Bimpis A, Marcus HJ, Wilson MH. Traumatic bifrontal extradural haematoma resulting from superior sagittal sinus injury: case report. JRSM Open 2015; 6:2054270415579137. https://doi.org/10.1177/2054270415579137.
[7] Parker SL, Kabani AA, Conner CR, Choi PA, Withrow JS, Cai C, et al. Management of Venous Sinus-Related Epidural Hematomas. World Neurosurg 2020;138: e241–50. https://doi.org/10.1016/j.wneu.2020.02.089.