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. 2014 Apr;5(2):191-4.
doi: 10.4103/0976-3147.131680.

Epidural hematoma with detachment of the dural sinuses

Gennaro Lapadula  1 , Federico Caporlingua  1 , Sergio Paolini  2 , Paolo Missori  1 , Maurizio Domenicucci  1
Affiliations

Epidural hematoma with detachment of the dural sinuses

Gennaro Lapadula et al. J Neurosci Rural Pract. 2014 Apr.

Abstract

Epidural hematoma (EH) is a neurosurgical emergency that requires early surgical treatment. It is rarely extended bilaterally causing a detachment of the dural sinus or sinuses. The authors present two rare cases of EH with dural sinus detachment and describe how they suspend them. In these cases it is crucial to firmly suspend the dura mater and the dural sinus to the inner skull surface to prevent postoperative rebleeding.

Keywords: Extradural hematoma; head injuries; operative technique.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
A computed tomography scan showing a right frontal extradural hematoma with contralateral extension and detachment of the sagittal longitudinal sinus
Figure 2
Figure 2
Illustration (a) of the patient position according to surgeon's view; a bicoronal skin incision flap is traced. Surgical exposure (b) and illustration of the craniotomies after the blood clot evacuation and hemostasis; only the suspensions for the dural sinus are drawn. The dural suspensions (c) are being tied above the strip of bone
Figure 3
Figure 3
A computed tomography scan showing a left cerebellar extradural hematoma. The hematoma extended to the supratentorial space and detached the sinus confluence, the left transverse sinus, and posterior third of the sagittal longitudinal sinus
Figure 4
Figure 4
Illustration of the patient position according to surgeon's view, a “hockey stick” skin incision flap is traced (left). Surgical exposure and illustration of the suboccipital craniectomy and of the supratentorial craniotomies after the blood clot evacuation and hemostasis (right). In the sketch, only the suspensions for the dural sinus are drawn
See this image and copyright information in PMC

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