Surgical Repair of Iatrogenic Transverse-Sigmoid Sinus Laceration with a Dural Flap During Skull Base Tumor Surgery: A Technical Case Report

Gerald S. Oh, Gregory Arnone, Hussam Abou-Al-Shaar, Ashley L. Barks, Andrew Wong, Fady T. Charbel

Research output: Contribution to journalArticle

Abstract

Background Injury to cerebral venous sinuses during craniotomy procedures can cause significant blood loss or venous air embolism, potentially leading to serious morbidity or mortality. When iatrogenic sinus injuries occur, it is essential to promptly obtain hemostasis and repair the sinus defect. Case Description We report on a 43-year-old woman that sustained a transverse-sigmoid sinus injury during a retrosigmoid craniotomy for resection of a cerebellopontine angle meningioma. Sinus repair was performed using a reflected dural flap with excellent outcome. Conclusions The use of a reflected dural flap for closure of a widely torn sinus proved to be an effective and straightforward sinus repair strategy, with postoperative imaging demonstrating persistent patency of the sinus. The described technique may be a useful addition to any neurosurgeon's armamentarium and should be considered during cases of complex sinus injuries.

Original languageEnglish (US)
Pages (from-to)1050.e7-1050.e10
JournalWorld neurosurgery
Volume106
DOIs
StatePublished - Oct 1 2017

Fingerprint

Transverse Sinuses
Lacerations
Skull Base
Sigmoid Colon
Craniotomy
Wounds and Injuries
Neoplasms
Cerebellopontine Angle
Air Embolism
Meningioma
Hemostasis
Morbidity
Mortality

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Cite this

Oh, Gerald S. ; Arnone, Gregory ; Abou-Al-Shaar, Hussam ; Barks, Ashley L. ; Wong, Andrew ; Charbel, Fady T. / Surgical Repair of Iatrogenic Transverse-Sigmoid Sinus Laceration with a Dural Flap During Skull Base Tumor Surgery : A Technical Case Report. In: World neurosurgery. 2017 ; Vol. 106. pp. 1050.e7-1050.e10.
@article{fb06da4eb0484b6b82efde57beab2f80,
title = "Surgical Repair of Iatrogenic Transverse-Sigmoid Sinus Laceration with a Dural Flap During Skull Base Tumor Surgery: A Technical Case Report",
abstract = "Background Injury to cerebral venous sinuses during craniotomy procedures can cause significant blood loss or venous air embolism, potentially leading to serious morbidity or mortality. When iatrogenic sinus injuries occur, it is essential to promptly obtain hemostasis and repair the sinus defect. Case Description We report on a 43-year-old woman that sustained a transverse-sigmoid sinus injury during a retrosigmoid craniotomy for resection of a cerebellopontine angle meningioma. Sinus repair was performed using a reflected dural flap with excellent outcome. Conclusions The use of a reflected dural flap for closure of a widely torn sinus proved to be an effective and straightforward sinus repair strategy, with postoperative imaging demonstrating persistent patency of the sinus. The described technique may be a useful addition to any neurosurgeon's armamentarium and should be considered during cases of complex sinus injuries.",
author = "Oh, {Gerald S.} and Gregory Arnone and Hussam Abou-Al-Shaar and Barks, {Ashley L.} and Andrew Wong and Charbel, {Fady T.}",
year = "2017",
month = "10",
day = "1",
doi = "10.1016/j.wneu.2017.06.100",
language = "English (US)",
volume = "106",
pages = "1050.e7--1050.e10",
journal = "World Neurosurgery",
issn = "1878-8750",
publisher = "Elsevier Inc.",

}

Surgical Repair of Iatrogenic Transverse-Sigmoid Sinus Laceration with a Dural Flap During Skull Base Tumor Surgery : A Technical Case Report. / Oh, Gerald S.; Arnone, Gregory; Abou-Al-Shaar, Hussam; Barks, Ashley L.; Wong, Andrew; Charbel, Fady T.

In: World neurosurgery, Vol. 106, 01.10.2017, p. 1050.e7-1050.e10.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Surgical Repair of Iatrogenic Transverse-Sigmoid Sinus Laceration with a Dural Flap During Skull Base Tumor Surgery

T2 - A Technical Case Report

AU - Oh, Gerald S.

AU - Arnone, Gregory

AU - Abou-Al-Shaar, Hussam

AU - Barks, Ashley L.

AU - Wong, Andrew

AU - Charbel, Fady T.

PY - 2017/10/1

Y1 - 2017/10/1

N2 - Background Injury to cerebral venous sinuses during craniotomy procedures can cause significant blood loss or venous air embolism, potentially leading to serious morbidity or mortality. When iatrogenic sinus injuries occur, it is essential to promptly obtain hemostasis and repair the sinus defect. Case Description We report on a 43-year-old woman that sustained a transverse-sigmoid sinus injury during a retrosigmoid craniotomy for resection of a cerebellopontine angle meningioma. Sinus repair was performed using a reflected dural flap with excellent outcome. Conclusions The use of a reflected dural flap for closure of a widely torn sinus proved to be an effective and straightforward sinus repair strategy, with postoperative imaging demonstrating persistent patency of the sinus. The described technique may be a useful addition to any neurosurgeon's armamentarium and should be considered during cases of complex sinus injuries.

AB - Background Injury to cerebral venous sinuses during craniotomy procedures can cause significant blood loss or venous air embolism, potentially leading to serious morbidity or mortality. When iatrogenic sinus injuries occur, it is essential to promptly obtain hemostasis and repair the sinus defect. Case Description We report on a 43-year-old woman that sustained a transverse-sigmoid sinus injury during a retrosigmoid craniotomy for resection of a cerebellopontine angle meningioma. Sinus repair was performed using a reflected dural flap with excellent outcome. Conclusions The use of a reflected dural flap for closure of a widely torn sinus proved to be an effective and straightforward sinus repair strategy, with postoperative imaging demonstrating persistent patency of the sinus. The described technique may be a useful addition to any neurosurgeon's armamentarium and should be considered during cases of complex sinus injuries.

UR - http://www.scopus.com/inward/record.url?scp=85028308924&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85028308924&partnerID=8YFLogxK

U2 - 10.1016/j.wneu.2017.06.100

DO - 10.1016/j.wneu.2017.06.100

M3 - Article

C2 - 28645591

AN - SCOPUS:85028308924

VL - 106

SP - 1050.e7-1050.e10

JO - World Neurosurgery

JF - World Neurosurgery

SN - 1878-8750

ER -