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Injury to the Dural Venous Sinuses 

Injury to the Dural Venous Sinuses
Chapter:
Injury to the Dural Venous Sinuses
Author(s):

Tarek Y. El Ahmadieh

, Christopher J. Madden

, and Shelly D. Timmons

DOI:
10.1093/med/9780190936259.003.0006
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date: 02 July 2022

This chapter presents the case of a large surgically evacuated occipital/suboccipital epidural hematoma, caused by traumatic injury to the left transverse sinus. It reviews the guidelines for surgical evacuation of epidural hematomas, as well as the incidence, initial assessment, surgical planning, and management of dural venous sinus injuries. Further addressed are the surgical techniques and nuances used for intraoperative control of dural venous sinus bleeding and strategies used for dural venous sinus repair. Finally, the potential complications associated with dural venous sinus surgery, including rebleeding and air embolism, and their management in the intraoperative and postoperative settings are discussed.

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