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상시상정맥동 손상을 동반한 난치성 개방성 함몰골절 1례 (증례)
윤종석 외 중앙대학교 의과대학 의과학연구소 2010 中央醫大誌 Vol.35 No.3/4
Depressed fracture with sinus injury is one of life-threatening diseases. We report a complicated case of FCCD (fracture compound comminuted depressed) with superior sagittal sinus (SSS) injury which was successfully treated with the maintenance of a midline bone strip and multiple dural tentings. Forty-four year old man was suffered from FCCD with SSS injury in the parietooccipital area, which was made by dropped metal pipe. Because of massive sinus bleeding, he was in stuporous consciousness and hypovolemic shock state. Brain CT showed FCCD and hemorrhagic contusion at right occipital lobe. Emergent operation was done. While maintaining of the skull strip (2 cm width) above SSS, multiple dural tentings were done in order (contralateral to SSS injury, inferior, and ipsilateral side). Sinus bleeding was successfully controlled with multiple dural tentings and hemostatic materials. He was discharged without any neurologic deficit except visual field defect.