What does this research mean for the field?

Autologous fascia lata patch repair combined with prompt multimodal neurocritical care can successfully manage contaminated open depressed skull fractures with superior sagittal sinus injury and subsequent refractory intracranial hypertension. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To describe the surgical reconstruction and neurocritical care strategy for managing an open depressed skull fracture with superior sagittal sinus injury and refractory intracranial hypertension.

August 27, 2026NMC Case Report JournalOpen Access

Successful Management of Open Depressed Skull Fracture with Superior Sagittal Sinus Injury and Refractory Intracranial Hypertension

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Authors

TMTakayuki Motoshima NYNao YAMAMOTO SKSatoshi KASUYA

Discussion

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Overview

Case report demonstrates full functional recovery after autologous sinus repair and multimodal neurocritical care in severe skull trauma, highlighting the value of preserving venous outflow.

Key Points

To describe the surgical reconstruction and neurocritical care strategy for managing an open depressed skull fracture with superior sagittal sinus injury and refractory intracranial hypertension.
Emergency debridement and hemostasis performed on a young female patient presenting with hemorrhagic shock and a midline depressed skull fracture penetrating the superior sagittal sinus.
Autologous fascia lata patch grafting reinforced with fibrin glue was used to reconstruct the lacerated sinus wall following temporary hemostasis.
Multimodal neurocritical care was initiated for postoperative refractory intracranial hypertension, incorporating external ventricular drainage, hypertonic saline, targeted temperature management, and pentobarbital infusion.
Autologous fascia lata grafting successfully controlled sinus hemorrhage and maintained superior sagittal sinus patency.
Refractory intracranial hypertension and a secondary epidural hematoma were successfully managed, allowing intracranial pressure stabilization and extubation on postoperative day 14.
The patient achieved a favorable functional recovery following rehabilitation, resulting in a modified Rankin Scale score of 1.

Cite This Study

Motoshima et al. (2026) studied this question.

synapsesocial.com/papers/6a8fe96710c91c1e92621004 https://doi.org/10.2176/jns-nmc.2026-0142

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August 27, 2026NMC Case Report JournalOpen Access

Successful Management of Open Depressed Skull Fracture with Superior Sagittal Sinus Injury and Refractory Intracranial Hypertension

View Full Paper

Ask AI

Bookmark

Authors

TMTakayuki Motoshima NYNao YAMAMOTO SKSatoshi KASUYA

Discussion

Member takes

Overview

Case report demonstrates full functional recovery after autologous sinus repair and multimodal neurocritical care in severe skull trauma, highlighting the value of preserving venous outflow.

Key Points

To describe the surgical reconstruction and neurocritical care strategy for managing an open depressed skull fracture with superior sagittal sinus injury and refractory intracranial hypertension.
Emergency debridement and hemostasis performed on a young female patient presenting with hemorrhagic shock and a midline depressed skull fracture penetrating the superior sagittal sinus.
Autologous fascia lata patch grafting reinforced with fibrin glue was used to reconstruct the lacerated sinus wall following temporary hemostasis.
Multimodal neurocritical care was initiated for postoperative refractory intracranial hypertension, incorporating external ventricular drainage, hypertonic saline, targeted temperature management, and pentobarbital infusion.
Autologous fascia lata grafting successfully controlled sinus hemorrhage and maintained superior sagittal sinus patency.
Refractory intracranial hypertension and a secondary epidural hematoma were successfully managed, allowing intracranial pressure stabilization and extubation on postoperative day 14.
The patient achieved a favorable functional recovery following rehabilitation, resulting in a modified Rankin Scale score of 1.

Cite This Study

Motoshima et al. (2026) studied this question.

synapsesocial.com/papers/6a8fe96710c91c1e92621004 https://doi.org/10.2176/jns-nmc.2026-0142

View Full Paper

Ask AI

Bookmark