A systematic review of penetrating injuries to the superior sagittal sinus across two centuries - Takeaways - MDSpire

A systematic review of penetrating injuries to the superior sagittal sinus across two centuries

  • By

  • Jarett E. Prince

  • Kivanc Yangi

  • Kashif Qureshi

  • Michell Goyal

  • Jack T. Olson

  • Egemen Gok

  • Mark C. Preul

  • June 11, 2026

  • 0 min

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  • 1

    Penetrating superior sagittal sinus injuries (pSSSIs) are rare but can lead to severe complications, including massive hemorrhage and neurological decline.

  • 2

    A systematic review identified 51 cases of pSSSIs from 1826 to 2025, with a predominance of male patients and a mean age of 30.3 years.

  • 3

    Common causes of pSSSIs included military trauma, accidents, suicides, and assaults, with the middle third of the sinus most frequently affected.

  • 4

    Surgical management options for pSSSIs have evolved but lack standardization, with techniques including hemostatic agents, grafts, and ligation.

  • 5

    The mortality rate for pSSSIs is 27%, particularly high for injuries to the anterior third of the sinus and those with complex trauma.

Original Source(s)

A systematic review of penetrating injuries to the superior sagittal sinus across two centuries

  • by Jarett E. Prince, Kivanc Yangi, Kashif Qureshi, Michell Goyal, Jack T. Olson, Egemen Gok, Mark C. Preul

  • June 11, 2026

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