ArticleNeurosurgical review2026
Penetrating dural venous sinus injury: a scoping review of clinical presentation, operative management, and prognosis.
Article in Neurosurgical review, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Penetrating injury to the dural venous sinuses (DVS) commonly occurs at the superior sagittal sinus (SSS), transverse sinus (TS), and torcular confluence. While rare, DVS penetrating injuries carry high risk of intracranial hemorrhage, air embolism, and venous infarction. The current literature pertaining to penetrating DVS injury consists primarily of isolated case reports and small series. This scoping review consolidates published cases to characterize mechanisms, management strategies, and clinical outcomes pertaining to penetrating DVS injury. A scoping literature search of PubMed, PubMed Central, Embase, and Scopus was performed through September 2025. English-language case reports, case series, and retrospective studies describing penetrating cranial trauma involving the SSS, TS, or torcula were included. Data were summarized descriptively. Twenty-five studies met inclusion criteria, encompassing low-velocity penetrating injuries, civilian firearm trauma, captive-bolt injuries, and wartime shrapnel. Low-velocity injuries were typically managed with wide exposure, circumferential sinus control, and either flow-preserving repair or selective SSS ligation, with favorable neurological outcomes. Firearm-related injuries demonstrated greater variability, ranging from excellent recovery after torcular reconstruction to delayed sinus thrombosis and fatal pulmonary air embolism following incomplete SSS sealing. Reconstruction was generally favored for posterior SSS, torcular, and dominant TS injuries, whereas ligation was better tolerated for anterior or mid-SSS lesions. Penetrating DVS injuries require early venous imaging, meticulous sinus control, and segment-specific decisions regarding repair versus ligation. Flow-preserving reconstruction is increasingly feasible and may optimize survival and neurological recovery.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.