SynthesisFrontiers in neurology
A systematic review of penetrating injuries to the superior sagittal sinus across two centuries.
Synthesis in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
What it found
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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
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Penetrating injuries of the posterior dural venous sinuses: a systematic review of injury mechanisms and repair techniques.Frontiers in neurologyPooled it
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: Penetrating injuries of the superior sagittal sinus (pSSSIs) are rare but catastrophic, often causing massive hemorrhage, intracranial hypertension, and neurological decline. Despite centuries of reported cases, management guidance remains fragmented. This study reports a systematic literature review that sought to characterize pSSSIs by mechanism, anatomical involvement, surgical management, and outcomes and trace the evolution of repair techniques over 2 centuries. Methods: PubMed, Embase, Scopus, and Cochrane databases were searched in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Inclusion criteria targeted original reports of pSSSIs, excluding iatrogenic or nonpenetrating trauma. Study quality was assessed using the Joanna Briggs Institute tools. Results: Thirty-nine articles describing 51 cases for the period 1826-2025 were included. Patients were predominantly male (49 of 51; 96%) with a mean (SD) age of 30.3 (15.1) years. Causes included military trauma (33%), accidents (29%), suicides (18%), and assaults (8%). The middle third of the sinus was most often affected (67%), followed by the anterior (24%) and posterior (18%) thirds. Nails (24%), bone fragments (16%), and bullets (16%) were frequent penetrating objects. Repair methods included hemostatic agents (25%), grafts (25%), ligation (14%), and sutures (14%). Mortality was 27% and was highest among individuals with injuries to the anterior third of the sinus and those with complex trauma. Conclusion: pSSSIs are uncommon but life-threatening, with outcomes determined by the anatomical site, mechanism, and timely intervention. Although surgical management options have evolved, no standardized paradigm exists. Contemporary approaches emphasize tailored combinations of direct repair, reconstruction, and selective ligation. Further work is needed to establish consensus guidelines and optimize outcomes in these challenging cases. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420251124767, identifier (CRD420251124767).
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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 Socratic graph.