Neurological Disorders

Intraoperative Reparation of Superior Sagittal Sinus (SSS) Rupture with Autologous Fibrin Glue: Management of a Complication. Our Experience and Technical Note

Abstract

Domenico G. Iacopino

Management of complications in case of rupture of the superior sagittal sinus (SSS), during parasagittal meningiomas surgery represents a critical issue for neurosurgeons. Various techniques have been proposed to repair the sinus since the first reports. Nowadays, SSS reparation is achieved with haemostatic tools as Gelfoam or Surgicel, ligature, and through mechanic compression with cottonoids. Our paper is the first report of reparation of the SSS with an autologous fibrin glue system (Vivostat®). We also describe our experience and the management of a common complication in the surgical treatment of lesions involving the sinus.