article · BMJ Open
Fractures occurring over the cranial venous sinuses present severe challenges in diagnosis and treatment, frequently leading to high levels of morbidity and mortality. Despite the clinical severity of these injuries, comprehensive aggregated data to assist neurosurgeons in guiding patient management remains limited. This protocol outlines a methodology for a scoping review designed to map and synthesise contemporary evidence on the treatment methods and clinical outcomes associated with these complex head injuries. Following established scoping review frameworks, a comprehensive search across multiple global and regional bibliographic databases will be carried out without restrictions on publication date or language. Peer-reviewed primary studies addressing these fractures will be gathered, and findings will be presented using descriptive statistics, pooled figures, and narrative synthesis to provide a clearer overview of existing clinical evidence.
Head injuries that involve the major venous drainage channels of the brain are dangerous and difficult to treat. By designing a comprehensive review to collect and analyse all available worldwide research on these fractures, this effort aims to consolidate medical knowledge, helping clinicians understand existing treatment practices and potentially leading to better outcomes for critically injured patients.
The abstract does not indicate an application pathway, as it describes a protocol for an evidence synthesis rather than a commercial product or technical development.
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INTRODUCTION: Fractures over venous sinuses (FOVSs) are associated with difficulties in diagnosis and treatment resulting in a high level of morbidity and mortality. Despite its importance, there are limited aggregate data to guide the management of these fractures ultimately inflicting a major callenge to neurosurgeons. This protocol describes the methodology of a scoping review that aims to synthesise contemporary evidence on the management and outcomes of FOVSs. METHODS AND ANALYSIS: The proposed study will be conducted in accordance with the Arksey and O'Malley's framework for scoping reviews. The research question, eligibility criteria and search strategy were developed based on the population, intervention, comparator and outcome strategy. The following electronic bibliographic databases will be searched without restrictions on language and date of publication: PubMed, WHO Global Index Medicus, African Journals Online, SCOPUS, Embase, Cochrane and ProQuest Central. All peer-reviewed studies of primary data reporting on the management and outcomes of FOVSs will be included. The data extracted from included articles will be presented through descriptive statistics, pooled statistics and a narrative description. ETHICS AND DISSEMINATION: Because this study did not directly involve human individuals, ethical approval was not necessary. Dissemination strategies will include publication in a peer-reviewed journal, oral and poster presentations at local, regional, national and international conferences and promotion over social media.
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DOI: 10.1136/bmjopen-2025-108034
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