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September 1966

Carcinoma of the Scalp Treated by Resection of the Sagittal Sinus

Author Affiliations

From the Department of Surgery, divisions of plastic and neurosurgery, University of North Carolina School of Medicine, Chapel Hill.

Arch Surg. 1966;93(3):507-510. doi:10.1001/archsurg.1966.01330030137028

FOR MANY years the prevailing opinion, insofar as it can be determined, has been that resection or ligation of the superior sagittal sinus posterior to the rolandic vein resulted in severe bilateral neurological defects. Dandy, in Lewis' Practice of Surgery (1945), stated that resection of the posterior superior sagittal sinus would be incompatible with life.1 More recent authoritative or contrary opinions on this subject have not been found. The opportunity to test the effects of superior sagittal sinus ligation seldom arises; reports in the literature are meager. Therefore, the result of a large resection of an intact posterior sagittal sinus will be presented.

Report of Case  The patient was a 59-year-old Negro man who had sustained a thermal burn of the top of his head during early childhood which apparently healed by epithelialization. For at least the past 20 to 25 years he had had an ulcer in the

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