To explore the treatment strategy for depressed skull fracture in the venous sinus region.

The clinical data of 35 patients with venous sinus depressed skull fractures admitted to Neurosurgery Department of Fujian Medical University Fuzong Clinical College (the 900^th Hospital) from October 2014 to October 2019 were retrospectively analyzed. The clinical efficacy of conservative treatment, fracture surgery and distal surgery was observed.

In 35 cases, the fracture zone mainly spans the anterior 1/3 segment of superior sagittal sinus in 14 cases, the middle 1/3 segment of superior sagittal sinus in 9 cases, the posterior 1/3 segment of superior sagittal sinus in 11 cases, and across the left transverse sinus in 1 case. Nine of conservative treatment were cured and discharged. Surgical treatment was performed in 26 cases, including 8 cases of subdural hematoma removal + decompression craniectomy in the distal region of depressed fracture, and 18 cases of fracture restoration and epidural hematoma removal at the same site. Of the 26 surgical patients, 5 died. The clinical symptoms and neurological function of 21 patients were improved in a relatively short period of time.

For patients with a depressed skull fracture in the venous sinus area, careful surgical methods and timing should be selected to effectively control surgical bleeding, repair venous sinus wall damage as much as possible, and reduce the incidence of delayed venous circulation disorders.