Abstract: Objective To investigate the relation between sinus-straddling hematoma (SSH) and venous sinus injury and explore the approaches for surgical management. Methods Thirty-six cases of stride sinus hematoma were reviewed to observe the incidence rate of sinus injury complicated with (SSH) and explore its surgical management. Results The incidence rate of venous sinus injury following (SSH) was 80.56%(29/36), and appropriate surgical management yielded good therapeutic effect in these patients. Conclusion Intracranial stride sinus hematoma is often accompanied by venous sinus injury, and adequate preoperative risk evaluation may improve the success rate of the operation.