189 results on '"Sinus pericranii"'
Search Results
2. Soft frontal swelling in a young girl: Diagnostic nuances and surgical management of a rare case of sinus pericranii.
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Mokbul, Mobin Ibne, Yesmin, Farjana, Gupta, Pukar, Rahman, Aminur, Rana, Md. Sumon, and Islam, Md. Shafiqul
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ENDOVASCULAR surgery , *ARTERIOVENOUS malformation , *INJURY complications , *VISUAL fields , *DIFFERENTIAL diagnosis , *EDEMA - Abstract
Key Clinical Message: A 17‐year‐old girl with a congenital, painless right forehead swelling obstructing her visual field was diagnosed with sinus pericranii. Radiological imaging confirmed extracalvarial arteriovenous malformation with serpentine vessels and bony erosion. Endovascular surgery was chosen for management, highlighting the necessity of considering SP in differential diagnosis for scalp swellings. Despite its rarity, awareness of it is essential to prevent complications from injury, misdiagnosis, or invasive procedures. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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- View/download PDF
3. Case Report: A young man with frontal traumatic sinus pericranii
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Zihao Zhang, Qingpei Hao, Ruirui Luan, Guangbiao Qin, and Ruen Liu
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sinus pericranii ,venous anomaly ,trauma ,treatment ,management ,Surgery ,RD1-811 - Abstract
Sinus pericranii is a rare venous anomaly characterized by abnormal communication between intracranial and subperiosteal veins, and reports of trauma-induced sinus pericranii are even rarer. Herein, we report a case of delayed-onset sinus pericranii resulting from a traumatic injury to the left side of the midline of the forehead sustained in early childhood. The anomaly was successfully resected via a coronal incision within the hairline, followed by meticulous bone wax sealing. In this paper, we aim to provide details on the diagnosis and surgical techniques of trauma-induced sinus pericranii, contributing valuable insights for the management of such rare condition.
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- 2024
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4. Imaging of congenital anomalies and defects of the skull base and calvarium.
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Wang, Wen and Patel, Jeet
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SKULL base , *HUMAN abnormalities , *CONGENITAL disorders , *CALVARIA , *SYMPTOMS , *DIVERTICULUM - Abstract
Congenital anomalies and defects of the skull base and calvarium encompass a broad and complex spectrum of pathologies. The clinical presentation is highly variable, and these anomalies may be discovered incidentally in asymptomatic individuals. Radiological assessment plays a pivotal role in precisely characterizing these abnormalities, facilitating the diagnostic process, and assisting in any preoperative preparation. [ABSTRACT FROM AUTHOR]
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- 2024
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5. Soft frontal swelling in a young girl: Diagnostic nuances and surgical management of a rare case of sinus pericranii
- Author
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Mobin Ibne Mokbul, Farjana Yesmin, Pukar Gupta, Aminur Rahman, Md. Sumon Rana, and Md. Shafiqul Islam
- Subjects
endovascular embolization ,extracalvarial arteriovenous malformation ,sinus pericranii ,surgery ,venous anomalies ,Medicine ,Medicine (General) ,R5-920 - Abstract
Key Clinical Message A 17‐year‐old girl with a congenital, painless right forehead swelling obstructing her visual field was diagnosed with sinus pericranii. Radiological imaging confirmed extracalvarial arteriovenous malformation with serpentine vessels and bony erosion. Endovascular surgery was chosen for management, highlighting the necessity of considering SP in differential diagnosis for scalp swellings. Despite its rarity, awareness of it is essential to prevent complications from injury, misdiagnosis, or invasive procedures.
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- 2024
- Full Text
- View/download PDF
6. Atretic cephalocele associated with sinus pericranii: a single-center analysis.
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Rai, Yurie and Ogiwara, Hideki
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MAGNETIC resonance imaging , *PARIETAL lobe , *VENOGRAPHY , *CHILD patients , *MAGNETIC traps - Abstract
Purpose: The purpose of this report is to investigate the association of atretic cephalocele (AC) with sinus pericranii (SP) in order to improve the management of AC. Methods: Pediatric patients with AC who underwent repair surgeries were retrospectively analyzed. Anomalies including SP were evaluated using computed tomography angiography and venography (CTA/V) as well as magnetic resonance imaging. Results: Fourteen patients were identified, comprising of 5 males and 9 females. The AC was located interparietally in 8 cases and occipitally in 6 cases. Seven cases (50%) were found to be associated with SP, all of which did not involve major intracranial venous circulation. Five out of 8 parietal ACs (63%) were accompanied by SP, while 2 out of 6 occipital ACs (33%) exhibited SP. All of the SP associated with AC only contributed to a small portion of the venous outflow, and the repair surgeries were successfully performed without excessive bleeding. Conclusion: More than half of the ACs were associated with SP, with a higher prevalence in the parietal region compared to the occipital region. For the appropriate management of AC, preoperative investigation of SP using CT venography is considered important. [ABSTRACT FROM AUTHOR]
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- 2024
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7. Treatment of an Elusive Symptomatic Sinus Pericranii: Case Report and Review of the Literature.
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Dominguez, Jose F., Shah, Smit, Feldstein, Eric, Ng, Christina, Li, Boyi, Kim, Michael, Santarelli, Justin, Gandhi, Chirag D., Tyagi, Rachana, and Tobias, Michael
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LITERATURE reviews , *CRANIAL sinuses , *NEUROSURGERY , *THERAPEUTICS , *SCALP - Abstract
Sinus pericranii (SP) are abnormal vascular connections between extracranial scalp venous channels and intracranial dural sinuses. This vascular abnormality rarely results in significant sequelae, but in select cases, it can be symptomatic. We describe the case of a 7-year-old girl with an SP who experienced intermittent visual, motor, and sensory symptoms not previously described in the literature. Her symptoms resolved after surgical treatment of the SP. We propose a mechanism for her symptoms and the rationale for the role of neurosurgical intervention along with a review of the literature. [ABSTRACT FROM AUTHOR]
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- 2023
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8. Rapidly growing sinus pericranii within a short period: a case report.
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Sun, Yuchen, Wang, Binglei, and Wang, Huijuan
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FRONTAL sinus , *PROGNOSIS , *SYMPTOMS , *MEDICAL personnel , *DIAGNOSIS methods - Abstract
Introduction: Sinus pericranii (SP) is a rare vascular malformation characterized by abnormal communication between the intracranial and extracranial venous systems [1]. Sinus pericranii is most commonly seen in the distribution areas of the superior sagittal and transverse sinuses [2]. There are no uniform criteria for the etiology, pathogenesis, diagnostic criteria, treatment options, or prognosis of sinus pericranii [3]. Case description: In this paper, we present the diagnosis and treatment of a child admitted to our neurosurgery department in 2019 with rapidly growing frontal sinus pericranii, as well as the 3-year postoperative follow-up. Discussion: The authors summarize the clinical presentation characteristics, diagnosis and treatment methods, and prognosis of this disease using relevant domestic and international literature to improve clinicians' understanding of this disease. Conclusion: It is rare to see a significant growing of the sinus pericranii within a short period, and the mechanism of their occurrence needs to be further explored. [ABSTRACT FROM AUTHOR]
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- 2023
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9. Sinus pericranii associated with syntelencephaly: a case report
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Shuhei Fujino, Mikako Enokizono, Satoshi Ihara, Tatsuo Kono, and Sahoko Miyama
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Sinus pericranii ,Syntelencephaly ,Holoprosencephaly ,Craniosynostosis ,Tight posterior fossa ,Case report ,Neurology. Diseases of the nervous system ,RC346-429 - Abstract
Abstract Background Sinus pericranii is a rare cranial venous malformation resulting in a subcutaneous mass due to abnormal communication between intracranial and subperiosteal/interperiosteal veins. To date, to the best of our knowledge, there are no reports of sinus pericranii associated with syntelencephaly, a subtype of lobar holoprosencephaly. We herein report a case of sinus pericranii associated with syntelencephaly. This report can provide us better understanding of the etiology of sinus pericranii, the potential risks, and the treatment options for these patients. Case presentation A 2-year-4-month old female patient who received the diagnosis of syntelencephaly as a neonate presented with a subcutaneous mass in the parietal region. The mass was soft, nonpulsatile, 3 × 2 cm in size, and showed enlargement in the lying position. Color cranial Doppler ultrasound, head magnetic resonance imaging (MRI), and cerebral angiography revealed a dilated vessel passing through the parietal bone and forming a communication between the superior sagittal sinus and scalp veins. Based on these findings, sinus pericranii was diagnosed. The head MRI also showed coronal craniosynostosis, a tight posterior fossa. At age 2 years and 7 months, the patient underwent a transection of the sinus pericranii and the mass resolved without any complications or recurrences for more than 2.5 years to date. Conclusion Sinus pericranii is a rare cranial and venous malformation sometimes accompanied by brain malformations or craniosynostosis that may become more apparent as the brain and skull develop. Since this condition can be complicated by intracranial hemorrhage and sinus thrombosis, early detection is necessary to determine the treatment options. Physicians should be alert to the possibility of this condition if they observe a soft cranial mass that appears to decrease in size in the sitting position and bulge in the lying position.
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- 2022
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10. A rare case report of dominant paediatric sinus pericranii: food for thought!
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Arvind Kumar Agarwal and Neeraj Basantani
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Paediatric ,Dominant ,Sinus pericranii ,Surgery ,RD1-811 ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 - Abstract
Abstract Background Sinus pericranii (SP) is a rare venous anomaly abnormally connecting the intracranial dural sinuses with the epicranial venous channels. Various authors have attempted to classify this entity to decide management for this potentially life-threatening condition. With approximately 200 cases reported in world literature till date, no definitive guidelines for management have emerged. Case presentation A female child aged 7 years presented to us with complaints of occipital swelling since birth. This swelling was gradually increasing in size as reported by the parents. On examination, the swelling was located in the right parieto-occipital region, size 10 cm diameter in lying position, soft, non-tender, fluid-like diffuse swelling with underlying areas of palpable bony defects, partially reducible in sitting up position, and cough impulse was present. On evaluation, a case of dominant SP was established. Conclusion Traditionally, SP has been reported mostly in paediatric population and managed surgically or endovascularly for selected cases, while the remaining cases have been observed. Profuse haemorrhage has been a major deterrent to manage these lesions surgically. Long-term complications like trauma, haemorrhage, infection and thrombosis have been reported in conservatively managed cases. The neurosurgical community has thus been left searching for the optimal management of SP. The authors report this case attempting to classify this case according to the available classification systems and hence decide the best possible management.
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- 2022
- Full Text
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11. Sinus pericranii associated with syntelencephaly: a case report.
- Author
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Fujino, Shuhei, Enokizono, Mikako, Ihara, Satoshi, Kono, Tatsuo, and Miyama, Sahoko
- Abstract
Background: Sinus pericranii is a rare cranial venous malformation resulting in a subcutaneous mass due to abnormal communication between intracranial and subperiosteal/interperiosteal veins. To date, to the best of our knowledge, there are no reports of sinus pericranii associated with syntelencephaly, a subtype of lobar holoprosencephaly. We herein report a case of sinus pericranii associated with syntelencephaly. This report can provide us better understanding of the etiology of sinus pericranii, the potential risks, and the treatment options for these patients.Case Presentation: A 2-year-4-month old female patient who received the diagnosis of syntelencephaly as a neonate presented with a subcutaneous mass in the parietal region. The mass was soft, nonpulsatile, 3 × 2 cm in size, and showed enlargement in the lying position. Color cranial Doppler ultrasound, head magnetic resonance imaging (MRI), and cerebral angiography revealed a dilated vessel passing through the parietal bone and forming a communication between the superior sagittal sinus and scalp veins. Based on these findings, sinus pericranii was diagnosed. The head MRI also showed coronal craniosynostosis, a tight posterior fossa. At age 2 years and 7 months, the patient underwent a transection of the sinus pericranii and the mass resolved without any complications or recurrences for more than 2.5 years to date.Conclusion: Sinus pericranii is a rare cranial and venous malformation sometimes accompanied by brain malformations or craniosynostosis that may become more apparent as the brain and skull develop. Since this condition can be complicated by intracranial hemorrhage and sinus thrombosis, early detection is necessary to determine the treatment options. Physicians should be alert to the possibility of this condition if they observe a soft cranial mass that appears to decrease in size in the sitting position and bulge in the lying position. [ABSTRACT FROM AUTHOR]- Published
- 2022
- Full Text
- View/download PDF
12. SINUS PERICRANII. RARE CASE REPORT.
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Abdykarimova, S. M., Maidan, A. T., Olenbay, G. I., Uteuva, S. A., and Moldabekov, A. E.
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PARANASAL sinus diseases , *CHILD patients , *PATHOLOGY , *OPERATIVE surgery , *MEDICAL care - Abstract
Sinus pericranii is a rare lesion found most commonly in a pediatric population but can be presented at any age. There are many theories explaining pathomorpogenesis, but any of them are proven correct. There are some distinguishing features of this rare pathology. This case report describes them and also describes the treatment course of the patient. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
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13. A rare case report of dominant paediatric sinus pericranii: food for thought!
- Author
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Agarwal, Arvind Kumar and Basantani, Neeraj
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CRANIAL sinuses , *CHILD patients , *SITTING position , *PEDIATRICS , *LITERATURE - Abstract
Background: Sinus pericranii (SP) is a rare venous anomaly abnormally connecting the intracranial dural sinuses with the epicranial venous channels. Various authors have attempted to classify this entity to decide management for this potentially life-threatening condition. With approximately 200 cases reported in world literature till date, no definitive guidelines for management have emerged. Case presentation: A female child aged 7 years presented to us with complaints of occipital swelling since birth. This swelling was gradually increasing in size as reported by the parents. On examination, the swelling was located in the right parieto-occipital region, size 10 cm diameter in lying position, soft, non-tender, fluid-like diffuse swelling with underlying areas of palpable bony defects, partially reducible in sitting up position, and cough impulse was present. On evaluation, a case of dominant SP was established. Conclusion: Traditionally, SP has been reported mostly in paediatric population and managed surgically or endovascularly for selected cases, while the remaining cases have been observed. Profuse haemorrhage has been a major deterrent to manage these lesions surgically. Long-term complications like trauma, haemorrhage, infection and thrombosis have been reported in conservatively managed cases. The neurosurgical community has thus been left searching for the optimal management of SP. The authors report this case attempting to classify this case according to the available classification systems and hence decide the best possible management. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
14. Sinus pericranii: an update illustrated with a large case with long-term follow-up.
- Author
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Bada-Bosch, Isabel, Berenguer, Beatriz, Lorca-García, Concepción, Ruiz, Yolanda, and De Tomás, Elena
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DIGITAL subtraction angiography , *CONSERVATIVE treatment , *DIAGNOSIS , *SURGICAL excision - Abstract
Sinus pericranii (SP) is a rare venous anomaly consisting of an aberrant communication between the intra- and extra-cranial venous systems forming a venous malformation in the scalp. It is usually defined as midline frontal or parietal fluctuating bluish tumour that increases in size with Valsalva manoeuvre. The gold standard for its diagnosis is digital subtraction angiography, but initial test of choice is magnetic angio-resonance imaging. Although being a benign condition it usually poses aesthetic concerns and fear of complications. This is the reason why, although conservative management is accepted, treatment is usually considered, either endovascular or surgical. We herein review the current management of these rare vascular lesions and illustrate it with a case of a large frontal SP in which surgical excision was decided and performed with an excellent long-term result. We underline the importance of careful haemostasis and multidisciplinary work for the safe management of complex vascular anomalies. Level of evidence: Level V, therapeutic study. [ABSTRACT FROM AUTHOR]
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- 2021
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15. Sinus pericranii with facial involvement—A great mimicker.
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Knöpfel, Nicole, Theiler, Martin, Nieman, Elizabeth, Gnannt, Ralph, Kottke, Raimund, Altermatt, Stefan, Bayliss, Susan J., and Weibel, Lisa
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MAGNETIC resonance imaging - Abstract
Sinus pericranii is a rare vascular anomaly characterized by an abnormal communication between the intra‐ and extracranial venous systems through a calvarial defect(s). We present three cases of congenital sinus pericranii with facial involvement, emphasizing its cutaneous presentation with diagnostic pitfalls and discuss the multidisciplinary management of this vascular anomaly. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
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16. A Simple Surgical Technique for Pediatric Sinus Pericranii: Intraoperative Manual Compression of a Major Shunting Point.
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Fujimoto, Yuki, Ishibashi, Ryota, Maki, Yoshinori, Kitagawa, Masashi, Kinosada, Masanori, Kurosaki, Yoshitaka, Ikeda, Hiroyuki, and Chin, Masaki
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MAGNETIC resonance imaging , *OPERATIVE surgery , *CRANIAL sinuses , *VENOGRAPHY , *DIGITAL subtraction angiography , *ARTERIAL puncture - Abstract
Introduction: Sinus pericranii is a vascular anomaly with extra- and intracranial venous connections. Sinus pericranii is categorized into 2 groups according to its contribution to the normal venous circulation. The accessory type sinus pericranii, which does not contribute to the normal major venous circulation, can be managed. Despite several proposed operative maneuvers, a standardized technique is yet to be established to control intraoperative bleeding. Case Presentation: A 2-week-old neonate underwent examination of a subcutaneous mass in the parieto-occipital region. The subcutaneous mass had a major venous connection to the superior sagittal sinus on ultrasonography. The subcutaneous mass was partially thrombolized on magnetic resonance imaging and was minimally enhanced on computed tomography venography. The subcutaneous mass seemed not to contribute to the normal venous circulation. Surgical removal of the subcutaneous mass was performed due to its increased size at the age of 1 year and 3 months. While subcutaneous mass was detached from the scalp, the major venous connection was manually compressed, and minor venous connections were easily detected. The intraoperative bleeding was controllable. The pathological diagnosis was sinus pericranii. The patient is now followed up in the outpatient clinic. No recurrence was seen 18 months after the surgery. Discussion/Conclusion: Intraoperative hemostasis is essential while sinus pericranii is detached from the cranium. Hemostatic agents such as bone wax or absorbable gelatin and heat coagulation seem to be useful. However, complicative hemorrhage concerning to the preceded technique has been also reported. As seen in our case, to detect minor shunting points between the sinus pericranii and the intracranial veins, the major venous connection was manually compressed. Intraoperative manual compression of a major venous connection of sinus pericranii can be an option to manage intraoperative bleeding. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
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17. Sinus pericranii—unusual anatomic obstacle to posterior decompression on an amniotic band sequence.
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Tonello, Cristiano, Brandão, Michele Madeira, and Alonso, Nivaldo
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COMPUTED tomography , *CRANIAL sinuses , *PREOPERATIVE risk factors , *SURGICAL decompression , *MAGNETIC resonance , *ARNOLD-Chiari deformity , *LAMINECTOMY , *INTRACRANIAL hypertension - Abstract
Abnormal venous drainage in patients with craniofacial anomalies is relativity uncommon. Sinus pericranii is a rare vascular malformation characterized by communication between intracranial dural sinuses and extracranial venous drainage systems. The association between sinus pericranii and amniotic band syndrome has not been described. We report on a 7-month-old girl diagnosed with amniotic band sequence who underwent posterior fossa decompression due to intracranial hypertension and Chiari malformation type I. The computed tomography and magnetic resonance identified the connection between the sagittal sinus and the scalp. During the operation, the presence of sinus pericranii was a complicating factor limiting the proper exposure because of the risk of bleeding. Patients with craniofacial anomalies and sinus pericranii present an increased risk of serious surgical complications and consequences from craniofacial surgery, especially from cranioplasty and posterior decompression. Special attention must be paid to abnormal venous drainage, and vascular imaging studies are sometimes required. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
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18. Safety of surgical management of accessory sinus pericranii in infants
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Mohamed M. Elsherbini, Hatem Badr, and Amr Farid Khalil
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sinus pericranii ,scalp swelling ,developmental venous anomaly ,Neurology. Diseases of the nervous system ,RC346-429 - Abstract
Purpose: to better understand the pathological process of sinus pericranii and the safety of the surgical intervention. Methods: patients’ archive review of patients who underwent surgical management for sinus pericranii with a confirmed diagnosis and with follow up period greater than 6 months. Results: 6 infants were included; all underwent disconnection surgically with good outcome in all cases. Conclusion: disconnection surgery for sinus pericranii is a safe procedure with a good prognosis.
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- 2021
19. Safety of surgical management of accessory sinus pericranii in infants.
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Elsherbini, Mohamed M., Badr, Hatem, and Khalil, Amr Farid
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INFANTS , *DIAGNOSIS , *PROGNOSIS , *SAFETY , *SCALP - Abstract
Purpose: to better understand the pathological process of sinus pericranii and the safety of the surgical intervention. Methods: patients' archive review of patients who underwent surgical management for sinus pericranii with a confirmed diagnosis and with follow up period greater than 6 months. Results: 6 infants were included; all underwent disconnection surgically with good outcome in all cases. Conclusion: disconnection surgery for sinus pericranii is a safe procedure with a good prognosis. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
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20. Intracranial venous malformations: Incidence and characterization in a large pediatric cohort.
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Chen, Karen S, Montaser, Alaa, Ashour, Ramsey, and Orbach, Darren B
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SINUS thrombosis , *HUMAN abnormalities , *GENETIC mutation , *VENOUS thrombosis , *HYPERTENSION , *DIAGNOSTIC imaging - Abstract
Background: Significant advances have been reported recently in the genetic and mechanistic characterization of extracranial venous malformations. However, intracranial purely venous malformations (icVM) analogous to those outside the CNS have not been systematically described. Purpose: We sought to ascertain whether such an entity as icVM could in fact be identified, distinct from previously described CNS venous anomalies and analogous to extracranial venous malformations. Methods: Our prospectively collected pediatric cerebrovascular database was reviewed to identify patients with icVM; 1458 consecutive angiograms and/or angiographic interventions performed on 706 children at our institution from October, 2006 through May, 2019 were evaluated, in addition to outside imaging studies on 192 additional patients sent to our Vascular Anomalies Center for cerebrovascular review during the same time period. Thus, the cohort consisted of 898 children. Results: Nineteen of 898 patients (2.1%) were found to harbor icVM, including 9 (47.3%) with sinus pericranii, 15 (78.9%) with associated large, complex extracranial venous malformations, and 3 (15.7%) with neurocognitive delay. There was no intracranial hemorrhage or venous hypertension seen in the cohort. Asymptomatic venous thrombosis in the superior sagittal sinus was seen in three patients. Conclusion: Venous malformations, both extracranial and icVM, share many characteristics that are distinct from developmental venous anomalies. icVM were not associated with venous hypertension. The underlying genetic mutations involved in the development of icVM, germ-line or somatic, remain to be elucidated, but may very well involve shared mechanisms and pathways with extracranial venous malformations. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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21. Adult-Onset Orbital Sinus Pericranii with T2 Hyperintensity Lesion: A Case Report
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Toshiya Osanai and Kiyohiro Houkin
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Sinus pericranii ,T2 hyperintensity lesion ,Adult ,Vascular malformations ,Neurology. Diseases of the nervous system ,RC346-429 - Abstract
Sinus pericranii is a rare vascular anomaly, and most cases occur in children and develop at the midline. In previous reports of sinus pericranii, T2 hyperintensity lesion has not been regarded as a common sequela. We report an extremely rare case of orbital sinus pericranii with associated T2 hyperintensity lesion. A 50-year-old man was admitted to our hospital with a history of right upper eyelid swelling that had been present for several years. Computed tomography, magnetic resonance imaging, and digital subtraction angiography demonstrated a connection between the lesion and normal cerebral venous system. Thus, we diagnosed the lesion as a sinus pericranii despite its atypical features. We elected to observe the patient, and the lesion had remained the same size without any adverse events, such as hemorrhage, occurring throughout the 5-year follow-up. An atypical sinus pericranii should be considered in patients with a soft compressible swelling on the head, even if the lesion is located off the midline.
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- 2018
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22. Sinus pericranii in the upper eyelid: diagnosis and management guidelines.
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Akella, Sruti S., Shah, Jinesh, and Barmettler, Anne
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CRANIAL sinuses , *EYELIDS , *BLEPHAROPTOSIS - Abstract
Sinus pericranii (SP) is a rare malformation involving aberrant connections between the dural venous sinuses and extracranial veins. Classically considered congenital pathology, there are reported instances of post-traumatic SP in adults. Very rarely, the upper eyelid is involved and the resulting ptosis can obstruct the visual axis. In these cases, surgical removal may be warranted. Because of the high risk of massive intraoperative hemorrhage, careful preoperative identification and diagnostic workup is essential. The authors report a patient with new onset, asymmetric eyelid ptosis referred for evaluation, and subsequently diagnosed with SP. Through a multi-disciplinary assessment, deferring surgical intervention was determined to be appropriate management. The lesion was monitored clinically, and at 6 months follow-up, there were no noted adverse outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
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23. Sinus pericranii, skull defects, and structural brain anomalies in TRAF7‐related disorder.
- Author
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Accogli, Andrea, Scala, Marcello, Pavanello, Marco, Severino, Mariasavina, Gandolfo, Carlo, De Marco, Patrizia, Musacchia, Francesco, Torella, Annalaura, Pinelli, Michele, Nigro, Vincenzo, and Capra, Valeria
- Abstract
Background: Several somatic mutations in TRAF7 have been reported in cancers, whereas a few germline heterozygous mutations have been recently linked to a neurodevelopmental disorder, characterized by craniofacial dysmorphisms, congenital heart defects, and digital anomalies. Cases: We report two subjects harboring de novo heterozygous missense variants in TRAF7, namely the recurrent 1964G>A(p.Arg655Gln) and the novel missense c.1204C>G(p.Leu402Val) variants. In addition to the typical hallmarks of the TRAF7‐related disorder, both subjects presented with a recognizable "pear‐shaped" skull due to multiple craniosynostosis, sinus pericranii, skull base/cranio‐cervical junction anomalies, dysgyria, and inferior cerebellar vermis hypoplasia. Conclusions: Hence, we expand the genotypic and phenotypic spectrum of this neurodevelopmental disorder, discussing possible implications for clinical management of subjects with germline TRAF7 mutations. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
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24. Sinus Pericranii Complicated by Hydrocephalus: Case Report and Literature Review.
- Author
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Almujaiwel, Nasser, Alsager, Ghadeer, Almubarak, Abdulaziz Oqalaa, and Ajlan, Abdulrazag
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HYDROCEPHALUS , *LITERATURE reviews , *CRANIAL sinuses , *INTRACRANIAL pressure , *ARTERIOVENOUS malformation , *SINUS thrombosis - Abstract
Sinus pericranii (SP) is a rare vascular condition that results when abnormal communication between the intracranial and extracranial venous systems is present. Here we report a rare case of hydrocephalus revealed through a SP scalp mass with a review of literature. A 13-year-old girl presented with a history of bulging left eye, bilateral gradual deterioration of vision, nausea, and progressive headaches. The family reported the sudden appearance of a scalp mass prior to these symptoms. Brain imaging showed supra- and infratentorial communicating hydrocephalus and subcutaneous vascular collaterals from the midportion of the superior sagittal sinus. After ventriculoperitoneal shunt insertion, interval reduction of the ventricular size and disappearance of extracranial veins without associated intra- or extracranial vascular anomalies was observed. SP is divided into two main types: (1) Spontaneous type, in which lesions are formed due to acquired causes without a syndromic association or other vascular anomalies or stenosis. The most commonly reported cause is trauma in which SP may develop at the trauma site rather than the midline. (2) Congenital type, in which case the most commonly reported association is craniosynostosis. It can also be seen with vein of Galen hypoplasia, vein of Galen malformations, dural sinus malformations, solitary developmental venous anomalies, and intraosseous arteriovenous malformations. We are reporting the first case of idiopathic SP with hydrocephalus without a congenital association or acquired cause, including trauma. The sudden change in SP size can indicate a change in intracranial pressure and the development of hydrocephalus. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
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25. Combined treatment of surgery and sclerotherapy for sinus pericranii.
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Jeong Yeop Ryu, Jong Ho Lee, Joon Seok Lee, Jeong Woo Lee, Seok Jong Lee, Jong Min Lee, Sang Yub Lee, Seung Huh, Ji Yoon Kim, Sung Kyoo Hwang, and Ho Yun Chung
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SCLEROTHERAPY , *RADIOLOGY - Abstract
Sinus pericranii is a rare vascular anomaly characterized by abnormal venous communication between the inner and outer regions of the cranial cavity. Here, we report a case of sinus pericranii and venous malformations in the right periorbital region of a 2-year-old girl. Radiologic findings showed venous malformations in the right parietal region communicating with the superior sagittal sinus in the intracranial region. There were notable improvements following surgical resection for the abnormal venous lesions and several sclerotherapies. Presence of a bluish and pulsating mass on the scalp, which showed bruit on auscultation, may indicate sinus pericranii, which should be included in the differential diagnosis. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
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26. Symptomatic Sinus Pericranii with Adult Onset Headache : A Case Report with Pathologic Perspective.
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Young Soo Chung, Jung-jae Kim, Se Hoon Kim, Joonho Chung, Jae Whan Lee, and Keun Young Park
- Subjects
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CRANIAL sinuses , *SURGICAL excision , *HEADACHE , *MAGNETIC resonance imaging , *VALSALVA'S maneuver - Abstract
Sinus pericranii (SP) is a rare vascular anomaly of the scalp that consists of an abnormal pericranial venous channel connected to adjacent dural venous sinuses. Most SP are asymptomatic and are found in the pediatric age group. We aim to report a case of symptomatic SP in adult and describe the clinical, radiological, and pathohistological findings to help understand and differentiate this lesion from other scalp lesions. A 40-year-old man with a scalp mass was admitted to our hospital complaining of headache. The lesion enlarged when the patient was in a recumbent position or during Valsalva maneuver. The radiologic imaging suggested its diagnosis as an accessory type of SP with bone erosion. Surgical resection and cranioplasty were successfully performed, and the related headache also gradually subsided. At the 3-year follow-up, there was no recurrence on magnetic resonance imaging. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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27. Characteristics of Recurrent Congenital Sinus Pericranii: Case Report and Review of the Literature.
- Author
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Tamura, Goichiro, Ogiwara, Hideki, and Morota, Nobuhito
- Subjects
- *
LITERATURE reviews - Abstract
Introduction: Sinus pericranii (SP) involves transosseous vessels that connect the intra- and extracranial venous systems. Accessory-type SP can be cured by surgical or endovascular treatment. Reports of recurrence are, however, rare. Case: A boy presented with a soft-tissue mass on the left parietal region of the head. Computed tomography and magnetic resonance imaging revealed the congenital SP with several small transosseous vessels surrounded by an area of thin bone. At the initial surgery, the vascular mass was completely excised by coagulating and cutting the -transosseous vessels. The skull defect was filled with bone wax. Two years later, SP recurred at the same site. At the second surgery, the skull defect and surrounding area were sealed with acrylic resin. The boy has been followed up for 6 years without recurrence. Discussion: Potential risk factors for recurrence proposed in the existing literature include an unusually large number of emissary veins, rich circulation between intra- and extracranial venous systems, large bone defects, raised intracranial pressure, and association of other developmental venous anomalies. Our case demonstrates that thin skull bone around the original lesion can be another risk factor for recurrence. Conclusion: Removing all abnormal vessels and sealing the skull defect as well as the surrounding thin bone area are important to prevent recurrence of congenital SP. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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28. Resection of Meningiomas Involving Major Dural Venous Sinuses: Classification, Technique, and Long-Term Results.
- Author
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Zeeshan, Qazi, Patel, Anoop, Cheng, Chun-Yu, Zhao, Ning-Hui, Barber, Jason, Ghodke, Basavaraj V., and Sekhar, Laligam N.
- Subjects
- *
CRANIAL sinuses , *KARNOFSKY Performance Status , *TUMOR grading - Abstract
Management of meningiomas with major dural venous sinus involvement is challenging. We present our case series and perspective on reconstruction of the sinuses. Fifty-five patients underwent operations between 2005 and 2016 and the retrospective data were collected and analyzed. The cohort was younger with a mean of 51.3 years (range, 19–72 years) predominantly involving the superior sagittal sinus (44 patients). Sinus involvement was classified into group 1 (<50% of sinus, n = 28), group 2 (50%–99%, n = 8), and group 3 (total occlusion, n = 19). Venous collateralization was present in 100% of group 2 and 3 and in 36% of group 1 occlusions. Sinus pericranii was seen in 22 patients. Gross total resection was achieved in 87.2%, and sinus reconstruction followed in 38 patients (24 by direct suture and 14 by a patch graft). Pathology showed 36 (65%) World Health Organization grade I, 18 (33%) grade II, and 1 (2%) grade III tumors. During the mean follow-up of 60 months (range, 1–132 months), sinus was patent (74%) or narrowed but patent (24%) in 98%; 2 recurrences (3.6%) were observed (at 24 and 120 months). The mean preoperative/postoperative Karnofsky Performance Status and Kaplan-Meier cumulative overall/recurrence-free survival were 84.2%/88.1% and 90.9%/80.1%, respectively. These meningiomas present in a younger population, are more likely to be World Health Organization grade II or III, necessitating a more aggressive tumor resection strategy. Aggressive resection coupled with sinus reconstruction results in good long-term surgical outcome and low recurrence rates. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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29. Endovascular Embolization of Sinus Pericranii Using Plastic Cup During Glue Injection.
- Author
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Ohshima, Tomotaka, Miyachi, Shigeru, Joko, Masahiro, Matsuo, Naoki, Kawaguchi, Reo, Maejima, Ryuya, and Takayasu, Masakazu
- Subjects
- *
GLUE , *INJECTIONS , *DRINKING cups , *RADIATION exposure , *DRAINAGE - Abstract
Background Sinus pericranii (SP) is a rare abnormal connection between the intracranial and extracranial venous drainage pathways through the osseous channels. Herein we present the case of a patient with growing SP, which was successfully treated using endovascular transvenous embolization through external compression with a plastic cup for preventing glue migration into subcutaneous veins. Case Description A 9-month-old boy presented with a gradually growing mass on the midline cranial vertex after his birth, for which transvenous embolization was performed. A microcatheter was successfully navigated into the SP from the superior sagittal sinus. Because the subcutaneous drainages were confirmed to be multidirectional, we compressed the drainages through the skin using a plastic cup during the glue injection step for preventing glue migration. Subsequently, the SP was completely obliterated. The postoperative course was uneventful. Conclusions Manual compression using a plastic cup was useful not only for embolization but also for reducing the physician's exposure to radiation as compared with that in the finger compression method. When a direct puncture is required, a plastic cylinder can also be used. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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30. Sinus pericranii occipital : à propos d'une situation inhabituelle et revue de la littérature.
- Author
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Ennouhi, M.A., Choumi, F., Boudhas, A., Moumine, M., and Moussaoui, A.
- Abstract
Résumé Le sinus pericranii désigne un ensemble de présentations cliniques qui ont en commun une connexion pathologique entre les veines du scalp et le sinus veineux intracrânien sous-jacent. La nature de cette communication va de la simple dilatation des veines émissaires du crâne, à des connexions larges à travers un os calvarial défectueux laissant quasiment le sinus veineux intracrânien en contact direct avec les structures sous-cutanées. Les auteurs présentent le cas d'un sinus pericranii occipital de découverte peropératoire. Congénitale, post-traumatique ou spontanée, l'anomalie concerne le plus souvent le scalp frontal, et siège sur ou près de la ligne médiane. La présentation clinique habituelle est celle d'une masse souple qui se vide à la pression en position debout, tandis qu'elle se remplit dans toutes les situations qui augmentent la pression intracrânienne (manœuvre de Valsalva ...). Le diagnostic de certitude n'est pas toujours facile à établir, et repose sur un faisceau d'arguments cliniques et radiologiques. À travers une revue de la littérature nous proposons de mettre le point sur les particularités cliniques, moyens diagnostiques et options thérapeutiques de cette entité rare. Summary The sinus pericranii refers to a set of clinical presentations that share a pathological communication between the scalp veins and the underlying cranial venous sinus. The nature of this connection ranges from the simple dilatation of the emissary veins, to wide connections through a calvarial bone loss leaving almost the cranial venous sinus in direct contact with the subcutaneous tissue. The authors present the case of an occipital pericranii sinus of intraoperative discovery. Congenital, post-traumatic or spontaneous, this anomaly is most often frontal and located on or close to the midline. The usual clinical presentation is that of a soft mass that empties to the pressure while standing, while it fills in all situations that increase the intracranial pressure (Valsalva maneuver ...). The diagnosis is not always easy to establish, and relies on a bundle of clinical and radiological arguments. Through a review of the literature we propose to focus on the clinical features, diagnostic means and therapeutic options of this rare entity. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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31. Multiple lateral sinus pericranii: A case report
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Ivetić Dražen, Pavlićević Goran, Antić Branislav, and Kostić Dejan
- Subjects
sinus pericranii ,neurosurgical procedures ,diagnosis ,treatment outcome ,Medicine (General) ,R5-920 - Abstract
Introduction. Sinus pericranii is a rare vascular anomaly. It is characterized by abnormal communication between the extracranial and intracranial venous system, usually involving the superior sagittal sinus and occasionally the transverse sinus. Off the midline lesions are extremely rare. Multiplicity, associated venous lakes, venous angioma and lateral location are unusual and unique presentation of sinus pericranii. Case report. A case of multiple congenital off-midline sinus pericranii in the left frontotemporal and parietal region is presented. Magnetic resonance imaging showed an extracranial vascular anomaly connected with the intracranial venous system through abnormal diploic or emissary veins. The lesions were removed completely by surgery. Conclusion. Sinus pericranii is a rare vascular malformation with unique clinical and radiological features. Sinus pericranii may cause fatal complications, and it must be treated by surgical or endovascular procedures.
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- 2015
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32. Single-session percutaneous embolization with onyx and coils of sinus pericranii.
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Maranha Gatto, Luana Antunes, de Lima Alves, Guilherme Naves, Rodrigues Seabra, Diego do Monte, Luis Koppe, Gelson, and Demartini Jr., Zeferino
- Subjects
SINUS thrombosis ,CRANIAL sinuses ,VENOGRAPHY - Abstract
Background: Sinus pericranii (SP) is a rare vascular malformation consisting of an abnormal communication between the extra- and the intracranial venous system. It occurs due to the adhesion of vessels without a muscular layer or a hemangioma on the outer surface of the skull through diploic vessels, communicating with an intracranial venous sinus. Case Description: A 10-month-old female presented with a pulsatile mass on the posterior parietal region. Investigation with brain vascular examinations showed a venous malformation communicating with the superior sagittal sinus under the scalp, without arterial feeder or nidus. An endovascular embolization with coils and a percutaneous embolization with Onyx ® were performed. The final venography showed complete exclusion of the lesion, which was gradually being absorbed. Conclusion: This is the first case of an SP successfully treated in a single session by embolization with coils and onyx. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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33. Rare vascular malformation of the scalp : Sinus pericranii.
- Author
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Yıldız, Bülent, Çaylak, Halil, Atalar, Mehmet Haydar, and Sağlam, Muzaffer
- Subjects
- *
DISEASES , *SCALP , *DOPPLER ultrasonography , *COMPUTED tomography , *MAGNETIC resonance imaging , *DIGITAL subtraction angiography - Abstract
Sinus pericranii (SP) is a very rare venous anomaly and characterized by communication of pericranial varicose venous structures with dural sinus. In this case, we present the multimodality imaging Doppler ultrasonography (Doppler US), computed tomography (CT), 3D-volume rendering technique computed tomography (3D-VRT), magnetic resonance imaging (MRI), magnetic resonance venography (MRV), digital subtraction angiography (DSA) and clinical findings of a 47-year-old woman with SP in the left lateral frontal region of the scalp under the guidance of the literature. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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34. Three-dimensional printing of a sinus pericranii model: technical note.
- Author
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Simonin, Alexandre, Martinerie, Sébastien, Levivier, Marc, and Daniel, Roy
- Subjects
- *
VEIN diseases , *CRANIAL sinuses , *THREE-dimensional printing , *FOLLOW-up studies (Medicine) , *HEALTH outcome assessment , *DIAGNOSIS - Abstract
Background: Sinus pericranii (SP) is a rare venous malformation consisting of a single or multiple abnormal emissary veins communicating between intracranial sinuses and dilated epicranial veins. There is no consensus concerning diagnosis, management, and treatment of SP. Technical note: We report the case of a 4-month-old infant with a SP for whom we used a three-dimensional printed model in order to define the angioarchitecture, improve management, and help parents' understanding of this uncommon condition. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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35. The scalp hair collar and tuft signs: A retrospective multicenter study of 78 patients with a systematic review of the literature.
- Author
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Bessis, Didier, Bigorre, Michèle, Malissen, Nausicaa, Captier, Guillaume, Chiaverini, Christine, Abasq, Claire, Barbarot, Sébastien, Boccara, Olivia, Bourrat, Emmanuelle, El Fertit, Hassan, Eschard, Catherine, Hubiche, Thomas, Lacour, Jean-Philippe, Leboucq, Nicolas, Mahé, Emmanuel, Mallet, Stéphanie, Marque, Myriam, Martin, Ludovic, Mazereeuw-Hautier, Juliette, and Milla, Nathalie
- Abstract
Background: Hair collar sign (HCS) and hair tuft of the scalp (HTS) are cutaneous signs of an underlying neuroectodermal defect, but most available data are based on case reports.Objective: We sought to define the clinical spectrum of HCS and HTS, clarify the risk for underlying neurovascular anomalies, and provide imaging recommendations.Methods: A 10-year multicenter retrospective and prospective analysis of clinical, radiologic, and histopathologic features of HCS and HTS in pediatric patients was performed.Results: Of the 78 patients included in the study, 56 underwent cranial and brain imaging. Twenty-three of the 56 patients (41%) had abnormal findings, including the following: (1) cranial/bone defect (30.4%), with direct communication with the central nervous system in 28.6%; (2) venous malformations (25%); or (3) central nervous system abnormalities (12.5%). Meningeal heterotopia in 34.6% (9/26) was the most common neuroectodermal association. Sinus pericranii, paraganglioma, and combined nevus were also identified.Limitations: The partial retrospective design and predominant recruitment from the dermatology department are limitations of this study.Conclusions: Infants with HCS or HTS are at high risk for underlying neurovascular anomalies. Magnetic resonance imaging scans should be performed in order to refer the infant to the appropriate specialist for management. [ABSTRACT FROM AUTHOR]- Published
- 2017
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36. Surgical management of scalp arterio-venous malformation and scalp venous malformation: An experience of eleven cases
- Author
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Forhad Hossain Chowdhury, Mohammod Raziul Haque, Khandkar Ali Kawsar, Mainul Haque Sarker, and A. F. M Momtazul Haque
- Subjects
Arterio-venous malformation ,cavernous angioma ,cirsoid aneurysm ,scalp AVM ,scalp venous malformatiom ,sinus pericranii ,Surgery ,RD1-811 - Abstract
Aims: Scalp arterio-venous malformation (AVM) and scalp venous malformation (SVM) are rare conditions that usually need surgical treatment. Here, we have reported our experience of the surgical management of such lesions with a short review of the literature. Materials and Methods: In this prospective study, 11 patients with scalp AVM and SVM, who underwent surgical excision of lesion in our hospital from 2006 to 2012, were included. All suspected high-flow AVM were investigated with the selective internal and external carotid digital subtraction angiogram (DSA) ± computed tomography (CT) scan of brain with CT angiogram or magnetic resonance imaging (MRI) of brain with MR angiogram, and all suspected low-flow vascular malformation (VM) was investigated with MRI of brain + MR angiogram. Eight were high-flow and three were low-flow VM. Results: All lesions were successfully excised. Scalp cosmetic aspects were acceptable in all cases. There was no major post-operative complication or recurrence till last follow-up. Conclusions: With preoperative appropriate surgical planning, scalp AVM and SVM can be excised without major complication.
- Published
- 2013
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37. Combined treatment of surgery and sclerotherapy for sinus pericranii
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Seok-Jong Lee, Joon Seok Lee, Jeong Yeop Ryu, Sung Kyoo Hwang, Sang Yub Lee, Seung Huh, Jong Ho Lee, Jongmin Lee, Jeong Woo Lee, Ho Yun Chung, and Ji Yoon Kim
- Subjects
medicine.medical_specialty ,medicine.medical_treatment ,Vascular malformations ,Case Report ,Plastic ,Vascular anomaly ,Sinus pericranii ,03 medical and health sciences ,0302 clinical medicine ,Sclerotherapy ,medicine ,Cranial cavity ,030223 otorhinolaryngology ,medicine.diagnostic_test ,business.industry ,030206 dentistry ,Auscultation ,medicine.disease ,Surgery ,medicine.anatomical_structure ,Otorhinolaryngology ,Scalp ,Differential diagnosis ,business ,Head ,Superior sagittal sinus - Abstract
Sinus pericranii is a rare vascular anomaly characterized by abnormal venous communication between the inner and outer regions of the cranial cavity. Here, we report a case of sinus pericranii and venous malformations in the right periorbital region of a 2-year-old girl. Radiologic findings showed venous malformations in the right parietal region communicating with the superior sagittal sinus in the intracranial region. There were notable improvements following surgical resection for the abnormal venous lesions and several sclerotherapies. Presence of a bluish and pulsating mass on the scalp, which showed bruit on auscultation, may indicate sinus pericranii, which should be included in the differential diagnosis.
- Published
- 2020
38. New Findings on Sinus Pericranii from New York Medical College Summarized (Treatment of an Elusive Symptomatic Sinus Pericranii: Case Report and Review of the Literature).
- Abstract
State:New York, United States, North and Central America, Cardiovascular Abnormalities, Valhalla, Cardiovascular Diseases and Conditions, Nervous System Diseases and Conditions, Nervous System Malformations, Central Nervous System Vascular Malformations, Sinus Pericranii, Surgery Keywords: Valhalla; State:New York; United States; North and Central America; Cardiovascular Abnormalities; Cardiovascular Diseases and Conditions; Central Nervous System Vascular Malformations; Nervous System Diseases and Conditions; Nervous System Malformations; Sinus Pericranii; Surgery EN Valhalla State:New York United States North and Central America Cardiovascular Abnormalities Cardiovascular Diseases and Conditions Central Nervous System Vascular Malformations Nervous System Diseases and Conditions Nervous System Malformations Sinus Pericranii Surgery 462 462 1 07/03/23 20230703 NES 230703 2023 JUL 3 (NewsRx) -- By a News Reporter-Staff News Editor at Pain & Central Nervous System Week -- Investigators publish new report on Nervous System Diseases and Conditions - Sinus Pericranii. Keywords for this news article include: Valhalla, New York, United States, North and Central America, Cardiovascular Abnormalities, Cardiovascular Diseases and Conditions, Central Nervous System Vascular Malformations, Nervous System Diseases and Conditions, Nervous System Malformations, Sinus Pericranii, Surgery, New York Medical College. [Extracted from the article]
- Published
- 2023
39. A Vascular Quartet: Scalp Arteriovenous Malformation, Sinus Pericranii, Dural Arteriovenous Fistula, and Arteriovenous Brain Malformation in a Single Patient.
- Author
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Kaul A, Kanuparthi SP, and Erkmen K
- Abstract
We present a case of a 51-year-old female who presented for evaluation of a large scalp mass found to have a different quartet of vascular malformations- a persistent scalp arteriovenous malformation (sAVM) with sinus pericranii, an inoperable intracranial SM-V brain arteriovenous malformation (bAVM), and a Cognard I dural arteriovenous fistula (dAVF). This is the first reported instance with four distinct vascular pathologies. We review the etiologies of multiple vascular abnormalities in the cerebral circulation that could contribute to this patient's findings and review strategies for treatment. We conducted a retrospective review of the clinical and angiographic records for a single adult female patient, including a management approach and an in-depth literature review. Given the high baseline vascularity of these complex lesions, surgery was not considered the initial therapy. We focused primarily on the sAVM with a staged embolization involving both transarterial and transvenous approaches. Transarterial coil embolizes 5 feeding artery branches of the right external carotid artery, followed by transvenous coil embolization into the common venous pouch accessed through the transosseous sinus pericranii via the SSS, dramatically reduced the size and filling of the large sAVM and eliminated a significant source of hypertensive venous outflow. Serial endovascular treatments of her sAVM led to a significant reduction in size and pulsatility, and the pain from tenderness to palpation was concurrently decreased. Despite multiple treatments, serial angiographic evaluations of her scalp lesion showed continued new development of collaterals. Ultimately the patient elected to forego further treatment for her sAVM. To our knowledge, there has not been another report of a single adult patient with a quartet of vascular malformations in the literature. Treatment paradigms for sAVMs are limited to case reports and small series; however, we purport that the most successful therapeutic approaches are multimodal and likely should incorporate surgical resection when feasible. We emphasize the caution required for patients with multiple other underlying intracranial vascular malformations. The altered intracranial flow dynamics can drastically hinder the success of a unimodal approach involving endovascular therapy alone., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2023, Kaul et al.)
- Published
- 2023
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40. Lacune de la voûte du crâne révélatrice d'un sinus pericranii
- Author
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Mahbouba Jguirim and Wafa Chebbi
- Subjects
sinus pericranii ,crâne ,lacune osseuse ,Medicine - Abstract
Les lacunes de la voûte du crâne sont observées sur environ 40% des radiographies standard du crâne. Elles sont découvertes le plus souvent de façon fortuite lors d'un bilan radiologique pour sinusite ou traumatisme crânien ou de façon systématique, au cours du bilan d'extension d'hémopathies ou de cancers ostéophiles. Elles sont exceptionnellement révélatrices d'un sinus pericranii. Il s'agit d'une anomalie vasculaire rare réalisant un drainage veineux entre les systèmes extra- et intracrâniens. Le diagnostic repose sur le scanner et/ou l'IRM, qui visualisent une importante prise de contraste de la lésion. Le traitement chirurgical est assez lourd et rarement indiqué. Nous rapportons l'observation d'une patiente âgée de 53 ans, aux antécédents de carcinome basocellulaire du nez, adressée pour bilan étiologique d'une lacune du crane. Le bilan biologique (numération formule sanguine, vitesse de sédimentation, protéine C-réactive, calcémie, électrophorèse des protéines) était normal. La tomodensitométrie du massif facial objectivait une image lacunaire de 9 mm à l'emporte pièce de l'os temporal gauche. A l'imagerie par résonance magnétique, la lacune est en regard du sinus transverse gauche avec lequel elle se continue et se rehausse de la même façon que le sinus après injection de gadolinium. Le diagnostic de sinus pericranii a été retenu. Devant l'absence de plainte fonctionnelle une simple surveillance a été décidée.
- Published
- 2015
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41. A rare case of diploic venous anomaly: asymptomatic venous sac expanding in the diploe.
- Author
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Iwamuro, Hirokazu, Ikeda, Shunsuke, and Taniguchi, Makoto
- Subjects
- *
DIPLOIC vein , *BRAIN blood-vessels , *CRANIAL sinuses , *VARICOSE veins , *VEIN surgery , *HUMAN abnormalities - Abstract
Background: Vascular anomalies accompanied with the diploic veins are rare. Among them, sinus pericranii, which is characterized by abnormal connections between intra- and extracranial venous systems, is relatively common. Besides sinus pericranii, a few cases of subepicranial varix with connections to diploic veins have been reported, but these varices had no connections to intracranial venous sinuses. Herein, we present a rare case of an expanding venous sac in the diploe which communicated with the intracranial sinus but not with the extracranial venous systems. Case presentation: An adult woman presented to us with a minor transient headache. Although no abnormal appearances were found on her scalp, imaging studies showed a club-shaped venous sac in the left parietal diploe that communicated with the superior sagittal sinus and diploic veins on the medial and lateral sides, respectively. It was revealed that the lesion had expanded as compared with a previous computed tomography image. Surgery was performed to intercept venous supply from the diploic veins, and the lesion was filled with thrombi. In a follow-up of 15 months, there was no recurrence of abnormal venous flow. Histological examination showed the endothelial lining in the membranous wall of the sac, which is typically observed in sinus pericranii. However, no communication with the pericranial veins of the scalp was identified on the imaging studies and intraoperative observation. Accordingly, it was diagnosed as another entity 'intradiploic varix'. Conclusions: The abnormal connection between the intracranial and the diploic venous systems via the large venous sac was surgically treated. It was pathologically similar to sinus pericranii, but anatomically considered to be another form of venous anomaly. In cases of expanding lesions, surgical treatment is recommended. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
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42. Sinus pericranii in the setting of a posterior fossa pilocytic astrocytoma: illustrative case.
- Author
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Jung Y, Quon JL, and Drake JM
- Abstract
Background: Sinus pericranii (SP) is a rare vascular anomaly, with an uncertain etiology. Often discovered as superficial lesions, they can be primary or secondary in nature. Herein, we report a rare case of SP in the setting of a large posterior fossa pilocytic astrocytoma associated with a significant venous network., Observations: A 12-year-old male presented with acute clinical deterioration in extremis with a 2-month history of lethargy and headaches. Outside plain computed tomography imaging revealed a large posterior fossa cystic lesion, probably a tumor, with severe hydrocephalus. There was also a midline small skull defect at the opisthocranion, without visible vascular anomalies. An external ventricular drain was placed with rapid recovery. Contrast imaging revealed a large midline SP emanating from occipital bone with a large intraosseous, and subcutaneous venous plexus in the midline draining inferiorly into venous plexus around the craniocervical junction. A posterior fossa craniotomy without contrast imaging could have resulted in catastrophic hemorrhage. A small modified off-center craniotomy provided access to the tumor with a gross total excision., Lessons: SP is a rare but significant phenomenon. Its presence does not necessarily preclude resection of underlying tumors, provided that a careful preoperative assessment of the venous anomaly is undertaken.
- Published
- 2023
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43. Clinical and imaging findings in a rare case of sinus pericranii.
- Author
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Bouali, Sofiene, Maamri, Kais, Abderrahmen, Khansa, Asma, Bouhoula, Boubaker, Adnen, and Hafedh, Jemel
- Subjects
- *
ETIOLOGY of diseases , *MAGNETIC resonance imaging , *VENOGRAPHY , *DIAGNOSTIC imaging , *TUMORS - Abstract
Background: Sinus pericranii is a rare, usually asymptomatic condition that is characterized by an abnormal communication between the intra- and extracranial venous drainage pathways. The etiology is unknown but both congenital and post-traumatic etiologies have been proposed. Treatment is primarily surgical but newer minimally invasive endovascular approaches have been reported and is indicated due to cosmesis, hemorrhage, and air embolism. Illustrative case: We present a case of an 11-month-old boy having sinus pericranii, who was referred for a slowly growing tumor located frontally in the midline on his scalp since 6 months of age. CT-scan with three-dimensional CT (3D-CT) reconstruction and magnetic resonance imaging along with venography was performed which confirmed the diagnosis. Simple surveillance was decided because of a limited esthetic prejudice and the absence of any functional disorder. Conclusion: The prognosis is nearly always good with a low risk of bleeding. A simple follow-up is often proposed because of the usual absence of complications. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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44. Sinus pericranii, skull defects, and structural brain anomalies in TRAF7-related disorder
- Author
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Patrizia De Marco, Marco Pavanello, Michele Pinelli, Andrea Accogli, Marcello Scala, Valeria Capra, Annalaura Torella, Mariasavina Severino, Carlo Gandolfo, Vincenzo Nigro, Francesco Musacchia, Accogli, A., Scala, M., Pavanello, M., Severino, M., Gandolfo, C., De Marco, P., Musacchia, F., Torella, A., Pinelli, M., Nigro, V., Capra, V., Accogli, Andrea, Scala, Marcello, Pavanello, Marco, Severino, Mariasavina, Gandolfo, Carlo, De Marco, Patrizia, Musacchia, Francesco, Torella, Annalaura, Pinelli, Michele, Nigro, Vincenzo, and Capra, Valeria
- Subjects
0301 basic medicine ,Embryology ,Pathology ,medicine.medical_specialty ,Health, Toxicology and Mutagenesis ,Tumor Necrosis Factor Receptor-Associated Peptides and Protein ,030105 genetics & heredity ,Toxicology ,Germline ,Craniosynostosis ,Craniosynostoses ,03 medical and health sciences ,Neurodevelopmental disorder ,Neurodevelopmental Disorder ,RASopathie ,medicine ,Humans ,Missense mutation ,Craniofacial ,Sinus pericranii ,cranio-cervical junction anomaly ,Craniosynostose ,business.industry ,Skull ,Sinus Pericranii ,Brain ,medicine.disease ,Phenotype ,Tumor Necrosis Factor Receptor-Associated Peptides and Proteins ,craniosynostosi ,030104 developmental biology ,medicine.anatomical_structure ,Neurodevelopmental Disorders ,Pediatrics, Perinatology and Child Health ,dysgyria ,business ,Developmental Biology ,TRAF7 ,Human - Abstract
Background Several somatic mutations in TRAF7 have been reported in cancers, whereas a few germline heterozygous mutations have been recently linked to a neurodevelopmental disorder, characterized by craniofacial dysmorphisms, congenital heart defects, and digital anomalies. Cases We report two subjects harboring de novo heterozygous missense variants in TRAF7, namely the recurrent 1964G>A(p.Arg655Gln) and the novel missense c.1204C>G(p.Leu402Val) variants. In addition to the typical hallmarks of the TRAF7-related disorder, both subjects presented with a recognizable "pear-shaped" skull due to multiple craniosynostosis, sinus pericranii, skull base/cranio-cervical junction anomalies, dysgyria, and inferior cerebellar vermis hypoplasia. Conclusions Hence, we expand the genotypic and phenotypic spectrum of this neurodevelopmental disorder, discussing possible implications for clinical management of subjects with germline TRAF7 mutations.
- Published
- 2020
45. Clinical Outcome of Nonfistulous Cerebral Varices: the Analysis of 39 Lesions
- Author
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Eun Jin Ha, Hye Seon Kim, Seong Cheol Park, Wong Sang Cho, Jeong Eun Kim, and Seung-Ki Kim
- Subjects
medicine.medical_specialty ,Asymptomatic ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,fluids and secretions ,medicine ,Outpatient clinic ,Sinus pericranii ,Natural course ,Varix ,Clinical Article ,business.industry ,General Neuroscience ,medicine.disease ,equipment and supplies ,Etiology ,Central nervous system vascular malformations ,Surgery ,Neurology (clinical) ,Radiology ,medicine.symptom ,Varices ,business ,030217 neurology & neurosurgery ,Straight sinus ,Central nervous system venous angioma - Abstract
Objective Cerebral varices (CVs) without an arteriovenous shunt, so called nonfistulous CVs, are very rare, and their etiology and natural course are not well understood. The aim of this study is to evaluate the clinical outcomes of nonfistulous CVs by the analysis of 39 cases. Methods From 2000 to 2015, 22 patients with 39 nonfistulous CVs (≥5 mm) were found by searching the medical and radiologic records of our institute. Clinical data and radiological data including numbers, sizes and locations of CVs and associated anomalies were retrospectively collected and analyzed. Previously reported cases in literature were reviewed as well. Results The mean age of the patients was 21 years (range, 0-78 years). On average, 1.8±1.2 CVs were found per patient. CVs were categorized as either fusiform or saccular depending on their shapes. Two patients had saccular type CVs, seventeen patients had fusiform types, and three patients had both fusiform and saccular CVs. Eight patients had associated compromise of the vein of Galen and the straight sinus. Four of those patients had sinus pericranii, as well. Five patients had CVs that were distal draining veins of large developmental venous anomalies. One patient had associated migration anomaly, and two patients had Sturge- Weber syndrome. Six patients with an isolated cerebral varix were observed. Of the 39 CVs in 22 patients, 20 lesions in 14 patients were followed up in outpatient clinics with imaging studies. The average follow-up duration was 6.6 years. During this period, no neurological events occurred, and all the lesions were managed conservatively. Conclusion Nonfistulous CVs seemed to be asymptomatic in most cases and remained clinically silent. Hence, we suggest conservative management.
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- 2018
46. Sinus Pericranii in the Left Frontal Region Involving the Superior Eyelid: A Case Report.
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Grahovac, Gordan, Rajappa, Prajwal, Vilendecic, Milorad, Zic, Rado, Lambasa, Smiljka, and Prgomet, Stefan
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EYELIDS , *FRONTAL bone , *PARANASAL sinuses , *ANGIOGRAPHY , *DISEASE relapse - Abstract
Background Sinus pericranii is a rare asymptomatic communication between the intracranial and extracranial venous drainage pathways. The venous flow in this condition circulates through abnormal dilated veins in both directions. Patient/Methods We describe an unusual location of an accessory sinus pericranii that involved the left frontal bone along with the superior orbital rim and the upper eyelid, with special focus on therapy. Results The patient did not have any complication during the first and second surgery. Final outcome was excellent. The patient did not show any evidence of disease recurrence 1 year after the surgery. Conclusion We propose a multidisciplinary approach in the treatment of such lesions with a two-step surgery. Excision of the sinus pericranii is possible if the sinus pericranii is not a major venous outflow channel of the brain, which can be evaluated by angiography. [ABSTRACT FROM AUTHOR]
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- 2013
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47. Surgical management of scalp arterio-venous malformation and scalp venous malformation: An experience of eleven cases.
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Hossain Chowdhury, Forhad, Raziul Haque, Mohammod, Ali Kawsar, Khandkar, Haque Sarker, Mainul, and Momtazul Haque, A. F. M.
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SCALP , *SKIN diseases , *SURGERY , *HUMAN abnormalities , *TOMOGRAPHY , *DIGITAL subtraction angiography , *MAGNETIC resonance imaging , *MANAGEMENT - Abstract
Aims: Scalp arterio-venous malformation (AVM) and scalp venous malformation (SVM) are rare conditions that usually need surgical treatment. Here, we have reported our experience of the surgical management of such lesions with a short review of the literature. Materials and Methods: In this prospective study, 11 patients with scalp AVM and SVM, who underwent surgical excision of lesion in our hospital from 2006 to 2012, were included. All suspected high-flow AVM were investigated with the selective internal and external carotid digital subtraction angiogram (DSA) ± computed tomography (CT) scan of brain with CT angiogram or magnetic resonance imaging (MRI) of brain with MR angiogram, and all suspected low-flow vascular malformation (VM) was investigated with MRI of brain + MR angiogram. Eight were high-flow and three were low-flow VM. Results: All lesions were successfully excised. Scalp cosmetic aspects were acceptable in all cases. There was no major post-operative complication or recurrence till last follow-up. Conclusions: With preoperative appropriate surgical planning, scalp AVM and SVM can be excised without major complication. [ABSTRACT FROM AUTHOR]
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- 2013
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48. Peculiar bony involvement of sinus pericranii in children: Extensive diploic erosion in three "karstic" variants.
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Fiaschi P, Bue EL, Ceraudo M, Secci F, Tortora D, Piatelli G, Severino M, Gandolfo C, Vercellino N, and Pavanello M
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- Child, Head, Humans, Skull blood supply, Skull diagnostic imaging, Veins, Sinus Pericranii surgery, Vascular Malformations
- Abstract
Object: Sinus pericranii (SP) is a rare, benign, extradural venous anomaly whose extracranial connection consists in an enlarged subgaleal drainage composed of a network of thin-walled veins that form a varix on the external table of the skull. In the present series of three patients we present three variantesof SP which have never been described, characterized by an extensive diploic erosion causing a "karstic" effect., Methods: A systematic review was conducted in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. A comprehensive search for relevant articles was performed on PubMed from 1992 to 2022 using the following search words: "sinus pericranii"., Results: The search produced 77 articles with 137 patients. In all the cases analysed, there were not reported any patients with extensive diploic erosion, namely "karstic" variants. So, the authors present clinical history, neuroimages, treatment strategies and outcome of 3 patients with a "karstic" SP with the aim to describe this clinicradiological entity., Conclusions: In this study, our group identified a peculiar variant of SP characterized by bony involvement with extensive diploic "karstic" erosion of diploe, with possible tendency to enlarge during time., (Copyright © 2022 Elsevier B.V. All rights reserved.)
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- 2022
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49. Cerebrofacial Venous Anomalies, Sinus Pericranii, Ocular Abnormalities and Developmental Delay.
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MACIT, B., BURROWS, P. E., YILMAZ, S., ORBACH, D. B., MULLIKEN, J. B., and ALOMARI, A. I.
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CASE studies , *CEREBROVASCULAR disease , *DEVELOPMENTAL delay , *BEHAVIOR evolution , *HUMAN abnormalities - Abstract
The clinical implications of venous cerebrovascular maldevelopment remain poorly understood. We report on the association of cerebrofacial venous anomalies (including sinus pericranii), ocular abnormalities and mild developmental delay in two children. In addition, one child had a seizure disorder. Complex cerebrofacial slow-flow vascular anomalies may herald an underlying developmental aberration affecting the cerebrofacial and orbital regions. [ABSTRACT FROM AUTHOR]
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- 2012
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50. Atretic parietal cephalocele associated with sinus pericranii: Embryological consideration
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Hsu, Shih-Wei and Chaloupka, John C.
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ENCEPHALOCELE , *RARE diseases , *ANGIOGRAPHY , *CRANIAL sinuses , *EMBRYOLOGY , *DEVELOPMENTAL disabilities , *DEVELOPMENTAL neurobiology - Abstract
Abstract: We report a case of atretic parietal cephalocele with a persistent parietal falcine sinus and partial absence of the straight sinus. The direct puncture angiographic study demonstrated that there was a major venous channel through the parietal skull defect. From the embryological point of view, this association may provide us with possible pathoetiologic evidence of congenital sinus pericranii is one of the alternative venous drainage pathways to compensate venous outflow in the cases of intracranial developmental anomalies. [Copyright &y& Elsevier]
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- 2012
- Full Text
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