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Child's Nervous System
Published in: Child's Nervous System 1/2018

01-01-2018 | Case Report

Dynamic morphological changes of thrombosed lateral sinus pericranii revealed by serial magnetic resonance images

Authors: Mihori Ryorin, Takato Morioka, Nobuya Murakami, Satoshi O. Suzuki, Nobuko Kawamura

Published in: Child's Nervous System | Issue 1/2018

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Abstract

Background

Sinus pericranii (SP) is a rare venous anomaly involving an abnormal connection of the intracranial dural sinuses with the extracranial veins. Magnetic resonance (MR) imaging (MRI) with MR venography can detect the typically congested intra- and extracranial venous components of SP.

Clinical presentation

We report a rare case of lateral SP associated with the superior sagittal sinus, which might had already developed almost total thrombosis of the SP at the first MRI. As this patient had not presented with classical manifestations of SP on clinical or neuroradiological findings, the initial diagnosis of SP was difficult. Repeated MRI revealed dynamic morphological changes associated with reperfusion of the thrombosed SP via the cortical vein.

Conclusion

MR venography combined with gadolinium enhancement was useful for diagnosis of the SP with an extremely slow flow status.
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Metadata
Title
Dynamic morphological changes of thrombosed lateral sinus pericranii revealed by serial magnetic resonance images
Authors
Mihori Ryorin
Takato Morioka
Nobuya Murakami
Satoshi O. Suzuki
Nobuko Kawamura
Publication date
01-01-2018
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 1/2018
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-017-3592-x

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