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Child's Nervous System
Published in: Child's Nervous System 6/2005

01-06-2005 | Case Report

Sinus pericranii: from gross and neuroimaging findings to different pathophysiological changes

Authors: Chung-Shi Wen, Yih-Leong Chang, Huei-Shyong Wang, Meng-Fai Kuo, Yong-Kwang Tu

Published in: Child's Nervous System | Issue 6/2005

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Abstract

Case reports

We report two girls with a typical presentation of sinus pericranii. Both patients received total excision of the subgaleal masses with complete obliteration of the communications to the intracranial portion. However, different gross appearances, neuroimaging findings and intraoperative findings were found. It took more time and attention to control the bleeding due to the large communication between the extracranial and intracranial components in the second case.

Discussion

Sinus pericranii is composed of abnormal extracranial vascular tissues that communicate directly with intracranial dural sinuses or veins. A review of the literature showed that 13 out of 31 patients with sinus pericranii had a high-flow pattern. Detailed physical examination and imaging studies to detect dilated scalp veins and a large bony defect should remind surgeons of the presence of large venous communications. Meticulous treatment of the large communication during surgery can avoid massive bleeding.
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Metadata
Title
Sinus pericranii: from gross and neuroimaging findings to different pathophysiological changes
Authors
Chung-Shi Wen
Yih-Leong Chang
Huei-Shyong Wang
Meng-Fai Kuo
Yong-Kwang Tu
Publication date
01-06-2005
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 6/2005
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-004-1035-y

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