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Association of persistent falcine sinus with different clinicoradiologic conditions: MR imaging and MR angiography
1Department of Radiology, Ege University Hospital, Bornova, 35100, Izmir, Turkey. rnsener@hotmail.com
Abstract:
Nine pediatric patients are reported with persistent falcine sinuses associated with a variety of clinicoradiologic conditions and disorders. Besides MR imaging studies four patients had MR angiography examinations. Persistent falcine sinus was associated with arteriovenous malformations in three patients. In two cases persistent falcine sinus was an incidental finding. In the remaining four patients persistent falcine sinus was associated with total absence of the corpus callosum, acrocephalosyndactyly (Apert's syndrome), osteogenesis imperfecta, Chiari II malformation. The straight sinuses were either absent or rudimentary or entirely normal in these cases. It can be concluded that a mesenchymal disorder can be the primary cause for an open falcine sinus either in isolation or in association with variable changes in the straight sinus.
Insights
Persistent falcine sinuses in children can be linked to various conditions, including arteriovenous malformations and developmental disorders. These findings suggest a potential mesenchymal origin for this sinus anomaly.
Area of Science:
- Pediatric Radiology
- Neuroimaging
- Developmental Biology
Background:
- Persistent falcine sinuses are rare venous anomalies.
- Their association with other congenital disorders is not well-established.
Purpose of the Study:
- To describe the clinicoradiologic spectrum of persistent falcine sinuses in pediatric patients.
- To investigate potential underlying causes and associated conditions.
Main Methods:
- Retrospective review of nine pediatric cases with persistent falcine sinuses.
- Magnetic resonance (MR) imaging and MR angiography were utilized.
Main Results:
- Persistent falcine sinus was associated with arteriovenous malformations (3 cases).
- Other associated conditions included absence of corpus callosum, Apert's syndrome, osteogenesis imperfecta, and Chiari II malformation (4 cases).
- In two cases, it was an incidental finding.
Conclusions:
- Persistent falcine sinus can occur in isolation or with various central nervous system and skeletal anomalies.
- Mesenchymal disorders are proposed as a primary cause for persistent falcine sinus.
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