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Published on: October 20, 2017
Intracranial venous anomalies associated with atretic cephalocoeles
F Brunelle1, J Baraton, D Renier
1Department of Paediatric Radiology, Hôpital Necker-Enfants Malades, Paris, France. Brunelle@necker.fr
Insights
Intracranial venous anomalies are common in children with atretic cephalocoeles, particularly those located superiorly. These anomalies, including sinus abnormalities, are part of the broader dysraphic state.
Area of Science:
- Pediatric Neurosurgery
- Neuroradiology
- Developmental Neuroscience
Background:
- Midline scalp lesions, including soft-tissue masses and atretic cephalocoeles, are common in children.
- Accurate diagnosis is crucial as treatment varies.
- Intracranial venous anomalies are a known association with atretic cephalocoeles.
Purpose of the Study:
- To determine the frequency of intracranial venous anomalies in children with atretic meningocoeles.
- To characterize the types of venous anomalies associated with these lesions.
Main Methods:
- Retrospective study of 31 pediatric patients with atretic cephalocoeles.
- Magnetic Resonance Imaging (MRI) was used for assessment.
- Analysis included 13 meningocoeles and 14 encephalocoeles.
Main Results:
- Intracranial venous anomalies were identified in cephalocoeles located above the torcular.
- Observed anomalies included absence of the straight sinus and duplication of the superior longitudinal sinus.
Conclusions:
- Intracranial venous anomalies are frequently observed in atretic cephalocoeles.
- These anomalies are considered an integral component of the underlying dysraphic state.
Background:
Midline scalp lesions are frequent in children. They include soft-tissue masses and atretic meningocoeles. Their recognition is important as their treatment differs. Intracranial venous anomalies are known to be associated with atretic cephalocoeles.
Materials And Methods:
A retrospective study was undertaken to assess the frequency of intracranial venous anomalies associated with atretic meningocoeles (AT). Thirty-one patients with AT were studied by MRI. There were 13 meningocoeles and 14 encephalocoeles; 4 have not yet received surgery.
Results:
Venous anomalies were found when the cephalocoeles lay above the torcular. They include absence of the straight sinus and duplication of the longitudinal sinus.
Conclusion:
Venous anomalies are frequent in atretic cephalocoeles and are part of the dysraphic state.
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