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[Traumatic sinus pericranii. Case report].

S Kihara1, H Koga, K Tabuchi

  • 1Department of Neurosurgery, Saga Medical School.

Neurologia Medico-Chirurgica
|December 1, 1991
PubMed
Summary
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A rare case of sinus pericranii, an extracranial vascular malformation, developed in a child following head trauma. Surgical resection successfully removed the mass and closed the connection to the superior sagittal sinus.

Area of Science:

  • Vascular Surgery
  • Pediatric Neurosurgery
  • Medical Imaging

Background:

  • Sinus pericranii is a rare congenital or acquired vascular malformation involving abnormal communication between intracranial venous sinuses and extracranial veins.
  • Traumatic head injuries, particularly those involving scalp contusions and fractures, are implicated in the development of acquired sinus pericranii.

Observation:

  • A patient with a history of head trauma at age 1 presented at age 5 with a palpable extracranial scalp mass.
  • Diagnostic angiography revealed the mass connected to the superior sagittal sinus via emissary veins.
  • Histological examination showed a vascular malformation without neoplastic features.

Findings:

  • The scalp mass was diagnosed as secondary sinus pericranii, directly linked to the prior head trauma.

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  • Complete surgical resection of the mass and closure of the sinus connection were successfully performed.
  • The case highlights the potential for delayed development of sinus pericranii after significant head injury.

    • Implications:

    • This case underscores the importance of considering sinus pericranii in the differential diagnosis of pediatric scalp masses, especially with a history of trauma.
    • Prompt diagnosis and surgical management are crucial for preventing complications such as hemorrhage or infection.
    • Further research into the pathogenesis and long-term outcomes of traumatic sinus pericranii is warranted.