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Sinus pericranii: a clinical and radiological review of an unusual condition

P A Lo1, M Besser, A H Lam

  • 1Department of Neurosurgery, Royal Alexandra Hospital for Children, Pyrmont Bridge Road, Camperdown, NSW 2050, Australia.

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
|April 1, 1997
PubMed

Insights

Sinus pericranii is a rare condition involving abnormal connection between intracranial and extracranial veins. Surgical excision is often necessary for cosmetic reasons or to prevent hemorrhage.

Area of Science:

  • Vascular Surgery
  • Pediatric Neurosurgery
  • Radiology

Background:

  • Sinus pericranii is a rare congenital vascular anomaly.
  • It involves abnormal communication between intracranial dural venous sinuses and extracranial veins.
  • Often presents in children with cosmetic concerns or a palpable scalp mass.

Purpose of the Study:

  • To report a case of sinus pericranii in a child.
  • To detail diagnostic radiological investigations.
  • To review current literature and treatment strategies.

Main Methods:

  • Clinical presentation and physical examination.
  • Radiological imaging including plain skull X-rays, CT scans, MR scans, cerebral angiography, and Doppler ultrasound.
  • Surgical excision and repair.

Main Results:

  • A 6-year-old boy with sinus pericranii successfully treated with surgical excision and repair.
  • Diagnostic imaging confirmed the vascular communication.
  • Literature review highlights varied presentations and management approaches.

Conclusions:

  • Sinus pericranii requires careful diagnosis using multimodal imaging.
  • Surgical intervention is often indicated for both cosmetic and safety reasons.
  • Further research into etiology and pathophysiology is warranted.
  • Meta_Agnosticism is a rare condition characterized by abnormal communication between an intracranial venous sinus and the extracranial venous circulation, often presenting in children. Diagnosis relies on clinical findings and imaging, with surgical excision typically required for cosmetic reasons or to prevent hemorrhage. This case highlights successful surgical management and reviews existing literature.

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