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[Diagnosis and treatment of children sinus pericranii]

Wei-Min Shen1, Jie Cui, Jian-Bing Chen

  • 1Department of Burn & Plastic Surgery, Nanjing Children's Hospital Affiliated to Nanjing Medical University, Nanjing 210008, China.

Zhonghua Zheng Xing Wai Ke Za Zhi = Zhonghua Zhengxing Waike Zazhi = Chinese Journal of Plastic Surgery
|November 5, 2010
PubMed

Insights

Sinus pericranii (SP) in children is diagnosed using CT scans and symptoms. Treatment involves surgical excision, embolization, or observation, with surgery being the primary method for these scalp bumps.

Area of Science:

  • Pediatric Neurosurgery
  • Vascular Malformations
  • Craniofacial Surgery

Background:

  • Sinus pericranii (SP) is a rare congenital condition characterized by a vascular malformation of the scalp and skull.
  • Accurate diagnosis and appropriate management are crucial for favorable outcomes in affected children.

Purpose of the Study:

  • To review the diagnostic methods and treatment strategies for pediatric sinus pericranii.
  • To evaluate the efficacy and safety of surgical intervention for SP.

Main Methods:

  • Retrospective analysis of 12 pediatric cases of SP treated between 2000 and 2008.
  • Clinical data and CT scan results were reviewed.
  • Digital subtraction angiography (DSA) was utilized to assess venous drainage in cases with suspected intracranial vascular communication.

Main Results:

  • All 12 patients presented with scalp bumps exhibiting positional changes.
  • CT imaging revealed characteristic crater-like skull depressions and diploic abnormalities.
  • Surgical excision of the bump followed by hemostasis and local flap reconstruction was performed in all cases.

Conclusions:

  • Pediatric sinus pericranii can be reliably diagnosed using clinical presentation and CT findings.
  • DSA is indicated for evaluating intracranial vascular connections.
  • Surgical excision, embolization, and observation are viable treatment options, while medical injection carries high risks.
Abstract

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