Sinus Pericranii in Posterior Cranial Vault Distraction

Area of Science:

• Neurosurgery
• Vascular Malformations
• Pediatric Craniofacial Surgery

Background:

• Anomalous venous connections between extracranial and intracranial systems, known as sinus pericranii (SP), are rare.
• SP have been previously reported with cranial malformations, notably craniosynostosis.
• Diagnosis and treatment strategies for SP vary, with both endovascular and open surgical approaches showing success.

Purpose of the Study:

• To describe two cases of posterior cranial distraction in patients with sinus pericranii.
• To highlight the management of SP in the context of craniosynostosis.

Main Methods:

• Review of two clinical cases involving posterior cranial distraction.
• Angiography for diagnosis and venous system dominance assessment.
• Surgical intervention utilizing posterior cranial distraction.

Main Results:

• Successful management of sinus pericranii in two patients.
• Demonstration of posterior cranial distraction as a viable treatment option for SP associated with cranial malformations.

Conclusions:

• Posterior cranial distraction is a feasible surgical technique for managing sinus pericranii, particularly in complex cases involving craniosynostosis.
• This approach may offer an alternative or adjunct to traditional methods for treating SP.