Related Experiment Video
Updated: Sep 3, 2025
14:58
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
9.8K
Percutaneous embolization of sinus pericranii.
Haydn Hoffman1, George W Koutsouras2, Justin Oh2
1Department of Neurosurgery, State University of New York Upstate Medical University, Syracuse, New York, USA HoffmanH@upstate.edu.
Journal of Neurointerventional Surgery
|July 22, 2022
Summary
Sinus pericranii, a rare vascular anomaly, can be effectively treated with percutaneous embolization. This technique offers a viable alternative to transvenous embolization for symptomatic cases.
Area of Science:
- Vascular Surgery
- Interventional Neuroradiology
- Pediatric Neurosurgery
Background:
- Sinus pericranii is a rare venous vascular malformation.
- Limited data exist on its presentation, management, and outcomes.
- Technical videos on percutaneous embolization are scarce.
Observation:
- A child presented with a symptomatic, enlarging accessory sinus pericranii connected to the torcula.
- Initial transvenous embolization was unsuccessful.
- Percutaneous embolization using Onyx-34 was performed under fluoroscopic guidance.
Findings:
- Significant reduction in flow into the sinus pericranii was achieved.
- The lesion showed near-complete resolution at 3-week follow-up.
- Percutaneous embolization proved to be a feasible alternative treatment.
Implications:
- Percutaneous embolization is a potential treatment option for sinus pericranii.
- Further data are needed to establish optimal treatment strategies.
- This case report provides technical insights for neurointerventionalists.
