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Recurrent sinus pericranii in a 14-year-old boy
J A Brown1, L Woldenberg, M E Velasco
1Department of Neurological Surgery, Medical College of Ohio, Toledo 43699-0008.
Summary
A boy experienced a recurrent sinus pericranii, a blood-filled cyst, after head trauma. Surgical removal was followed by recurrence at a new skull site, causing vision problems and headaches.
Area of Science:
- Neurology
- Vascular Surgery
Background:
- Sinus pericranii is a rare congenital or acquired vascular malformation.
- It can present as a palpable, blood-filled mass, often associated with head trauma.
Observation:
- A 14-year-old boy presented with a symptomatic sinus pericranii following head trauma.
- Initial diagnosis was a blood-filled cyst.
- Surgical excision of the sinus pericranii was performed.
Findings:
- The patient experienced a recurrence of sinus pericranii at a different cranial site one year post-surgery.
- Recurrence was associated with new symptoms including blurred vision and headaches.
Implications:
- This case highlights the potential for symptomatic recurrence of sinus pericranii even after surgical intervention.
- Recurrence may manifest at new locations, necessitating vigilant follow-up.
- Further research into optimal management strategies for recurrent sinus pericranii is warranted.