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Lateral sinus pericranii with internal jugular vein communication
Michael Teklehaimanot Abera1, Miskir Gebremariam Waktola1, Etsehiwot Demeke Debele1
1Department of Radiology, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Radiology Case Reports
|November 29, 2023
Summary
Sinus pericranii, an abnormal connection between scalp and brain veins, typically affects the frontal area. This case highlights an unusual lateral scalp presentation in a child, emphasizing the role of CT scans in diagnosis and management.
Area of Science:
- Vascular Surgery
- Pediatric Radiology
- Neurology
Background:
- Sinus pericranii is an abnormal communication between extracranial and intracranial venous structures.
- It most commonly involves the superior sagittal sinus, presenting as scalp swelling.
- Lateral scalp involvement is rare and poses diagnostic challenges.
Observation:
- A 10-year-old male presented with unilateral scalp swelling.
- Computed tomography (CT) revealed an unusual lateral sinus pericranii.
- The condition involved the right scalp and ipsilateral internal jugular vein.
Findings:
- Postcontrast head and neck CT confirmed the diagnosis of lateral sinus pericranii.
- Radiologic findings were crucial for accurate diagnosis and treatment planning.
- The unusual location and venous involvement were key diagnostic features.
Implications:
- This case underscores the importance of advanced imaging in diagnosing rare venous anomalies.
- It highlights the need for considering atypical presentations of sinus pericranii.
- A conservative management approach with close monitoring was deemed appropriate.
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