Multiple lateral sinus pericranii: A case report

Introduction. Sinus pericranii is a rare vascular anomaly. It is characterized by abnormal communication between the extracranial and intracranial venous system, usually involving the superior sagittal sinus and occasionally the transverse sinus. Off the midline lesions are extremely rare. Multiplicity, associated venous lakes, venous angioma and lateral location are unusual and unique presentation of sinus pericranii. Case report. A case of multiple congenital off-midline sinus pericranii in the left frontotemporal and parietal region is presented. Magnetic resonance imaging showed an extracranial vascular anomaly connected with the intracranial venous system through abnormal diploic or emissary veins. The lesions were removed completely by surgery. Conclusion. Sinus pericranii is a rare vascular malformation with unique clinical and radiological features. Sinus pericranii may cause fatal complications, and it must be treated by surgical or endovascular procedures.

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Bilateral Frontal Sinus Pericranii with an Intratabular Course

Interventional Neuroradiology ◽

10.1177/159101991001600210 ◽

2010 ◽

Vol 16 (2) ◽

pp. 179-182 ◽

Cited By ~ 5

Author(s):

B. Schenk ◽

P.A. Brouwer

Keyword(s):

Frontal Sinus ◽

Unusual Case ◽

Superior Sagittal Sinus ◽

Venous System ◽

Venous Anomaly ◽

Sinus Pericranii ◽

Sagittal Sinus ◽

Venous Circulation ◽

Bridging Vein

Sinus pericranii is a rare venous anomaly, representing a transosseous connection between the intracranial venous system and the epicranial venous system. We present an unusual case of bilateral frontal sinus pericranii in a 12-year-old boy, with associated lacrimation. Instead of the usual short bridging vein between the intra- and extracranial venous circulation, in our case the veins connecting the superior sagittal sinus and the left superior ophthalmic/orbital vein coursed intratabularly over a distance of several centimeters. To our knowledge, such a course has not previously been reported in literature.

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A Simple Surgical Technique for Pediatric Sinus Pericranii: Intraoperative Manual Compression of a Major Shunting Point

Pediatric Neurosurgery ◽

10.1159/000514478 ◽

2021 ◽

pp. 1-6

Author(s):

Yuki Fujimoto ◽

Ryota Ishibashi ◽

Yoshinori Maki ◽

Masashi Kitagawa ◽

Masanori Kinosada ◽

...

Keyword(s):

Vascular Anomaly ◽

Surgical Removal ◽

Manual Compression ◽

Intraoperative Bleeding ◽

Case Presentation ◽

Sinus Pericranii ◽

Sagittal Sinus ◽

Venous Circulation ◽

Subcutaneous Mass ◽

Computed Tomography Venography

Introduction: Sinus pericranii is a vascular anomaly with extra- and intracranial venous connections. Sinus pericranii is categorized into 2 groups according to its contribution to the normal venous circulation. The accessory type sinus pericranii, which does not contribute to the normal major venous circulation, can be managed. Despite several proposed operative maneuvers, a standardized technique is yet to be established to control intraoperative bleeding. Case Presentation: A 2-week-old neonate underwent examination of a subcutaneous mass in the parieto-occipital region. The subcutaneous mass had a major venous connection to the superior sagittal sinus on ultrasonography. The subcutaneous mass was partially thrombolized on magnetic resonance imaging and was minimally enhanced on computed tomography venography. The subcutaneous mass seemed not to contribute to the normal venous circulation. Surgical removal of the subcutaneous mass was performed due to its increased size at the age of 1 year and 3 months. While subcutaneous mass was detached from the scalp, the major venous connection was manually compressed, and minor venous connections were easily detected. The intraoperative bleeding was controllable. The pathological diagnosis was sinus pericranii. The patient is now followed up in the outpatient clinic. No recurrence was seen 18 months after the surgery. Discussion/Conclusion: Intraoperative hemostasis is essential while sinus pericranii is detached from the cranium. Hemostatic agents such as bone wax or absorbable gelatin and heat coagulation seem to be useful. However, complicative hemorrhage concerning to the preceded technique has been also reported. As seen in our case, to detect minor shunting points between the sinus pericranii and the intracranial veins, the major venous connection was manually compressed. Intraoperative manual compression of a major venous connection of sinus pericranii can be an option to manage intraoperative bleeding.

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Evaluation of cerebral venous thrombosis by computed tomography/MRI and magnetic resonance venography in pregnant and postpartum women: a prospective study

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20184050 ◽

2018 ◽

Vol 6 (10) ◽

pp. 3381

Author(s):

Neelam Singh ◽

Dinesh Udainiya ◽

Sonal Kulshreshtha ◽

Jyoti Bindal

Keyword(s):

Venous Thrombosis ◽

Temporal Lobe ◽

Cerebral Venous Thrombosis ◽

Post Partum ◽

Transverse Sinus ◽

Venous System ◽

Postpartum Women ◽

Hemorrhagic Infarction ◽

Sagittal Sinus ◽

A Prospective Study

Background: Diagnosis of Cerebral venous thrombosis (CVT) is challenging as it is an uncommon cause of stroke with varied clinical presentations, predisposing factors, imaging findings, and outcomes. Prompt and accurate diagnosis is important for timely intervention in order to reverse and significantly reduce the acute and long-term sequel. Aims and objectives was to study cerebral venous thrombosis in pregnant and post-partum women.Methods: Hundred pregnant and postpartum women having CVT were studied at Kamla Raja Hospital and JA Group of Hospital at GR Medical College, Gwalior Madhya Pradesh for study period of 2016 to 2017. All the women had undergone CT/MRI and MRV.Results: Age of CVT patients ranged from 18-35 years with a maximum incidence (84%) in the 2nd decade (20-30 years). Sixty two percent women had infarction; out of that 53% had hemorrhagic infarction. Frontal lobe (10%) and temporal lobe (10%) were more affected. Superior sagittal sinus (SSS) was most commonly involved (71%) followed by transverse sinus (66%) and sigmoid sinus (45%). Superficial venous system was involved in 32 patients while deep venous system was involved in 20 patients. Majority of (82%) patients had combination of sinuses and venous involvement.Conclusions: CVT was more prevalent in young pregnant and postpartum women. Hemorrhagic infarction were common and affecting frontal and temporal lobe. SSS were mostly affected in CVT. MRV should be the first line diagnostic tool for diagnosis of CVT in pregnant and postpartum women.

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Anatomic variations of venous sinuses in the region of the torcular Herophili

Journal of Neurosurgery ◽

10.3171/jns.1985.62.1.0090 ◽

1985 ◽

Vol 62 (1) ◽

pp. 90-95 ◽

Cited By ~ 56

Author(s):

Krishna Kumar Bisaria

Keyword(s):

Superior Sagittal Sinus ◽

Transverse Sinus ◽

Lateral Sinus ◽

Content Type ◽

Straight Sinus ◽

Sagittal Sinus ◽

Type 3 ◽

Transverse Sinuses

✓ In this study of 110 cranial cavities from adult cadavers, the superior sagittal sinus was found to divide into two channels. In most cases, the division was associated with a dural partition. Essentially, the variations as observed in this study could be grouped into three types: Type 1 includes those specimens in which the sagittal sinus drains into one lateral sinus and the straight sinus into the other, with no connection between the two. Type 2 includes those specimens in which the superior sagittal sinuses and the straight sinus fork, and the forks from both sinuses join to form the lateral sinuses. Type 3 includes those specimens in which a confluence of sinuses exists, varying from a common pool to merely a potential confluence, depending upon the presence of pads, incomplete partitions, and complete partitions of dura mater. Rare findings previously not reported consist of double straight sinuses draining into one transverse sinus; the superior sagittal sinus dividing into three channels with two transverse sinuses on one side; a transverse sinus originating from a tentorial vein; and drainage of a tentorial vein into the confluence of sinuses.

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Off-midline Sinus Pericranii Associated with Ipsilateral Venous Anomaly: Case Report and Therapeutic Considerations

Zentralblatt für Neurochirurgie ◽

10.1055/s-2007-984476 ◽

2008 ◽

Vol 69 (1) ◽

pp. 40-42

Author(s):

M. Weinzierl ◽

M. Korinth ◽

C. Stracke ◽

J. Gilsbach ◽

T. Krings

Keyword(s):

Case Report ◽

Venous Anomaly ◽

Sinus Pericranii ◽

Therapeutic Considerations ◽

Midline Sinus

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Multiple Sagittal Sinus Arteriovenous Fistula Resulting from a Transverse Sinus Venous Thrombosis Presenting with Superior Orbital Vein Engorgement and Status Epilepticus: A Case Report

Acta Medica Philippina ◽

10.47895/amp.v49i1.1036 ◽

2015 ◽

Vol 49 (1) ◽

Author(s):

Mari Anne Kristin Dale N. Moll ◽

Patricia Ann D. Canto ◽

Leah L. Shiong Shu ◽

Jose Leonard R. Pascual

Keyword(s):

Case Report ◽

Status Epilepticus ◽

Venous Thrombosis ◽

Arteriovenous Fistula ◽

Transverse Sinus ◽

Sagittal Sinus ◽

Sinus Venous Thrombosis

...

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Cerebrospinal Fluid Rhinorrhea Secondary to Small Tumor Invasion into the Superior Sagittal Sinus —Case Report—

Neurologia medico-chirurgica ◽

10.2176/nmc.36.877 ◽

1996 ◽

Vol 36 (12) ◽

pp. 877-879 ◽

Cited By ~ 1

Author(s):

Kimito TANAKA ◽

Shiro WAGA ◽

Tadashi KOJIMA ◽

Hiroshi SAKAIDA

Keyword(s):

Cerebrospinal Fluid ◽

Case Report ◽

Tumor Invasion ◽

Superior Sagittal Sinus ◽

Small Tumor ◽

Cerebrospinal Fluid Rhinorrhea ◽

Sagittal Sinus

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Sagittal sinus thrombosis associated with transient free protein S deficiency after l-asparaginase treatment: case report and review of the literature

Clinical Neurology and Neurosurgery ◽

10.1016/s0303-8467(99)00076-1 ◽

2000 ◽

Vol 102 (1) ◽

pp. 33-36 ◽

Cited By ~ 10

Author(s):

Jae-Hong Lee ◽

Sang-We Kim ◽

Jong Sung Kim

Keyword(s):

Case Report ◽

Sinus Thrombosis ◽

Protein S ◽

Protein S Deficiency ◽

Review Of The Literature ◽

Free Protein ◽

Sagittal Sinus ◽

S Deficiency ◽

Sagittal Sinus Thrombosis

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Retrieval of a migrated N-butyl-2 cyanoacrylate cast using a snare-kit system during dural AVF embolization: A case report

Interventional Neuroradiology ◽

10.1177/1591019918775957 ◽

2018 ◽

Vol 24 (5) ◽

pp. 571-573

Author(s):

Ramy Ahmed ◽

Satomi Ide ◽

Hiro Kiyosue ◽

Shuichi Tanoue ◽

Shunro Matsumoto ◽

...

Keyword(s):

Case Report ◽

Arteriovenous Fistula ◽

Dural Arteriovenous Fistula ◽

Endovascular Procedures ◽

Sigmoid Sinus ◽

Embolic Material ◽

Coagulation Profile ◽

Liquid Embolic

N-butyl-2 cyanoacrylate (NBCA) is a liquid embolic material that is widely used in various endovascular procedures because of its permanent and rapid vascular occluding effect regardless of the coagulation profile of the patient. However, NBCA migration to unintended vessels may result in serious complications. This report describes the retrieval of a migrated NBCA cast from the transverse-sigmoid sinus during dural arteriovenous fistula embolization using a transvenous snaring technique.

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