Spontaneous involution of a sinus pericranii

Sinus pericranii (SP) is a rare vascular malformation characterized by an abnormal communication between the intracranial and extracranial venous systems. [1] Sinus pericranii are most commonly seen in the distribution areas of the superior sagittal and transverse sinuses. [2] There are no uniform criteria for the etiology, pathogenesis, diagnostic criteria, treatment options, or prognosis of Sinus pericranii. [3] In this paper, we present the diagnosis and treatment of a child admitted to our neurosurgery department in 2019 with rapidly growing frontal Sinus pericranii, as well as the 3-year postoperative follow-up. Authors summarize the clinical presentation characteristics, diagnosis and treatment methods, and prognosis of this disease using relevant domestic and international literature to improve clinicians' understanding of this disease. Case PresentationClinical Course We describe a case of SP in a 10-year-old girl who was noted to have a frontal scalp swelling at birth and signi cantly increased within six months. After the child was born, her parents noticed that the forehead swelling appeared when the child cried. The mass was peanut-sized, soft, with normal skin on its surface. When the child was quiet, it vanished on its own. In the past six months, the swelling was found to be rapidly growing, occasionally accompanied by headache and local tenderness, so the child came to our hospital for consultation. The child's parents denied any history of head trauma within the last decade.

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“…(4) Pharmacotherapy [10] : it has been reported that the symptoms are relieved in some patients after taking oral βreceptor blockers.…”

Section: Discussionmentioning

confidence: 99%

Rapidly growing sinus pericranii within a short period: a case report

Sun

Wang

2023

Childs Nerv Syst

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“…Other indications for SP treatment are to avoid some serious complications such as venous infarction, intracranial hemorrhage, bleeding, and air emboli, and to ameliorate cosmetic problems (21) and spontaneous thrombosis in an SP, which may occur (22) . However, spontaneous regression of sinus pericranii has been reported (23) . Active surgical management of sinus pericranii was justified by the prevention of infection, traumatic air embolism, or massive bleeding (9,(24)(25)(26) or to decrease discomfort (15,25,27) .…”

Section: Discussionmentioning

confidence: 99%

Sinus Pericranii associated with Hypoplastic Straight Sinus and Persistent Falcine Sinus

Hendi

2022

Suez Canal University Medical Journal

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“…3 Fontanelle and cranial suture closure is a possible mechanism of spontaneous involution of the SP. 10 Acquired lesions may be spontaneous or related to trauma. Subclinical dural sinus thrombosis may also contribute to their formation.…”

Section: Discussionmentioning

confidence: 99%

“…3,7,12 We reviewed the literature for pediatric SP not associated with congenital syndromes and found 32 such cases (►Table 1). 1,[9][10][11][12][13][14][15][16] Clinical presentations included scalp masses, headaches, dizziness, and tinnitus. There were no reports of neurologic symptoms such as paresthesias, weakness, or vision changes.…”

Section: Discussionmentioning

confidence: 99%

“…4 There are reports of spontaneous resolution, although none beyond 7 years of age, with low likelihood of expansion after puberty. 6,[10][11][12] Mechanisms of formation of congenital SP include incomplete cranial suture closure, increased ICP, or in utero cerebral venous thrombosis. SP can form as a result of late embryonic transient increased intracranial venous pressure causing retention of bony venous channels to the dural sinuses.…”

Section: Discussionmentioning

confidence: 99%

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Treatment of an Elusive Symptomatic Sinus Pericranii: Case Report and Review of the Literature

Dominguez

Shah

Feldstein

et al. 2021

J Neurol Surg A Cent Eur Neurosurg

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Sinus pericranii (SP) are abnormal vascular connections between extracranial scalp venous channels and intracranial dural sinuses. This vascular abnormality rarely results in significant sequelae, but in select cases, it can be symptomatic. We describe the case of a 7-year-old girl with an SP who experienced intermittent visual, motor, and sensory symptoms not previously described in the literature. Her symptoms resolved after surgical treatment of the SP. We propose a mechanism for her symptoms and the rationale for the role of neurosurgical intervention along with a review of the literature.

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Spontaneous involution of a sinus pericranii

Cited by 7 publications

References 5 publications

Rapidly growing sinus pericranii within a short period: a case report

Rapidly growing sinus pericranii within a short period: a case report

Sinus Pericranii associated with Hypoplastic Straight Sinus and Persistent Falcine Sinus

Treatment of an Elusive Symptomatic Sinus Pericranii: Case Report and Review of the Literature

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