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J Neurol Surg A Cent Eur Neurosurg 2013; 74(S 01): e166-e169
DOI: 10.1055/s-0032-1333423
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Sinus Pericranii in the Left Frontal Region Involving the Superior Eyelid: A Case Report

Gordan Grahovac
1   Department of Neurosurgery, Clinical Hospital Dubrava, Zagreb, Croatia
,
Prajwal Rajappa
2   Department of Neurological Surgery, Weill Cornell Medical College, New York Presbyterian Hospital, New York, New York, United States
,
Milorad Vilendecic
1   Department of Neurosurgery, Clinical Hospital Dubrava, Zagreb, Croatia
,
Rado Zic
3   Department of Plastic and Reconstructive Surgery, Clinical Hospital Dubrava, Zagreb, Croatia
,
Smiljka Lambasa
4   Department of Pathology, Clinical Hospital Dubrava, Zagreb, Croatia
,
Stefan Prgomet
1   Department of Neurosurgery, Clinical Hospital Dubrava, Zagreb, Croatia
› Author Affiliations
Further Information

Publication History

05 August 2012

20 October 2012

Publication Date:
20 February 2013 (online)

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Abstract

Background Sinus pericranii is a rare asymptomatic communication between the intracranial and extracranial venous drainage pathways. The venous flow in this condition circulates through abnormal dilated veins in both directions.

Patient/Methods We describe an unusual location of an accessory sinus pericranii that involved the left frontal bone along with the superior orbital rim and the upper eyelid, with special focus on therapy.

Results The patient did not have any complication during the first and second surgery. Final outcome was excellent. The patient did not show any evidence of disease recurrence 1 year after the surgery.

Conclusion We propose a multidisciplinary approach in the treatment of such lesions with a two-step surgery. Excision of the sinus pericranii is possible if the sinus pericranii is not a major venous outflow channel of the brain, which can be evaluated by angiography.

Keywords

sinus pericranii - orbit - eyelid - dural sinus - vascular tissue
 

  • References

  • 1 Bollar A, Allut AG, Prieto A, Gelabert M, Becerra E. Sinus pericranii: radiological and etiopathological considerations. Case report. J Neurosurg 1992; 77: 469-472
    CrossrefPubMedGoogle Scholar
  • 2 Brisman JL, Niimi Y, Berenstein A. Sinus pericranii involving the torcular sinus in a patient with Hunter's syndrome and trigonocephaly: case report and review of the literature. Neurosurgery 2004; 55: 433
    PubMedGoogle Scholar
  • 3 Stromeyer L. About sinus pericranii (translating of original 1850 text). Surg Neurol 1993; 40: 3-4
    PubMedGoogle Scholar
  • 4 Weinzierl M, Korinth M, Stracke CP, Gilsbach J, Krings T. Off-midline sinus pericranii associated with ipsilateral venous anomaly: case report and therapeutic considerations. Zentralbl Neurochir 2008; 69: 40-42
    Article in Thieme ConnectPubMedGoogle Scholar
  • 5 Gandolfo C, Krings T, Alvarez H , et al. Sinus pericranii: diagnostic and therapeutic considerations in 15 patients. Neuroradiology 2007; 49: 505-514
    CrossrefPubMedGoogle Scholar
  • 6 Kaido T, Kim YK, Ueda K. Diagnostic and therapeutic considerations for sinus pericranii. J Clin Neurosci 2006; 13: 788-792
    CrossrefPubMedGoogle Scholar
  • 7 Tortori-Donati P, Rossi A. SpringerLink (Online service). Pediatric Neuroradiology Brain. Berlin, Heidelberg: Springer; 2005
    CrossrefGoogle Scholar
  • 8 Rozen WM, Joseph S, Lo PA. Spontaneous involution of two sinus pericranii - a unique case and review of the literature. J Clin Neurosci 2008; 15: 833-835
    CrossrefPubMedGoogle Scholar
  • 9 Wen CS, Chang YL, Wang HS, Kuo MF, Tu YK. Sinus pericranii: from gross and neuroimaging findings to different pathophysiological changes. Childs Nerv Syst 2005; 21: 482-488
    CrossrefPubMedGoogle Scholar
  • 10 Higuchi M, Fujimoto Y, Ikeda H, Kato A. Sinus pericranii: neuroradiologic findings and clinical management. Pediatr Neurosurg 1997; 27: 325-328
    CrossrefPubMedGoogle Scholar