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Dynamic morphological changes of thrombosed lateral sinus pericranii revealed by serial magnetic resonance images

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Abstract

Background

Sinus pericranii (SP) is a rare venous anomaly involving an abnormal connection of the intracranial dural sinuses with the extracranial veins. Magnetic resonance (MR) imaging (MRI) with MR venography can detect the typically congested intra- and extracranial venous components of SP.

Clinical presentation

We report a rare case of lateral SP associated with the superior sagittal sinus, which might had already developed almost total thrombosis of the SP at the first MRI. As this patient had not presented with classical manifestations of SP on clinical or neuroradiological findings, the initial diagnosis of SP was difficult. Repeated MRI revealed dynamic morphological changes associated with reperfusion of the thrombosed SP via the cortical vein.

Conclusion

MR venography combined with gadolinium enhancement was useful for diagnosis of the SP with an extremely slow flow status.

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Acknowledgements

We thank Mr. Joji Hashimoto for providing an excellent 3D-reconstructed images and Edanz Group (www.edanzediting.com/ac) for editing a draft of this manuscript. This work was supported by Research Foundation of Fukuoka Children’s Hospital.

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Authors and Affiliations

  1. Department of Pediatric Neurology, Fukuoka Children’s Hospital, 5-1-1 Kashii-Teriha, Higashi-ku, Fukuoka, 813-0017, Japan

    Mihori Ryorin

  2. Department of Neurosurgery, Fukuoka Children’s Hospital, 5-1-1 Kashii-Teriha, Higashi-ku, Fukuoka, 813-0017, Japan

    Takato Morioka & Nobuya Murakami

  3. Department of Neuropathology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan

    Satoshi O. Suzuki

  4. Department of Radiology, Fukuoka Children’s Hospital, 5-1-1 Kashii-Teriha, Higashi-ku, Fukuoka, 813-0017, Japan

    Nobuko Kawamura

Authors
  1. Mihori Ryorin
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  2. Takato Morioka
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  3. Nobuya Murakami
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  4. Satoshi O. Suzuki
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  5. Nobuko Kawamura
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Correspondence to Takato Morioka.

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The authors declare that they have no conflict of interest.

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Ryorin, M., Morioka, T., Murakami, N. et al. Dynamic morphological changes of thrombosed lateral sinus pericranii revealed by serial magnetic resonance images. Childs Nerv Syst 34, 143–148 (2018). https://doi.org/10.1007/s00381-017-3592-x

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  • DOI: https://doi.org/10.1007/s00381-017-3592-x

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