Skip to main content
SpringerLink
Log in

Sinus pericranii with unusual features: multiplicity, associated dural venous lakes and venous anomaly, and a lateral location

  • Case Report
  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Abstract

Anomalous connections between an extracranial venous sac and intracranial dural sinuses through dilated diploic and emissary veins of the skull result in sinus pericranii (SP). In this study, two patients with the rare presentation of multiple, congenital SP with associated dural venous lakes and venous anomalies are described. In one patient, multiple SPs were located in the frontal, parasagittal region with an associated subcortical venous angioma; and, in the other, peritorcular and juxta–transverse–sigmoid sinus junction SP coexisted. The venous anomalies drained into venous lakes in close proximity to major sinuses. They also communicated with extracranial tributaries via interosseous veins leading to the development of venous hypertension that presumably caused pressure erosion of the skull. This may have been responsible for the pathogenesis of multiple subgaleal venous sacs of SP and may also lead to profuse hemorrhage, cortical venous thrombosis, or air embolism. Multiplicity, associated venous lakes, venous angioma, and a lateral location are unique presentations of SP. Sac excision, transcranial venous anastomotic channel blockage, and reinforcement/replacement of the underlying bone are the recommended modalities of treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9

Abbreviations

SP:

Sinus pericranii

SSS:

Superior sagittal sinus

CT scan:

Computed tomographic scan

MRI:

Magnetic resonance imaging

DSA:

Digital subtraction angiogram

ACA:

Anterior cerebral artery

MCA:

Middle cerebral artery

References

  1. Bollar A, Allut AG, Prieto A, Gelabert M, Becerra E (1992) Sinus pericranii: radiological and etiopathological considerations. J Neurosurg 77:469–472

    Article  CAS  PubMed  Google Scholar 

  2. Buxton N, Vloeberghs M (1990) Sinus pericranii. Report of a case and review of the literature. Pediatr Neurosurg 30:96–99

    Article  Google Scholar 

  3. Gandolfo C, Krings T, Alvarez H, Ozanne A, Schaaf M, Baccin CE, Zhao WY, Lasjaunias P (2007) Sinus pericranii: diagnostic and therapeutic considerations in 15 patients. Neuroradiology 49:505–514

    Article  PubMed  Google Scholar 

  4. Higuchi M, Fujimoto Y, Ikeda H, Kato A (1997) Sinus pericranii: neuroradiologic findings and clinical management. Pediatr Neurosurg 27:325–328

    Article  CAS  PubMed  Google Scholar 

  5. Ohta T, Waga S, Handa H, Nishimura S, Mitani T (1975) Sinus pericranii. J Neurosurg 42:704–712

    Article  Google Scholar 

  6. Sadler LR, Tarr RW, Jungreis CA, Sekhar L (1990) Sinus pericranii: CT and MRI findings. J Comput Assist Tomogr 14:124–127

    Article  CAS  PubMed  Google Scholar 

  7. Wakisaka S, Okuda S, Soejima T, Tsukamato Y (1993) Sinus pericranii. Surg Neurol 19:291–298

    Article  Google Scholar 

  8. Brisman JL, Niimi Y, Berenstein A (2004) Sinus pericranii involving the torcular sinus in a patient with Hunter’s syndrome and trigonocephaly: case report and review of the literature. Neurosurgery 55:E439–E443

    Article  Google Scholar 

  9. Desai K, Bhayani R, Goel A, Muzumdar D (2001) Sinus pericranii in the frontal region: case report. Neurol India 49:305–307

    CAS  PubMed  Google Scholar 

  10. Nakasu Y, Nakasu S, Minouchi K, Handa J (1993) Multiple sinus pericranii with systemic angiomas: case report. Surg Neurol 39:41–45

    Article  CAS  PubMed  Google Scholar 

  11. Beers GJ, Carter AP, Ordia JI, Shapiro M (1984) Sinus pericranii with dural venous lakes. AJNR Am J Neuroradiol 5:629–631

    CAS  PubMed  Google Scholar 

  12. Nomura S, Kato S, Ishihara H, Yoneda H, Ideguchi M, Suzuki M (2006) Association of intra- and extradural developmental venous anomalies, so-called venous angioma and sinus pericranii. Childs Nerv Syst 22:428–431

    Article  PubMed  Google Scholar 

  13. Sakai K, Namba K, Meguro T, Mandai S, Gohda Y, Sakurai M, Matsumoto Y (1997) Sinus pericranii associated with a cerebellar venous angioma: case report. Neurol Med Chir (Tokyo) 37:464–467

    Article  CAS  Google Scholar 

  14. Kurosu A, Wachi A, Bando K, Kumami K, Naito S, Sato K (1994) Craniosynostosis in the presence of a sinus pericranii: case report. Neurosurgery 34:1090–1093

    Article  CAS  PubMed  Google Scholar 

  15. Nozaki J, Kawano H, Kabuto M, Hirose K, Hayashi M (1986) Lateral sinus pericranii. Surg Neurol 25:487–490

    Article  CAS  PubMed  Google Scholar 

  16. Vaquero J, De Sola R, Martinez R (1983) Lateral sinus pericranii: case report. J Neurosurg 58:139–140

    Article  CAS  PubMed  Google Scholar 

  17. Cohn I (1926) Sinus percranii. Report of a case, review of literature. Surg Gynae Obstet 42:614–624

    Google Scholar 

  18. Anegawa S, Hayashi T, Torigoe R, Nakagawa S, Ogasawara T (1991) Sinus pericranii with severe symptom due to transient disorder of venous return—case report. Neurol Med Chir (Tokyo) 31:287–289

    Article  CAS  Google Scholar 

  19. Yanik B, Keyik B, Conkbayir I, Kuru AA, Hekimodlu B (2006) Sinus pericranii: color Doppler ultrasonographic findings. J Ultrasound Med 25:679–682

    PubMed  Google Scholar 

  20. Brook AL, Gold MM, Farinhas JM, Goodrich JT, Bello JA (2009) Endovascular transvenous embolization of sinus pericranii. Case report. J Neurosurg Pediatr 3:220–224

    Article  PubMed  Google Scholar 

  21. Carpenter JS, Rosen CL, Bailes JE (2004) Sinus pericranii: clinical and imaging findings in two cases of spontaneous partial thrombosis. AJNR Am J Neuroradiol 25:121–125

    PubMed  Google Scholar 

Download references

Conflicts of interest

None.

Author information

Authors and Affiliations

  1. Department of Anaesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

    Meesam Rizvi & Devendra Gupta

  2. Department of Pathology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

    Manoj Jain

  3. Department of Radiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

    Rajendra V. Phadke

  4. Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Rae Bareli Road, Lucknow, 226014, India

    Sanjay Behari, Rohit K. Singh & Awadhesh K. Jaiswal

Authors
  1. Meesam Rizvi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sanjay Behari
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Rohit K. Singh
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Devendra Gupta
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Awadhesh K. Jaiswal
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Manoj Jain
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Rajendra V. Phadke
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sanjay Behari.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rizvi, M., Behari, S., Singh, R.K. et al. Sinus pericranii with unusual features: multiplicity, associated dural venous lakes and venous anomaly, and a lateral location. Acta Neurochir 152, 2197–2204 (2010). https://doi.org/10.1007/s00701-010-0809-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00701-010-0809-0

Keywords

Search

Navigation