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

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
• 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
• 3 Stromeyer L. About sinus pericranii (translating of original 1850 text). Surg Neurol 1993; 40: 3-4
• 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
• 5 Gandolfo C, Krings T, Alvarez H , et al. Sinus pericranii: diagnostic and therapeutic considerations in 15 patients. Neuroradiology 2007; 49: 505-514
• 6 Kaido T, Kim YK, Ueda K. Diagnostic and therapeutic considerations for sinus pericranii. J Clin Neurosci 2006; 13: 788-792
• 7 Tortori-Donati P, Rossi A. SpringerLink (Online service). Pediatric Neuroradiology Brain. Berlin, Heidelberg: Springer; 2005
• 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
• 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
• 10 Higuchi M, Fujimoto Y, Ikeda H, Kato A. Sinus pericranii: neuroradiologic findings and clinical management. Pediatr Neurosurg 1997; 27: 325-328