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

Abstract

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.

Keywords

sinus pericranii - headache - pediatrics - cerebral venous hypertension

Authors' Contributions

Dr. Dominguez conceptualized and drafted the initial manuscript, analyzed the literature data, and revised the manuscript. Dr. Tobias conceptualized and drafted the initial manuscript, critically reviewed the manuscript for important intellectual content, analyzed and interpreted the data, and revised the manuscript. Drs. Kim, Shah, Feldstein, Ms. Ng and Ms. Li analyzed the literature data, and revised the manuscript. Drs. Santarelli, Gandhi, and Tyagi critically reviewed the manuscript for important intellectual content, analyzed and interpreted the data, and revised the manuscript. All authors approved the final manuscript as submitted, and agreed to be accountable for all aspects of the work.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Ethics approval was waived by the New York Medical College Institutional Review Board, as this is a case study of a single case. All procedures performed were part of routine care. This article does not contain any studies with animals performed by any of the authors.

Informed Consent

The parent of the patient has consented to the submission of the case report for submission to the journal.

Publication History

Received: 21 December 2020

Accepted: 09 March 2021

Article published online:
15 November 2021

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