Sinus pericranii case reports

Pulsating lid: a rare presentation of sinus pericranii 1).


A 40-year-old man with a scalp mass was admitted to the hospital complaining of headache. The lesion enlarged when the patient was in a recumbent position or during Valsalva maneuver. The radiologic imaging suggested its diagnosis as an accessory type of SP with bone erosion. Surgical resection and cranioplasty were successfully performed, and the related headache also gradually subsided. At the 3-year follow-up, there was no recurrence on magnetic resonance imaging 2).

A 2-year-old male with achondroplasia, Sinus pericranii (SP), and craniocervical junction stenosis. The latter two defects required surgical correction. SP is an underappreciated malformation that Scott et al. propose may be induced by intracranial hypertension. This case appears to be the first report of this condition in achondroplasia 3).

Cerqueira et al describe 2 cases of congenital sinus pericranii associated with intracranial venous anomalies. After a review of the literature concerning this association they consider the possible etiopathogenic mechanisms and treatment implications 4).

Radiographic images of a case of sinus pericranii 5).

Cavernous hemangioma of the frontal bone with report of a case of sinus pericranii 6)

A contribution to the study of sinus pericranii (Stromeyer); report of case with some comments on pathology of the lesion 7).


1)
Kang S, Hamed-Azzam S, Robertson F, Davagnanam I, Verity DH. Pulsating lid: a rare presentation of sinus pericranii. Can J Ophthalmol. 2019 Dec 31. pii: S0008-4182(19)30504-6. doi: 10.1016/j.jcjo.2019.09.007. [Epub ahead of print] PubMed PMID: 31901308.
2)
Chung YS, Kim JJ, Kim SH, Chung J, Lee JW, Park KY. Symptomatic Sinus Pericranii with Adult Onset Headache: A Case Report with Pathologic Perspective. J Cerebrovasc Endovasc Neurosurg. 2019 Sep;21(3):163-168. doi: 10.7461/jcen.2019.21.3.163. Epub 2019 Sep 30. PubMed PMID: 31886152; PubMed Central PMCID: PMC6911930.
3)
Scott AA, Hodge KD, Torres-Martinez W, Dlouhy SR, Smith JL, Weaver DD. Sinus pericranii in achondroplasia: a case report and review of the literature. Clin Dysmorphol. 2017 Oct;26(4):252-255. doi: 10.1097/MCD.0000000000000196. PubMed PMID: 28872565.
4)
Cerqueira L, Reis FC. [Sinus pericranii and developmental venous anomalies: a frequent association]. Acta Med Port. 1995 Apr;8(4):239-42. Review. Portuguese. PubMed PMID: 7625219.
5)
LAINE R, COLAS. [Radiographic images of a case of sinus pericranii]. J Radiol Electrol Arch Electr Medicale. 1951;32(5-6):537-8. Undetermined Language. PubMed PMID: 14889496.
6)
POPPEL MH, ROACH JF, HAMLIN H. Cavernous hemangioma of the frontal bone with report of a case of sinus pericranii. Am J Roentgenol Radium Ther. 1948 Apr;59(4):505-10. PubMed PMID: 18912037.
7)
COURVILLE CB, ROCOVICH PM. A contribution to the study of sinus pericranii (Stromeyer); report of case with some comments on pathology of the lesion. Bull Los Angel Neuro Soc. 1946 Sep-Dec;11(3-4):145-58. PubMed PMID: 20285700.
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