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Sinus Pericranii
Luke L. Linscott, MD; Anne G. Osborn, MD, FACR; Anna Illner, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Sinus pericranii (SP)
            • Definitions

              • Anomalous communication between intracranial dural venous sinus (DVS), extracranial venous circulation

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      • Angiographic Findings

                        • Nuclear Medicine Findings

                          • Other Modality Findings

                            • Imaging Recommendations

                              DIFFERENTIAL DIAGNOSIS

                                PATHOLOGY

                                • General Features

                                  • Staging, Grading, & Classification

                                    • Gross Pathologic & Surgical Features

                                      • Microscopic Features

                                        CLINICAL ISSUES

                                        • Presentation

                                          • Demographics

                                            • Natural History & Prognosis

                                              • Treatment

                                                DIAGNOSTIC CHECKLIST

                                                • Consider

                                                  • Image Interpretation Pearls

                                                    • Reporting Tips

                                                      Selected References

                                                      1. Manjila S et al: A review of extraaxial developmental venous anomalies of the brain involving dural venous flow or sinuses: persistent embryonic sinuses, sinus pericranii, venous varices or aneurysmal malformations, and enlarged emissary veins. Neurosurg Focus. 45(1):E9, 2018
                                                      2. Ryorin M et al: Dynamic morphological changes of thrombosed lateral sinus pericranii revealed by serial magnetic resonance images. Childs Nerv Syst. 34(1):143-8, 2018
                                                      3. Bouali S et al: Spontaneous involution of a sinus pericranii. Childs Nerv Syst. 33(9):1435-7, 2017
                                                      4. Sanders FH et al: Extremely large sinus pericranii with involvement of the torcular and associated with Crouzon's syndrome. Childs Nerv Syst. 33(9):1445-9, 2017
                                                      5. Pavanello M et al: Sinus pericranii: diagnosis and management in 21 pediatric patients. J Neurosurg Pediatr. 15(1):60-70, 2015
                                                      6. Saba R et al: Sinus pericranii in a young adult with chronic headache. BMJ Case Rep. 2013, 2013
                                                      7. Akram H et al: Sinus pericranii: an overview and literature review of a rare cranial venous anomaly (a review of the existing literature with case examples). Neurosurg Rev. 35(1):15-26; discussion 26, 2012
                                                      8. Kanavaki A et al: Sinus pericranii: a scalp mass in a 6-month-old boy. Pediatr Neurosurg. 48(2):126-8, 2012
                                                      9. Kim YJ et al: Sonographic features of sinus pericranii in 4 pediatric patients. J Ultrasound Med. 2011 Mar;30(3):411-7. Erratum in: J Ultrasound Med. 30(5):684, 2011
                                                      10. Rozen WM et al: Spontaneous involution of two sinus pericranii - a unique case and review of the literature. J Clin Neurosci. 15(7):833-5, 2008
                                                      11. Gandolfo C et al: Sinus pericranii: diagnostic and therapeutic considerations in 15 patients. Neuroradiology. 49(6):505-14, 2007
                                                      12. Mitsukawa N et al: Sinus pericranii associated with craniosynostosis. J Craniofac Surg. 18(1):78-84, 2007
                                                      13. Nomura S et al: Association of intra- and extradural developmental venous anomalies, so-called venous angioma and sinus pericranii. Childs Nerv Syst. 22(4):428-31, 2006
                                                      14. Burry MV et al: Use of gadolinium as an intraarterial contrast agent for pediatric neuroendovascular procedures. J Neurosurg. 100(2 Suppl Pediatrics):150-5, 2004
                                                      15. Burrows PE et al: Venous variations of the brain and cranial vault. Neuroimaging Clin N Am. 13(1):13-26, 2003
                                                      16. Kurosu A et al: Craniosynostosis in the presence of a sinus pericranii: case report. Neurosurgery. 34(6):1090-2; discussion 1092-3, 1994
                                                      17. Nakasu Y et al: Multiple sinus pericranii with systemic angiomas: case report. Surg Neurol. 39(1):41-5, 1993
                                                      18. Bollar A et al: Sinus pericranii: radiological and etiopathological considerations. Case report. J Neurosurg. 77(3):469-72, 1992
                                                      19. Sherry RG et al: Sinus pericranii and venous angioma in the blue-rubber bleb nevus syndrome. AJNR Am J Neuroradiol. 5(6):832-4, 1984
                                                      Related Anatomy
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                                                      Related Differential Diagnoses
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                                                      References
                                                      Tables

                                                      Tables

                                                      KEY FACTS

                                                      • Terminology

                                                        • Imaging

                                                          • Top Differential Diagnoses

                                                            • Clinical Issues

                                                              • Diagnostic Checklist

                                                                TERMINOLOGY

                                                                • Abbreviations

                                                                  • Sinus pericranii (SP)
                                                                • Definitions

                                                                  • Anomalous communication between intracranial dural venous sinus (DVS), extracranial venous circulation

                                                                IMAGING

                                                                • General Features

                                                                  • Radiographic Findings

                                                                    • CT Findings

                                                                      • MR Findings

                                                                        • Ultrasonographic Findings

                                                                          • Angiographic Findings

                                                                            • Nuclear Medicine Findings

                                                                              • Other Modality Findings

                                                                                • Imaging Recommendations

                                                                                  DIFFERENTIAL DIAGNOSIS

                                                                                    PATHOLOGY

                                                                                    • General Features

                                                                                      • Staging, Grading, & Classification

                                                                                        • Gross Pathologic & Surgical Features

                                                                                          • Microscopic Features

                                                                                            CLINICAL ISSUES

                                                                                            • Presentation

                                                                                              • Demographics

                                                                                                • Natural History & Prognosis

                                                                                                  • Treatment

                                                                                                    DIAGNOSTIC CHECKLIST

                                                                                                    • Consider

                                                                                                      • Image Interpretation Pearls

                                                                                                        • Reporting Tips

                                                                                                          Selected References

                                                                                                          1. Manjila S et al: A review of extraaxial developmental venous anomalies of the brain involving dural venous flow or sinuses: persistent embryonic sinuses, sinus pericranii, venous varices or aneurysmal malformations, and enlarged emissary veins. Neurosurg Focus. 45(1):E9, 2018
                                                                                                          2. Ryorin M et al: Dynamic morphological changes of thrombosed lateral sinus pericranii revealed by serial magnetic resonance images. Childs Nerv Syst. 34(1):143-8, 2018
                                                                                                          3. Bouali S et al: Spontaneous involution of a sinus pericranii. Childs Nerv Syst. 33(9):1435-7, 2017
                                                                                                          4. Sanders FH et al: Extremely large sinus pericranii with involvement of the torcular and associated with Crouzon's syndrome. Childs Nerv Syst. 33(9):1445-9, 2017
                                                                                                          5. Pavanello M et al: Sinus pericranii: diagnosis and management in 21 pediatric patients. J Neurosurg Pediatr. 15(1):60-70, 2015
                                                                                                          6. Saba R et al: Sinus pericranii in a young adult with chronic headache. BMJ Case Rep. 2013, 2013
                                                                                                          7. Akram H et al: Sinus pericranii: an overview and literature review of a rare cranial venous anomaly (a review of the existing literature with case examples). Neurosurg Rev. 35(1):15-26; discussion 26, 2012
                                                                                                          8. Kanavaki A et al: Sinus pericranii: a scalp mass in a 6-month-old boy. Pediatr Neurosurg. 48(2):126-8, 2012
                                                                                                          9. Kim YJ et al: Sonographic features of sinus pericranii in 4 pediatric patients. J Ultrasound Med. 2011 Mar;30(3):411-7. Erratum in: J Ultrasound Med. 30(5):684, 2011
                                                                                                          10. Rozen WM et al: Spontaneous involution of two sinus pericranii - a unique case and review of the literature. J Clin Neurosci. 15(7):833-5, 2008
                                                                                                          11. Gandolfo C et al: Sinus pericranii: diagnostic and therapeutic considerations in 15 patients. Neuroradiology. 49(6):505-14, 2007
                                                                                                          12. Mitsukawa N et al: Sinus pericranii associated with craniosynostosis. J Craniofac Surg. 18(1):78-84, 2007
                                                                                                          13. Nomura S et al: Association of intra- and extradural developmental venous anomalies, so-called venous angioma and sinus pericranii. Childs Nerv Syst. 22(4):428-31, 2006
                                                                                                          14. Burry MV et al: Use of gadolinium as an intraarterial contrast agent for pediatric neuroendovascular procedures. J Neurosurg. 100(2 Suppl Pediatrics):150-5, 2004
                                                                                                          15. Burrows PE et al: Venous variations of the brain and cranial vault. Neuroimaging Clin N Am. 13(1):13-26, 2003
                                                                                                          16. Kurosu A et al: Craniosynostosis in the presence of a sinus pericranii: case report. Neurosurgery. 34(6):1090-2; discussion 1092-3, 1994
                                                                                                          17. Nakasu Y et al: Multiple sinus pericranii with systemic angiomas: case report. Surg Neurol. 39(1):41-5, 1993
                                                                                                          18. Bollar A et al: Sinus pericranii: radiological and etiopathological considerations. Case report. J Neurosurg. 77(3):469-72, 1992
                                                                                                          19. Sherry RG et al: Sinus pericranii and venous angioma in the blue-rubber bleb nevus syndrome. AJNR Am J Neuroradiol. 5(6):832-4, 1984