Dynamic morphological changes of thrombosed lateral sinus pericranii revealed by serial magnetic resonance images

Background Sinus pericranii (SP) is a rare venous anomaly involving an abnormal connection of the intracranial dural sinuses with the extracranial veins. Magnetic resonance (MR) imaging (MRI) with MR venography can detect the typically congested intra- and extracranial venous components of SP. Clini...

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Veröffentlicht in:Child's nervous system 2018, Vol.34 (1), p.143-148
Hauptverfasser: Ryorin, Mihori, Morioka, Takato, Murakami, Nobuya, Suzuki, Satoshi O., Kawamura, Nobuko
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container_end_page 148
container_issue 1
container_start_page 143
container_title Child's nervous system
container_volume 34
creator Ryorin, Mihori
Morioka, Takato
Murakami, Nobuya
Suzuki, Satoshi O.
Kawamura, Nobuko
description Background Sinus pericranii (SP) is a rare venous anomaly involving an abnormal connection of the intracranial dural sinuses with the extracranial veins. Magnetic resonance (MR) imaging (MRI) with MR venography can detect the typically congested intra- and extracranial venous components of SP. Clinical presentation We report a rare case of lateral SP associated with the superior sagittal sinus, which might had already developed almost total thrombosis of the SP at the first MRI. As this patient had not presented with classical manifestations of SP on clinical or neuroradiological findings, the initial diagnosis of SP was difficult. Repeated MRI revealed dynamic morphological changes associated with reperfusion of the thrombosed SP via the cortical vein. Conclusion MR venography combined with gadolinium enhancement was useful for diagnosis of the SP with an extremely slow flow status.
doi_str_mv 10.1007/s00381-017-3592-x
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Magnetic resonance (MR) imaging (MRI) with MR venography can detect the typically congested intra- and extracranial venous components of SP. Clinical presentation We report a rare case of lateral SP associated with the superior sagittal sinus, which might had already developed almost total thrombosis of the SP at the first MRI. As this patient had not presented with classical manifestations of SP on clinical or neuroradiological findings, the initial diagnosis of SP was difficult. Repeated MRI revealed dynamic morphological changes associated with reperfusion of the thrombosed SP via the cortical vein. 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Magnetic resonance (MR) imaging (MRI) with MR venography can detect the typically congested intra- and extracranial venous components of SP. Clinical presentation We report a rare case of lateral SP associated with the superior sagittal sinus, which might had already developed almost total thrombosis of the SP at the first MRI. As this patient had not presented with classical manifestations of SP on clinical or neuroradiological findings, the initial diagnosis of SP was difficult. Repeated MRI revealed dynamic morphological changes associated with reperfusion of the thrombosed SP via the cortical vein. Conclusion MR venography combined with gadolinium enhancement was useful for diagnosis of the SP with an extremely slow flow status.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>28879436</pmid><doi>10.1007/s00381-017-3592-x</doi><tpages>6</tpages></addata></record>
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subjects Angiography, Digital Subtraction
Case Report
Child, Preschool
Contrast Media
Gadolinium
Humans
Infant
Magnetic Resonance Angiography
Magnetic Resonance Imaging - methods
Male
Medicine
Medicine & Public Health
Neurosciences
Neurosurgery
Neurosurgical Procedures - methods
Sagittal Sinus Thrombosis - diagnostic imaging
Sagittal Sinus Thrombosis - surgery
Scalp - diagnostic imaging
Sinus Pericranii - diagnostic imaging
Sinus Pericranii - surgery
Superior Sagittal Sinus - diagnostic imaging
Superior Sagittal Sinus - surgery
title Dynamic morphological changes of thrombosed lateral sinus pericranii revealed by serial magnetic resonance images
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