Atretic cephalocele associated with sinus pericranii: a single-center analysis,Child's Nervous System

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Atretic cephalocele associated with sinus pericranii: a single-center analysis
Child's Nervous System ( IF 1.3 ) Pub Date : 2023-07-22 , DOI: 10.1007/s00381-023-06067-z
Yurie Rai ₁ , Hideki Ogiwara ₁

Affiliation

Purpose

The purpose of this report is to investigate the association of atretic cephalocele (AC) with sinus pericranii (SP) in order to improve the management of AC.

Methods

Pediatric patients with AC who underwent repair surgeries were retrospectively analyzed. Anomalies including SP were evaluated using computed tomography angiography and venography (CTA/V) as well as magnetic resonance imaging.

Results

Fourteen patients were identified, comprising of 5 males and 9 females. The AC was located interparietally in 8 cases and occipitally in 6 cases. Seven cases (50%) were found to be associated with SP, all of which did not involve major intracranial venous circulation. Five out of 8 parietal ACs (63%) were accompanied by SP, while 2 out of 6 occipital ACs (33%) exhibited SP. All of the SP associated with AC only contributed to a small portion of the venous outflow, and the repair surgeries were successfully performed without excessive bleeding.

Conclusion

More than half of the ACs were associated with SP, with a higher prevalence in the parietal region compared to the occipital region. For the appropriate management of AC, preoperative investigation of SP using CT venography is considered important.

中文翻译：

闭锁性头膨出与颅骨膜窦相关：单中心分析

目的

本报告的目的是调查闭锁性头膨出 (AC) 与颅骨膜窦 (SP) 的关联，以改善 AC 的治疗。

方法

对接受修复手术的 AC 儿科患者进行回顾性分析。使用计算机断层扫描血管造影和静脉造影 (CTA/V) 以及磁共振成像来评估包括 SP 在内的异常情况。

结果

已确定 14 名患者，其中 5 名男性和 9 名女性。 AC 位于顶间 8 例，枕部 6 例。 7例（50%）被发现与SP相关，均不累及颅内大静脉循环。 8 个顶叶 AC 中的 5 个 (63%) 伴有 SP，而 6 个枕叶 AC 中的 2 个 (33%) 伴有 SP。所有与AC相关的SP仅贡献了一小部分静脉流出，修复手术成功进行，没有出现过多出血。