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Percutaneous embolization of sinus pericranii
  1. Haydn Hoffman1,
  2. George W Koutsouras1,
  3. Justin Oh1,
  4. Neil Suryadevara2,
  5. Grahame C Gould1
  1. 1Department of Neurosurgery, State University of New York Upstate Medical University, Syracuse, New York, USA
  2. 2Department of Neurology, State University of New York Upstate Medical University, Syracuse, New York, USA
  1. Correspondence to Dr Haydn Hoffman, Department of Neurosurgery, State University of New York Upstate Medical University, Syracuse, NY 13210, USA; HoffmanH{at}upstate.edu

Abstract

Sinus pericranii is a rare vascular anomaly involving a venous sinus that drains into a subgaleal collection of veins through an emissary vein. Data regarding presentation, management, and outcomes are limited to case reports and small case series. There are no technical videos detailing the technique for percutaneous embolization. We present the case of a child with an enlarging, symptomatic accessory type sinus pericranii with connection to the torcula, who underwent percutaneous embolization after unsuccessful transvenous embolization. Embolization was performed with 3.4 cc Onyx-34 under live fluoroscopy and serial control superior sagittal sinus venograms . Significant reduction of flow into the sinus pericranii was achieved and the lesion had nearly completely resolved at the 3-week follow-up. Percutaneous embolization of the sinus pericranii is a reasonable alternative to transvenous embolization, but additional data are needed to determine the optimal treatment. The technical details and practical considerations discussed here may help neurointerventionalists adopt this treatment. The video also includes references 1–4 which are relevant to this topic.

Video 1 Case presentation and technique for percutaneous embolization of sinus pericranii­

  • Angiography
  • Pediatrics
  • Technique

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Footnotes

  • Contributors HH: Conception, drafting, final approval, and agrees to be accountable for all aspects of the work. GWK: Data acquisition, revising, final approval, and agrees to be accountable for all aspects of the work. JO: Data acquisition, revising, final approval, and agrees to be accountable for all aspects of the work. NS: Data acquisition, revising, final approval, and agreeable to be accountable for all aspects of the work. GG: Analysis and interpretation of data, revising, final approval, and agrees to be accountable for all aspects of the work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.