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- Title
Atretic cephalocele associated with sinus pericranii: a single-center analysis.
- Authors
Rai, Yurie; Ogiwara, Hideki
- Abstract
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.
- Subjects
MAGNETIC resonance imaging; PARIETAL lobe; VENOGRAPHY; CHILD patients; MAGNETIC traps
- Publication
Child's Nervous System, 2024, Vol 40, Issue 2, p543
- ISSN
0256-7040
- Publication type
Case Study
- DOI
10.1007/s00381-023-06067-z