Marras C, McEvoy A W, Grieve J P, Jäger H R, Kitchen N D, Villani R M
Institute of Neurosurgery, University of Milan, Maggiore Policlinico Hospital, IRCCS, Milan, Italy.
J Neurosurg Sci. 2001 Jun;45(2):103-9.
A rare case of a giant, temporo-occipital sinus pericranii is presented. A 38-year-old male presented with minor symptoms of headache and heaviness over an enlarging temporo-occipital bone defect. Within the defect a soft, compressible, mass lesion was observed, which varied in size with changes in intracranial pressure. Radiological imaging demonstrated bone erosion around a fluid filled mass, which on angiography communicated via a series of channels with the transverse sinus. A diagnosis of sinus pericranii was made. Due to the risk of future complication the patient elected to undergo surgery, which successfully resected the mass and obliterated the venous communications with the diploic veins and transverse sinus. The classification, aetiology, differential diagnosis, radiological characteristics and management options relating to sinus pericranii are discussed.
本文报告一例罕见的巨大颞枕部颅骨膜窦病例。一名38岁男性因颞枕部骨质缺损不断扩大，出现轻微头痛和沉重感等症状。在缺损处可见一个柔软、可压缩的肿块病变，其大小随颅内压变化而改变。影像学检查显示，在一个充满液体的肿块周围有骨质侵蚀，血管造影显示该肿块通过一系列通道与横窦相通。诊断为颅骨膜窦。鉴于未来可能出现并发症，患者选择接受手术，手术成功切除了肿块，并闭塞了与板障静脉和横窦的静脉交通。本文还讨论了颅骨膜窦的分类、病因、鉴别诊断、影像学特征及治疗选择。
