Hayakawa I, Fujiwara K, Sasaki A, Hirata T, Yanagibashi K, Tsuchida T
No Shinkei Geka. 1978 Jan;6(1):91-5.
Spontaneous regression of sinus pericranii has not been reported in the literatures. The aurthors presented a very rare case of sinus pericranii, which was diagnosed as early as nine days after birth and completely disappeared in seven years. The patient was a nine-day-old boy from normal delivery in full term, who had a soft tumor simulating cephalhematoma in the right parietal region. The overlying scalp looked like a hemangioma bitemporally connecting with strikingly dilated scalp veins. Soft X-ray examination of the skull revealed a homogenous mass and a small bone defect beneath the mass. Venous blood was punctured from the tumor. By means of direct injection of contrast media into the tumor, the superior sagittal sinus as well as many extracranial varicositous veins were shown. No intracranial vascular anomaly. In a year the tumor spontaneously declined and in the following seven years it disappeared completely. Pathogenesis of this lesion was discussed with special reference to cephalhematoma and a possibility of spontaneous regression of sinus pericranii was stressed.
文献中尚未报道过颅骨膜窦的自然消退情况。作者报告了一例极为罕见的颅骨膜窦病例，该病例在出生后九天就被诊断出来，并在七年内完全消失。患者是一名足月顺产的九天大男婴，在右顶叶区域有一个类似头颅血肿的柔软肿块。肿块上方的头皮在双侧颞部看起来像血管瘤，与明显扩张的头皮静脉相连。颅骨的软X线检查显示有一个均匀的肿块，肿块下方有一个小骨缺损。从肿瘤中抽取到了静脉血。通过将造影剂直接注入肿瘤，显示出上矢状窦以及许多颅外曲张静脉。未发现颅内血管异常。一年后肿瘤自行缩小，在接下来的七年中完全消失。本文结合头颅血肿对该病变的发病机制进行了讨论，并强调了颅骨膜窦自然消退的可能性。
