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Semenov A.V.

Irkutsk State Medical Academy of Postgraduate Education

Semenov A.A.

Irkutsk State Medical University

Makarova A.E.

Irkutsk State Medical University

Giant pericranial sinus with extensive occipital calvarium defect

Authors:

Semenov A.V., Semenov A.A., Makarova A.E.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2024;88(6): 77‑87

DOI: 10.17116/neiro20248806177

Read: 1368 times

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Table of contents

GIANT PERICRANIAL SINUS WITH EXTENSIVE OCCIPITAL CALVARIUM DEFECT
GIANT PERICRANIAL SINUS WITH EXTENSIVE OCCIPITAL CALVARIUM DEFECT

To cite this article:

Semenov AV, Semenov AA, Makarova AE. Giant pericranial sinus with extensive occipital calvarium defect. Burdenko's Journal of Neurosurgery. 2024;88(6):77‑87. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20248806177

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)
 
МСФ на ЯМ
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Abstract:

BACKGROUND

Giant non-traumatic and non-iatrogenic cranial vault defects are poorly studied due to their rarity. Therefore, diagnosis and analysis of their causes are difficult. In available literature, we found only 4 cases of giant pericranial sinus accompanied by extensive cranial vault defects.

OBJECTIVE

To present a rare and difficult diagnostic case of cranial vault lesion with non-traumatic and non-iatrogenic extensive bone defect, as well as to propose treatment of this pathology.

The patient presented with complaints of a «growing» parietal-occipital cranial vault defect in November 2022. This defect occurred in childhood. A comprehensive examination including CT angiography of cerebral vessels was followed by surgical treatment (bone resection along skull defect edge with biopsy (aponeurosis, periosteum, bone) and subsequent closure with titanium plate). Postoperative period was uneventful. CT of the skull and brain, including angiography and sinusography, were performed. The follow-up period was more than 10 months with favorable outcome.

Considering anamnesis, clinical and additional diagnostic data, we established giant dominant-type true pericranial sinus.

Keywords:

pericranial sinus
clinical case
differential diagnosis
surgical treatment
rare pathology

Authors:

Semenov A.V.

Irkutsk State Medical Academy of Postgraduate Education

Semenov A.A.

Irkutsk State Medical University

Makarova A.E.

Irkutsk State Medical University

Received:

17.09.2023

Accepted:

20.09.2024

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