Single, small, spontaneous, accessory, closed type, frontal sinus pericranii in a child: Favorable outcome with surgical excision

摘要

Sir, Sinus pericranii is a vascular anomaly presenting mostly in childhood It is a well-circumscribed, soft compressible mass consisting of venous malformation with abnormal communication between intracranial and extra-cranial venous channels though a precise calvarial defect, usually located in midline over frontal, parietal or occipital bone along sagittal sinus and very rarely reported in temporal bone or along transverse sinus.[13] We describe one such a rare case.A 9-year-old boy presented with gradually progressive swelling over forehead 6 cm above glabella with no history of trauma. The swelling was non-pulsatile 5 cm x 4 cm x 3 cm soft, fluctuant, compressible and completely reducible on standing erect [Figure la]. With cough, on lying down and bending forward the lesion would become tense. There was no bruit.