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Article
June 1994

Case 2

Author Affiliations

From the Clinica Pediatric dell'Universita di Genova (Dis Bonioli and Palmieri), Istituto di Puericultura e Medicina Neonatale dell'Universita di Genova (Dr Bellini), and Servizio di Neuroradiolgia, Istituto G. Gaslini (Drs Fondelli and Donati), Genoa, Italy.

Arch Pediatr Adolesc Med. 1994;148(6):607-608. doi:10.1001/archpedi.1994.02170060061010
Abstract

A FEMALE INFANT, the product of a normal pregnancy and delivery, presented with an 8× 8-cm soft scalp mass in the right parietal region. The mass grew larger when the right jugular vein was compressed or when she cried. The appearance resembled fluctuant, bulging veins that were easily compressed (Figure 1 ), and the lesion was covered by red and ulcerated skin, with associated areas of alopecia. Under the veins, osseous grooves were palpable. No thrill or bruit was present. Results of the physical and neurological examination and routine laboratory studies were otherwise normal. Skull roentgenograms, a cranial computed tomographic scan (Figure 2), and a selective internal angiogram of the carotid sinus (Figure 3) were obtained.

Denouement and Discussion 

Sinus Pericranii  Sinus pericranii is an abnormal communication between the extracranial and intracranial venous systems, usually involving the superior sagittal or transverse sinus. In this malformation, a network of thin-walled veins adhere

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