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On exploration it had a soft consistency and was superficial but adhered to deep planes.</p><p id="par0010" class="elsevierStylePara elsevierViewall">An MRI confirmed the presence of a large hyperintense cervical mass on T1, T2 and STIR, compatible with haemangioma (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a> – coronal STIR with contrast), which affected the subcutaneous tissue and cervical and deep paravertebral musculature, extending to several cervical spaces and compromising the air lumen (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a> – axial STIR). Through the use of contrast, it was possible to observe dilated diploic veins that drained into the transverse sinus (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a> – multi-planar reconstruction). A CT with bone window verified dipole erosion.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">It turned out to be an occipital sinus pericranii associated with a giant cervical haemangioma, consisting of a vascular anomaly with communication between the extracranial and intracranial venous circulation. Its aetiology can be traumatic, spontaneous or congenital as in our case, and it can be associated with other vascular malformations. The most common location is in the superior sagittal sinus, affecting the frontal bone and less often the transverse sinus and the occipital bone. The differential diagnosis must be carried out with other vascular malformations, such as <span class="elsevierStyleItalic">subepicranial varix</span> (not connected with the intracranial circulation), <span class="elsevierStyleItalic">venous cavernoma</span> (receiving arterial blood) and <span class="elsevierStyleItalic">arteriovenous fistula</span> (communication with the external carotid artery), as well as with other, non-vascular lesions (<span class="elsevierStyleItalic">leptomeningeal cyst</span>, <span class="elsevierStyleItalic">cephalohaematoma</span>, <span class="elsevierStyleItalic">dermoid cyst</span> or <span class="elsevierStyleItalic">epidermoid cyst</span>). Regarding treatment options, asymptomatic patients are not treated except for cosmetic purposes. When it is associated with vascular malformations, embolization is performed prior to surgery.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Conflict of Interests</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of Interests" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-01-27" "fechaAceptado" => "2010-03-13" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Please cite this article as: Blanco Cabañero AG, et al. Sinus pericranii occipital asociado a hemangioma cervical gigante. Acta Otorrinolaringol Esp. 2011;62:404–5.</p>" ] ] "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1048 "Ancho" => 950 "Tamanyo" => 116197 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Coronal STIR with contrast.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 858 "Ancho" => 950 "Tamanyo" => 97353 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Axial STIR.</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 857 "Ancho" => 950 "Tamanyo" => 104772 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Multi-planar reconstruction.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735735/0000006200000005/v1_201304231502/S2173573511000470/v1_201304231502/en/main.assets" "Apartado" => array:4 [ "identificador" => "5869" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in otorhinolaryngology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735735/0000006200000005/v1_201304231502/S2173573511000470/v1_201304231502/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573511000470?idApp=UINPBA00004N" ]
Journal Information
Vol. 62. Issue 5.
Pages 404-405 (September - October 2011)
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Vol. 62. Issue 5.
Pages 404-405 (September - October 2011)
Images in otolaryngology
Occipital Sinus Pericranii Associated With Giant Cervical Hemangioma
Sinus pericranii occipital asociado a hemangioma cervical gigante
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