A case report of sinus hypoplasia

Year 2018, Volume: 4 Issue: 3, 139 - 141, 14.10.2018

Çağrı Kokkoz Arif Karagöz Pınar Öztürk Fatih Tepe

Abstract

Transverse sinus (TS) hypoplasia has serious potential effects on cerebral hemodynamics. Right sinus hypoplasia is less common. In this article, we present a rare case of right transverse and sigmoid sinus hypoplasia with headache complaint. A 37-year-old male patient was admitted to the emergency department because of headache and anxiety complaints continuing for the last two days. Neurological examination including fundoscopy was normal. Cranial and diffusion magnetic resonance (MR) imagining, and MR venography were planned to exclude venous sinus thrombosis. According to MR venography, right TS, right sigmoid sinus and jugular bulb were reported as hypoplasic. Patients who apply to the emergency department with headache, anxiety, and nervousness should be considered for transverse and sigmoid sinus hypoplasia.

Keywords

Headache, hypoplasia, migraine, sinüs

References

• 1. Fofi L, Giugni E, Vadalà R, Vanacore N, Aurilia C, Egeo G, et al. Cerebral transverse sinus morphology as detected by MR venography in patients with chronic migraine. Headache 2012;52:1254-61. 2. Frydrychowski AF, Winklewski PJ, Guminski W. Influence of acute jugular vein compression on the cerebral blood flow velocity, pial artery pulsation and width of subarachnoid space in humans. PLoS One 2012;7:e48245. 3. Lin CJ, Chang FC, Tsai FY, Guo WY, Hung SC, Chen DY, et al. Stenotic transverse sinus predisposes to poststenting hyperperfusion syndrome as evidenced by quantitative analysis of peritherapeutic cerebral circulation time. AJNR Am J Neuroradiol 2014;35:1132-6. 4. Yu W, Rives J, Welch B, White J, Stehel E, Samson D. Hypoplasia or occlusion of the ipsilateral cranial venous drainage is associated with early fatal edema of middle cerebral artery infarction. Stroke 2009;40:3736-9. 5. Wilson MH, Davagnanam I, Holland G, Dattani RS, Tamm A, Hirani SP, et al. Cerebral venous system and anatomical predisposition to high-altitude headache. Ann Neurol 2013;73:381-9. 6. Liu M, Xu H, Wang Y, Zhong Y, Xia S, Utriainen D, et al. Patterns of chronic venous insufficiency in the dural sinuses and extracranial draining veins and their relationship with white matter hyperintensities for patients with Parkinson's disease. J Vasc Surg 2015;61:1511-20.e1. 7. De Simone R, Ranieri A, Cardillo G, Bonavita V. High prevalence of bilateral transverse sinus stenosis-associated IIHWOP in unresponsive chronic headache sufferers: pathogenetic implications in primary headache progression. Cephalalgia 2011;31:763-5. 8. Alper F, Kantarci M, Dane S, Gumustekin K, Onbas O, Durur I. Importance of anatomical asymmetries of transverse sinuses: an MR venographic study. Cerebrovasc Dis 2004;18:236-9. 9. Surendrababu NR, Subathira, Livingstone RS. Variations in the cerebral venous anatomy and pitfalls in the diagnosis of cerebral venous sinus thrombosis: low field MR experience. Indian J Med Sci 2006;60:135-42. 10. Bono F, Salvino D, Tallarico T, Cristiano D, Condino F, Fera F, et al. Abnormal pressure waves in headache sufferers with bilateral transverse sinus stenosis. Cephalalgia 2010;30:1419-25.