Sinus Pericranii (Parietal and Occipital) With Epicranial Varicosities in a Case of Craniosynostosis

Sinus pericranii is a type of slow flow venous malformation with communication between intracranial venous system and epicranial veins through transosseous emissary veins. They can be isolated or may be seen with malformations like craniosynostosis. It has been postulated that transient intracranial venous hypertension in the late embryonic period could lead to the development of venous anomalies, including sinus pericranii. We present a case of oxycephaly with concurrent presence of sinus pericranii in parietal and occipital regions with epicranial varicosities with other imaging findings of raised intracranial pressure. Other findings suggestive of raised intracranial pressure were cerebellar tonsillar herniation/prominent optic nerve dural sleeves. The paucity of literature warrants future studies to establish role of intracranial hypertension in etiopathogenesis of sinus pericranii.