Lesions involving the sagittal sinus typically present as masses compressin
g the sinus externally. The authors describe two cases of lesions entirely
within the lumen of the sagittal sinus. In one of the cases, syncope was th
e presenting symptom and surgical resection of the cyst was performed. An e
ntirely intraluminal cyst, consistent with a dural cyst, was resected, foll
owed by reconstruction of thr sinus and resolution of symptoms. Entirely in
traluminal lesions of the sagittal sinus have rarely been reported as incid
ental findings. This represents the first report of symptomatic occlusion o
f a venous sinus by an intraluminal cyst.