Antenatal dural sinus malformation of torcular Herophili and straight sinus with unusual outcome of hyperdynamic circulation and cardiac failure

Shah, Mohit; Ramamurthy, BS; Khurana, Ashok; Chatterjee, Molly S.; Jain, Mukesh C.; Raut, Abhijit

doi:10.1002/uog.23597

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…Спонтанное уменьшение тромбированной мальформации или реканализация тромба -прогностически благоприятные события. Высокоскоростной кровоток с развитием сердечной недостаточности у плода прогностически неблагоприятен [3]. Такие типичные признаки чаще регистрируют на более поздних сроках беременности и часто не верифицируют на…”

Section: Discussionunclassified

Dural sinus thrombosis: pre- and postnatal MRI observation

Korostyshevskaya

Gornostaeva

Makogon³

et al. 2023

Kompleks. probl. serdečno-sosud. zabol.

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Highlights. The clinical case report describes the important role of MRI in the perinatal diagnosis of dural sinus thrombosis, timely verification of the diagnosis, differential diagnosis with other vascular and tumor formations of the brain.Abstract. Dural sinus thrombosis (DST) is a rare congenital anomaly. Ultrasound findings usually mimic intracranial tumors. As a result, the condition is often misdiagnosed and its frequency in general population is underestimated. According to literature data, the progression of DST is a favorable prognosis in case of absence of other concomitant pathologies of the fetal brain. We present a case of DST that was detected with ultrasound, and verified by numerous pre and postnatal MRI starting from 22 weeks of gestation till 4 years of life. A case with a favorable neurological outcome, postnatal ventriculosubgaleal shunting, and ventriculoperitoneal shunting was followed with MRI and CT before and after interventions. The aspects of differential diagnosis, factors determining prognosis are presented. The presented case demonstrates a significant role of fetal MRI in DST diagnosis, depiction of the internal structure of the expanded sinus, and exclusion of concomitant pathology of the brain. These MRI data are integral in determining the appropriate perinatal management, and can be used as predictors of the favorable neurological outcome despite of the severity and size of prenatally diagnosed DSТ.

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Section: Discussionunclassified

Dural sinus thrombosis: pre- and postnatal MRI observation

Korostyshevskaya

Gornostaeva

Makogon³

et al. 2023

Kompleks. probl. serdečno-sosud. zabol.

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“…Relevant literature ( 1 , 2 ) has reported that lateral DSM can retain normal venous drainage on the contralateral side and is associated with a good prognosis. Conversely, midline DSM has a poor prognosis, is prone to involve sinus confluence, posterior superior sagittal sinus, and transverse sinus, leading to brain injury and poor prognosis of neonates ( 3 , 4 ). The case reported herein presented with midline DSM with thrombosis, but the clinical prognosis was good.…”

Section: Introductionmentioning

confidence: 99%