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Neuropediatrics 2012; 43(05): 279-282
DOI: 10.1055/s-0032-1324795
Short Communication
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Multimodality, Anatomical, and Diffusion-Weighted Fetal Imaging of a Spontaneously Thrombosing Congenital Dural Sinus Malformation

Mark Ebert
1   Division of Pediatric Radiology, Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins School of Medicine, Baltimore, Maryland, United States
,
Asim Esenkaya
1   Division of Pediatric Radiology, Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins School of Medicine, Baltimore, Maryland, United States
,
Thierry A. G. M. Huisman
1   Division of Pediatric Radiology, Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins School of Medicine, Baltimore, Maryland, United States
,
Jessica Bienstock
2   Division of Maternal and Fetal Medicine, Department of Obstetrics and Gynecology, The Johns Hopkins School of Medicine, Baltimore, Maryland, United States
,
Tugce Ozlem Kalayci
1   Division of Pediatric Radiology, Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins School of Medicine, Baltimore, Maryland, United States
,
Andrea Poretti
1   Division of Pediatric Radiology, Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins School of Medicine, Baltimore, Maryland, United States
,
Aylin Tekes
1   Division of Pediatric Radiology, Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins School of Medicine, Baltimore, Maryland, United States
› Author Affiliations
Further Information

Publication History

10 January 2012

23 July 2012

Publication Date:
27 August 2012 (online)

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Abstract

We report on the conventional and diffusion-weighted (DWI) magnetic resonance imaging (MRI) findings of a partially thrombosed torcular Herophili dural sinus malformation. DWI confirmed the intralesional partial thrombosis/blood clot characterized by restricted diffusion. In addition, focal or global intracerebral complications were excluded by fetal DWI. Our findings suggest that DWI is a valuable adjunct to the standard T1- and T2-weighted fetal MRI sequences.

Keywords

vascular anomaly - fetal - diffusion-weighted imaging - magnetic resonance imaging - intracranial
 

  • References

  • 1 Lasjaunias P. Vascular Diseases in Neonates, Infants, and Children. Berlin: Springer; 1997: 321-371
    CrossrefGoogle Scholar
  • 2 Breysem L, Witters I, Spitz B, Moerman P, Smet MH. Fetal magnetic resonance imaging of an intracranial venous thrombosis. Case report. Fetal Diagn Ther 2006; 21 (1) 13-17
    CrossrefPubMedGoogle Scholar
  • 3 Gicquel JM, Potier A, Sitruk S, Girard N. Normal outcome after prenatal diagnosis of thrombosis of the torcular Herophili. Prenat Diagn 2000; 20 (10) 824-827
    CrossrefPubMedGoogle Scholar
  • 4 Grangé G, LeTohic A, Merzoug V, Adamsbaum C. Prenatal demonstration of afferent vessels and progressive thrombosis in a torcular malformation. Prenat Diagn 2007; 27 (7) 670-673
    CrossrefPubMedGoogle Scholar
  • 5 Jenny B, Zerah M, Swift D , et al. Giant dural venous sinus ectasia in neonates. J Neurosurg Pediatr 2010; 5 (5) 523-528
    CrossrefPubMedGoogle Scholar
  • 6 Komiyama M, Nishikawa M, Kitano S , et al. Transumbilical embolization of a congenital dural arteriovenous fistula at the torcular Herophili in a neonate. Case report. J Neurosurg 1999; 90 (5) 964-969
    CrossrefPubMedGoogle Scholar
  • 7 Komiyama M, Ishiguro T, Kitano S, Sakamoto H, Nakamura H. Serial antenatal sonographic observation of cerebral dural sinus malformation. AJNR Am J Neuroradiol 2004; 25 (8) 1446-1448
    PubMedGoogle Scholar
  • 8 McInnes M, Fong K, Grin A , et al. Malformations of the fetal dural sinuses. Can J Neurol Sci 2009; 36 (1) 72-77
    CrossrefPubMedGoogle Scholar
  • 9 Merzoug V, Flunker S, Drissi C , et al; Multicentric study of the GRRIF (Groupe de Recherche Radiopédiatrique en Imagerie Foetale), part of SFIPP (Société Francophone d'Imagerie Pédiatrique et Prénatale). Dural sinus malformation (DSM) in fetuses. Diagnostic value of prenatal MRI and follow-up. Eur Radiol 2008; 18 (4) 692-699
    CrossrefPubMedGoogle Scholar
  • 10 Rossi A, De Biasio P, Scarso E , et al. Prenatal MR imaging of dural sinus malformation: a case report. Prenat Diagn 2006; 26 (1) 11-16
    CrossrefPubMedGoogle Scholar
  • 11 Spampinato MV, Hardin V, Davis M, Chang E, Rumboldt Z. Thrombosed fetal dural sinus malformation diagnosed with magnetic resonance imaging. Obstet Gynecol 2008; 111 (2 Pt 2) 569-572
    CrossrefPubMedGoogle Scholar
  • 12 Komiyama M, Matsusaka Y, Ishiguro T, Kitano S, Sakamoto H. Endovascular treatment of dural sinus malformation with arteriovenous shunt in a low birth weight neonate—case report. Neurol Med Chir (Tokyo) 2004; 44 (12) 655-659
    CrossrefPubMedGoogle Scholar