Staged embolisation of a giant torcular dural sinus malformation in a neonate

Evan M. Luther, Aria Jamshidi, Hunter King, Robert Starke

Research output: Contribution to journalArticlepeer-review

Abstract

Torcular dural sinus malformations (tDSMs) represent a rare subset of paediatric cerebrovascular malformations and are often diagnosed antenatally via ultrasound. The management of these in utero lesions remains controversial as previous studies suggested elective termination of the pregnancy because of their presumably high mortality and severe long-term morbidity. However, more recent evaluations have suggested that the overall prognosis for infants harbouring these lesions may be much better than previously believed. As such, we present the case of a neonate with a giant tDSM, diagnosed in utero, who was treated postnatally via staged transarterial and transvenous embolisation to alleviate worsening obstructive hydrocephalus and brainstem compression. We provide details regarding the surgical approach and long-term neurological outcomes for this patient. To the best of our knowledge, this is one of the largest reported tDSM presented in the literature.

Original languageEnglish (US)
Article numbere244216
JournalBMJ case reports
Volume14
Issue number11
DOIs
StatePublished - Nov 11 2021

Keywords

  • congenital disorders
  • hydrocephalus
  • interventional radiology
  • neuroimaging
  • neurosurgery

ASJC Scopus subject areas

  • Medicine(all)

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