Prenatal diagnosis of thrombosis of the dural sinuses with real‐time and color Doppler ultrasound

Visentin, Antonella; Falco, Pietro; Pilu, Gianluigi; Perolo, A.; Valeri, Barbara; Santini, Donatella; Bovicelli, Luciano

doi:10.1046/j.1469-0705.2001.00372.x

Cited by 42 publications

(48 citation statements)

References 17 publications

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“…A few other case reports mention a good outcome associated with a prenatal regression of the DSM [4] or even after an initial phase of growth of the DSM [6]. Others report a TOP or a death [7,8]. Around one-third of DSM cases are considered to be depicted prenatally [1], but the difference in recruitment among the studies should be considered, as a few of them were collected from neurological centers to which children had been referred for symptoms [2].…”

Section: Discussionmentioning

confidence: 93%

Dural sinus malformation (DSM) in fetuses. Diagnostic value of prenatal MRI and follow-up

et al. 2007

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Dural sinus malformations (DSM) are rare malformations mainly reported after birth. The objectives of this study are to describe their prenatal patterns and to focus on their possible favorable outcome. This multicenter retrospective study reported 13 cases of DSM prenatally diagnosed. The admission criterion was a dural mass posterior to the vermis. In 12 patients, MRI was performed after US. Follow-up in 10 born babies (mean: 8 months) and three neuropathological examinations were available. In all fetuses, DSM presented as a well-delimited round mass involving the torcular. The follow-up examinations (n = 10) revealed progressive thrombosis of the DSM marked by a heterogeneous pattern (US and MRI) with concentric rings. The volume of the mass decreased, with complete regression in seven patients (five before and two after birth). One child died at the age of 5 months in the context of major hydrocephalus and another developed atrophy of the frontal lobes. The eight other babies were doing well (5 days to 3 years) without any treatment (n = 6) or following treatment for hydrocephalus (n = 2). Prenatal DSM may have a typical MR pattern, and the prognosis might not be as bad as has previously been reported. In the absence of criterion to predict the hydrovenous cerebral imbalance, it is mandatory to check the parenchyma and the ventricles during the pregnancy.

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Section: Discussionmentioning

confidence: 93%

Dural sinus malformation (DSM) in fetuses. Diagnostic value of prenatal MRI and follow-up

et al. 2007

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“…Prenatal abnormalities located at the subdural space or dural sinuses are rare and hemorrhages and sequelae (cloths) are most frequent [13,14] . Although fetal hemorrhage can occur spontaneously of unknown origin, fetal trauma, congenital infection, maternal coagulopathy (medicamentous), vascular-cardiac malformations, intrauterine hypoxia etc.…”

Section: Discussionmentioning

confidence: 99%

“…Although fetal hemorrhage can occur spontaneously of unknown origin, fetal trauma, congenital infection, maternal coagulopathy (medicamentous), vascular-cardiac malformations, intrauterine hypoxia etc. are considered as predisposing factors [1][2][3][13][14][15] . In fetal trauma, sacral compression or acceleration-deceleration forces can result in subdural and -arachnoidal hemorrhages; however, direct trauma on the fetal head is very rare before the third trimester [16,17] .…”

Section: Discussionmentioning

confidence: 99%

Fetal Magnetic Resonance Imaging of an Intracranial Venous Thrombosis

Breysem

Witters²,

Spitz³

et al. 2005

Fetal Diagn Ther

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Objective: To describe the magnetic resonance imaging findings of an antenatal intracranial venous thrombosis. Methods: Prenatal ultrasound (US) at 22 weeks’ gestational age (GA) in a 27-year-old patient (G2 P1) revealed a nonspecific avascular echogenic mass above the cerebellum evaluated with MRI at 23 weeks’ GA. Results: With MRI an enlarged occipital pericerebral space with a layered ovoid mass at the torcular herophili was demonstrated and MRI characteristics suggested a subacute cloth. In follow-up, an important enlargement of the mass was noticed on US examinations. After multidisciplinary consult and parental consent, a prostaglandin induction was performed at 25 weeks’ GA. The baby died immediately after birth. Pathology confirmed the diagnosis of a venous thrombosis at the torcular herophili with extension into the superior sagittal sinus. Conclusion: In our case, MRI findings were helpful in diagnosing an intracranial fetal venous thrombosis.

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“…Although rare, cerebral sinovenous thrombosis can occur antenatally as early as the second trimester and is detectable by fetal real-time and color Doppler ultrasound 63 . Reported cases are likely an underestimation of frequency, as the imaging characteristics mimic those of an intracranial tumor.…”

Section: Clinical Presentationmentioning

confidence: 99%

Cerebral Venous Sinus (Sinovenous) Thrombosis in Children

Dlamini

Billinghurst

Kirkham³

2010

Neurosurgery Clinics of North America

176

195

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Cerebral venous sinus (sinovenous) thrombosis (CSVT) in childhood is a rare, but underrecognized, disorder, typically of multifactorial etiology, with neurologic sequelae apparent in up to 40% of survivors and mortality approaching 10%. There is an expanding spectrum of perinatal brain injury associated with neonatal CSVT. Although there is considerable overlap in risk factors for CSVT in neonates and older infants and children, specific differences exist between the groups. Clinical symptoms are frequently nonspecific, which may obscure the diagnosis and delay treatment. While morbidity and mortality are significant, CSVT recurs less commonly than arterial ischemic stroke in children. Appropriate management may reduce the risk of recurrence and improve outcome, however there are no randomized controlled trials to support the use of anticoagulation in children. Although commonly employed in many centers, this practice remains controversial, highlighting the continued need for high-quality studies. This article reviews the literature pertaining to pediatric venous sinus thrombosis.

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Prenatal diagnosis of thrombosis of the dural sinuses with real‐time and color Doppler ultrasound

Abstract: ABSTRACT

Cited by 42 publications

References 17 publications

Dural sinus malformation (DSM) in fetuses. Diagnostic value of prenatal MRI and follow-up

Dural sinus malformation (DSM) in fetuses. Diagnostic value of prenatal MRI and follow-up

Fetal Magnetic Resonance Imaging of an Intracranial Venous Thrombosis

Cerebral Venous Sinus (Sinovenous) Thrombosis in Children

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