Thrombosed Dural Sinus Malformation in a Fetus: A Case Report

Asai, Hiroko; Okamoto, Toshio; Tsuchida, Etsushi; Nohara, Fumikatsu; Nagaya, Ken; Azuma, Hiroshi

doi:10.1111/jon.12099

Cited by 10 publications

(1 citation statement)

References 16 publications

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“…Delivery management is often debated in cases of prenatal tDSMs, specifically whether the pressure of a vaginal delivery will have negative impact on the clinical course of the tDSM (eg, hemorrhage or venous infarction) 2. In the cases documented in the literature, 13 were delivered vaginally: 3 by induction, 10 spontaneously.…”

Section: Resultsmentioning

confidence: 99%

Imaging features and prognostic factors in fetal and postnatal torcular dural sinus malformations, part II: synthesis of the literature and patient management

Yang

Storey

Olson

et al. 2017

J NeuroIntervent Surg

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Section: Resultsmentioning

confidence: 99%

Imaging features and prognostic factors in fetal and postnatal torcular dural sinus malformations, part II: synthesis of the literature and patient management

Yang

Storey

Olson

et al. 2017

J NeuroIntervent Surg

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Fetal dural sinus thrombosis: A systematic review

et al. 2020

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Introduction Fetal dural sinus thrombosis (DST) is a rare condition. Although numerous case reports exist, the findings appear heterogenous and providing accurate patient counselling remains challenging. Methods A systematic literature review was conducted in accordance with PRISMA guidance. Results Thirty‐one studies including 78 patients were included in this review. No association with maternal or neonatal coagulopathy, infection or trauma was found. The average gestational age at diagnosis was 25 weeks (range 17–34 weeks). Approximately half of foetuses affected were female (48.7%); one quarter were male (25.6%) and one quarter had no sex stated (25.6%). Termination of pregnancy was chosen in 25.6% of cases (20/78). In continuing pregnancies,10.3% (6/58) experienced a perinatal death. Antenatally, the majority of lesions either decreased in size (38.5%) or completely resolved (32.7%). The neonatal or childhood outcome was normal in 88.0% of survivors (44/50). The average age at follow up was 16.4 months, ranging from birth to 6 years. Conclusion This review found that 10% of DST cases experience in‐utero or neonatal death. In survivors, the majority of cases reduce in size or completely resolve in pregnancy and 85% are reported to have a good outcome. However, further evidence is needed regarding long‐term neurocognitive sequelae.

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