Presentation
We present a case of prenatally diagnosed DSM and propose a parameter to predict poor fetal outcome. Detailed ultrasonography at 26 weeks of our patient showed an intracranial cyst in the left posterior fossa. [ncbi.nlm.nih.gov]
Purpose: Dural sinus malformations (DSMs) are rare pediatric vascular lesions that have variable presentations and outcomes. We present three cases of midline DSMs and discuss the treatment strategy employed for each lesion. [experts.umn.edu]
and Management; Carotid Cavernous Fistulas: Epidemiology, Clinical Presentation, and Management. [books.google.de]
Entire Body System
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Malingering
CrossRef Google Scholar Corral, Edgardo Stecher, Ximena Malinger, Gustavo Ochoa, Jose H. de Catte, Luc and Sepulveda, Waldo 2014. Thrombosis of the torcular herophili in the fetus: a series of eight cases. [cambridge.org]
Cardiovascular
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Mitral Valve Prolapse
Cardiovascular manifestations include MITRAL VALVE PROLAPSE, dilation of the AORTA, and aortic dissection. Other features include lens displacement (ectopia lentis), disproportioned long limbs and enlarged DURA MATER (dural ectasia). [bioportfolio.com]
Fetus
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Hydrops Fetalis
Documents : 23356634 - Cytomegalovirus infection in infants admitted to a neonatal intensive care unit. 3009074 - Congenital anomalies--retrospective and contemporary treatment. 17158594 - Congenital disorder of glycosylation type ia presenting with hydrops [biomedsearch.com]
Eyes
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Ectopia Lentis
Other features include lens displacement (ectopia lentis), disproportioned long limbs and enlarged DURA MATER (dural ectasia). [bioportfolio.com]
Ears
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Low Set Ears
It is accompanied by signs of mild cranio‐facial dysmorphism: hypertelorism, flattened nose, low set ears, retromicrognathia, increased anteroposterior cranial diameter. Bilobed right lung. Karyotype: 46XX. Not other genetic studies. [obgyn.onlinelibrary.wiley.com]
Psychiatrical
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Indecisiveness
الصفحة 32 - The actions of the -feet indicate more clearly, perhaps, than those of any other part of the body (with the possible exception of the face) a man's feeling of happiness, sorrow, indecision, embarrassment, determination, pride, or joy of living [books.google.com]
Seite 32 - The actions of the -feet indicate more clearly, perhaps, than those of any other part of the body (with the possible exception of the face) a man's feeling of happiness, sorrow, indecision, embarrassment, determination, pride, or joy of living [books.google.de]
Face, Head & Neck
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Scalp Mass
Case Reports Case 1 History and Examination A 15-day-old baby girl had a persistent scalp mass, which on ultrasound was shown to be a midline highflow vascular lesion beneath the posterior fontanelle. [thejns.org]
Urogenital
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Anuria
Congestive heart failure and anuria at birth prompted emergency intervention. [ncbi.nlm.nih.gov]
Workup
Isolated coccygeal dimples do not require further workup or treatment. FIGURE 9 Benign coccygeal dimple within the gluteal cleft and overlying the tip of the coccyx. [pediatrics.aappublications.org]
Subsequent workup led to an angiogram, where sagittal sinus thrombosis with extensive trans-cerebral and trans-osseous emissary vein collateral channels was seen. In retrospect, these findings were present on the patient’s earlier contrast MRI. [neuroangio.org]
X-Ray
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Pneumoperitoneum
[…] care unit. 3009074 - Congenital anomalies--retrospective and contemporary treatment. 17158594 - Congenital disorder of glycosylation type ia presenting with hydrops fetalis. 11669044 - Symptomatic congenital syphilis presenting at birth. 24529674 - Pneumoperitoneum [biomedsearch.com]
Treatment
We present three cases of midline DSMs and discuss the treatment strategy employed for each lesion. A review of the literature was completed to summarize current literature and treatment practices. [experts.umn.edu]
Follow-up MRI at 1 month suggested latent venous hypertension and prompted endovascular treatment. [ncbi.nlm.nih.gov]
Modalities or Observation of Arteriovenous Malformations; Selection of Treatment Modalities or Observation of Dural Arteriovenous Malformations; Surgical Treatment of Cranial Arteriovenous Malformations and Dural Arteriovenous Fistulas; Anesthesia Considerations [books.google.de]
Prognosis
Although normal cranial circumference is reportedly an essential factor for a favorable prognosis, the patient in this report with a cranial circumference at 2.0 SD (35.6 cm) had a favorable prognosis. [ncbi.nlm.nih.gov]
Treatment and prognosis DSMs involving the jugular bulb carry excellent prognosis with occlusion of AVF and thrombosis of sigmoid sinus distal to the superior petrosal sinus. Prognosis of DSMs of torcular and adjacent sinuses is less favourable. [radiopaedia.org]
Dural sinus malformation (DSM) is a relatively rare pediatric arteriovenous (AV) shunt disease, and is defined as a large dural sinus lake accompanying dural AV shunts with a poor prognosis. [epostersonline.com]
Factors of poor prognosis are the presence of ventriculomegaly, parenchymal lesions or associated arteriovenous shunt. The outcome of our case (acute subdural hemorrhage) due to the malformation has not been previously published. [obgyn.onlinelibrary.wiley.com]
Etiology
Dural sinus malformations, which are characterized by massively dilated dural sinuses, are one of the etiologies of an intracranial fetal cystic mass. [ncbi.nlm.nih.gov]
Objective To review tDSMs reported in the literature of multiple specialties for features that support a common etiology, and to identify key prognostic factors, with an emphasis on tDSM trajectory highlighted in part I. [jnis.bmj.com]
Introduction: Dural sinus malformations, which are characterized by massively dilated dural sinuses, are one of the etiologies of an intracranial fetal cystic mass. [tandfonline.com]
Torcular dural sinus malformations (tDSMs) are described as slow flow dural arteriovenous fistulae with frequently poor outcomes in the neuroangiographic literature, but other etiologies have been proposed in the obstetric literature, where outcomes have [bioportfolio.com]
Epidemiology
Articles in this issue include: Arteriovenous Malformations: Epidemiology and Clinical Presentation; Dural Arteriovenous Fistulas: Epidemiology and Clinical Presentation; Historical Perspective of Treatments of Arteriovenous Malformations and Dural Arteriovenous [books.google.de]
Epidemiology [ edit ] 10-15% of intracranial AV malformations are DAVFs. [4] There is a higher preponderance in females (61-66%), and typically patients are in their fourth or fifth generation of life. [en.wikipedia.org]
Moreover, the epidemiology and clinical findings particular to children with AVMs can be ascribed to the distinct angioarchitecture of pediatric AVMs. However, the natural history and treatment of pediatric AVMs is relatively unknown. [content.iospress.com]
Favourable clinical evolution 17/29(58.6%) Favourable clinical evolution with morphological exclusion Unfavourable clinical evolution 10/17(58.8%) 12/29(41.4%) Unfavourable clinical evolution with death 11/12(90.9%) No follow-up 1/30(3.3%) Discussion Epidemiology [ncbi.nlm.nih.gov]
Pathophysiology
Owing to its rarity, the pathophysiology of DSM has not been fully elucidated. We report a case of prenatally diagnosed DSM with an unusual clinical course. [ncbi.nlm.nih.gov]
Such a prenatal and postnatal morphological change and clinical course have not been reported previously, and will be useful in elucidating the pathophysiology of this rare but important clinical entity. [epostersonline.com]
الصفحة 697 - Physiological and pathophysiological roles of excitatory amino acids during central nervous system development. [books.google.com]
Seite 697 - Physiological and pathophysiological roles of excitatory amino acids during central nervous system development. [books.google.de]
DSM (tDSM), generalizable statements about etiology and prognosis are difficult because neurosurgeons/neuroradiologists and obstetrical imagers have focused on different patient age groups, have reported different outcomes, and have offered differing pathophysiologic [jnis.bmj.com]
Prevention
Conclusion: Early diagnosis and treatment, if necessary, of DSMs are critical to prevent cardiac failure or parenchymal injury from chronic venous hypertension. [experts.umn.edu]
Staged Endovascular treatment in order to prevent further brain injury three times. •The dilated posterior sinus compressed his cerebellum and brain stem at 5 months. The compression was palliated after the 3rd intervention. [epostersonline.com]
Conclusion Early diagnosis and treatment, if necessary, of DSMs are critical to prevent cardiac failure or parenchymal injury from chronic venous hypertension. [link.springer.com]
Type III dural fistulas need to be treated to prevent hemorrhage. Treatment can be as simple as clipping the draining vein at the site of the dural sinus. [en.wikipedia.org]
Consequently the clinical goals that we have set are early diagnosis and early treatment, whether it be preventive or curative, in an effort to prevent or cure the disorder’s natural history which, we suppose, begins at birth 2, 3. [mrineonatalbrain.com]