Thrombosed Fetal Dural Sinus Malformation: A Case Report
Background: Fetal dural venous sinus thrombosis is an uncommon disorder in which a blood clot forms in the developing fetus’s dural venous sinuses. A detailed ultrasound examination, including neurosonography, and color Doppler are usually used to identify it, and fetal brain magnetic resonance imag...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Journal of Pharmacy and Bioallied Sciences |
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| Online Access: | https://journals.lww.com/10.4103/jpbs.jpbs_894_24 |
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| author | Tayseer Al Muteri Muna Al Rawahi Felipe Moretti |
| author_facet | Tayseer Al Muteri Muna Al Rawahi Felipe Moretti |
| author_sort | Tayseer Al Muteri |
| collection | DOAJ |
| description | Background:
Fetal dural venous sinus thrombosis is an uncommon disorder in which a blood clot forms in the developing fetus’s dural venous sinuses. A detailed ultrasound examination, including neurosonography, and color Doppler are usually used to identify it, and fetal brain magnetic resonance imaging (MRI) is used to confirm the diagnosis. Although few case reports exist, the incidence of fetal occurrence remains unknown.
Case Description:
A 25-year-old woman, primigravida, with no comorbidities at 20 weeks and 1 day, underwent a detailed ultrasound followed by MRI. The imaging revealed a triangular extra-axial expansile lesion measuring 1.6cm AP × 3 craniocauded × 2.6cm transverse diameter. - The lesion was located at the torcula, at the confluence of the transverse sinuses, extending towards the posterior aspect of the left transverse sinus. This extension caused flattening of the posterior portion of the cisterna magna and the left posterior aspect of the cerebellum. The size of the intracranial mass increased. Fetal and parental investigations failed to find any underlying cause. The patient had a spontaneous vaginal birth at 38 weeks. A postnatal diagnosis of thrombosis in the sinus was confirmed by MRI and venography. No brain damage or hydrocephalus was noted, and the neurological outcome was normal at 9 months of age.
Conclusion:
Fetal intracranial thrombosis can result from dural sinus abnormalities. When dural sinus malformation (DSM) is detected in prenatal imaging, timely fetal MRI is recommended to help diagnose dural sinus abnormalities, identify intracranial complications, and determine perinatal plan and management options. |
| format | Article |
| id | doaj-art-c6c51839ccf742369cd384dd8915d4cf |
| institution | Kabale University |
| issn | 0976-4879 0975-7406 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Pharmacy and Bioallied Sciences |
| spelling | doaj-art-c6c51839ccf742369cd384dd8915d4cf2025-01-14T05:30:56ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062024-12-0116Suppl 4S4145S414810.4103/jpbs.jpbs_894_24Thrombosed Fetal Dural Sinus Malformation: A Case ReportTayseer Al MuteriMuna Al RawahiFelipe MorettiBackground: Fetal dural venous sinus thrombosis is an uncommon disorder in which a blood clot forms in the developing fetus’s dural venous sinuses. A detailed ultrasound examination, including neurosonography, and color Doppler are usually used to identify it, and fetal brain magnetic resonance imaging (MRI) is used to confirm the diagnosis. Although few case reports exist, the incidence of fetal occurrence remains unknown. Case Description: A 25-year-old woman, primigravida, with no comorbidities at 20 weeks and 1 day, underwent a detailed ultrasound followed by MRI. The imaging revealed a triangular extra-axial expansile lesion measuring 1.6cm AP × 3 craniocauded × 2.6cm transverse diameter. - The lesion was located at the torcula, at the confluence of the transverse sinuses, extending towards the posterior aspect of the left transverse sinus. This extension caused flattening of the posterior portion of the cisterna magna and the left posterior aspect of the cerebellum. The size of the intracranial mass increased. Fetal and parental investigations failed to find any underlying cause. The patient had a spontaneous vaginal birth at 38 weeks. A postnatal diagnosis of thrombosis in the sinus was confirmed by MRI and venography. No brain damage or hydrocephalus was noted, and the neurological outcome was normal at 9 months of age. Conclusion: Fetal intracranial thrombosis can result from dural sinus abnormalities. When dural sinus malformation (DSM) is detected in prenatal imaging, timely fetal MRI is recommended to help diagnose dural sinus abnormalities, identify intracranial complications, and determine perinatal plan and management options.https://journals.lww.com/10.4103/jpbs.jpbs_894_24dopplerdsmfetal dural sinus malformationfetal dural sinus thrombosisfetal mri |
| spellingShingle | Tayseer Al Muteri Muna Al Rawahi Felipe Moretti Thrombosed Fetal Dural Sinus Malformation: A Case Report Journal of Pharmacy and Bioallied Sciences doppler dsm fetal dural sinus malformation fetal dural sinus thrombosis fetal mri |
| title | Thrombosed Fetal Dural Sinus Malformation: A Case Report |
| title_full | Thrombosed Fetal Dural Sinus Malformation: A Case Report |
| title_fullStr | Thrombosed Fetal Dural Sinus Malformation: A Case Report |
| title_full_unstemmed | Thrombosed Fetal Dural Sinus Malformation: A Case Report |
| title_short | Thrombosed Fetal Dural Sinus Malformation: A Case Report |
| title_sort | thrombosed fetal dural sinus malformation a case report |
| topic | doppler dsm fetal dural sinus malformation fetal dural sinus thrombosis fetal mri |
| url | https://journals.lww.com/10.4103/jpbs.jpbs_894_24 |
| work_keys_str_mv | AT tayseeralmuteri thrombosedfetalduralsinusmalformationacasereport AT munaalrawahi thrombosedfetalduralsinusmalformationacasereport AT felipemoretti thrombosedfetalduralsinusmalformationacasereport |