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DOI: 10.1590/0004-282X20170117
Dural sinus malformation presenting with seizure and treated by combined arterial and venous embolization
Malformação dos seios durais apresentando-se com crises convulsivas e tratada com embolização arterial e venosa combinadaA newborn with a prenatal diagnosis of dural sinus malformation, which was confirmed by an MRI ([Figure 1]). He was followed and at the first seizure (third month), a CT angiography was performed, which showed a partial thrombosis and an increase of the mass effects ([Figure 2]).
We performed three endovascular procedures (one per week) combining arterial and venous embolization, without complications ([Figures 3] and [4]). The patient was discharged without deficits.
A dural sinus malformation is a serious condition that can evolve into seizures and hemorrhage. It is characterized by a giant dural sinus lake associated with slow flow arteriovenous fistulae[1],[2],[3].
Publication History
Received: 19 October 2015
Accepted: 31 March 2017
Article published online:
05 September 2023
© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
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- 2 Benoit Jenny, et al. Giant dural venous sinus ectasia in neonates Report of 4 cases. J Neurosurg Pediatrics. 2010;5(5):523-8.
- 3 Rossi A, De Biasio P, Scarso E, Gandolfo C, Pavanello M, Morana G et al. Prenatal MR imaging of dural sinus malformation: a case report. Prenat Diagn. 2006;26(1):11-6. https://doi.org/10.1002/pd.1347