DOI: 10.1212/WNL.0000000000010446 Neurology Publish …...Aug 04, 2020 · 1. Ebert M, Esenkaya A,...
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Neurology Publish Ahead of Print DOI: 10.1212/WNL.0000000000010446 Kaushik 1 Fetal dural sinus malformation Kavya S Kaushik, DNB; Ullas V Acharya, DM, MD; Rupa Ananthasivan DMRD, DNB, FRCR, CST (UK); Bhavana Girishekar, DNB; Pramesh Reddy, DNB Dr. Kavya S Kaushik, Manipal Hospitals, Department of Radiology, Bengaluru, Karnataka, India Dr. Ullas V Acharya, Manipal Hospitals, Department of Radiology, Bengaluru, Karnataka, India Neurology® Published Ahead of Print articles have been peer reviewed and accepted for publication. This manuscript will be published in its final form after copyediting, page composition, and review of proofs. Errors that could affect the content may be corrected during these processes. ACCEPTED Copyright © 2020 American Academy of Neurology. Unauthorized reproduction of this article is prohibited Published Ahead of Print on August 4, 2020 as 10.1212/WNL.0000000000010446
Transcript of DOI: 10.1212/WNL.0000000000010446 Neurology Publish …...Aug 04, 2020 · 1. Ebert M, Esenkaya A,...
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Neurology Publish Ahead of PrintDOI: 10.1212/WNL.0000000000010446
Kaushik 1
Fetal dural sinus malformation
Kavya S Kaushik, DNB; Ullas V Acharya, DM, MD; Rupa Ananthasivan DMRD, DNB,
FRCR, CST (UK); Bhavana Girishekar, DNB; Pramesh Reddy, DNB
Dr. Kavya S Kaushik, Manipal Hospitals, Department of Radiology, Bengaluru, Karnataka,
India
Dr. Ullas V Acharya, Manipal Hospitals, Department of Radiology, Bengaluru, Karnataka,
India
Neurology® Published Ahead of Print articles have been peer reviewed and accepted for
publication. This manuscript will be published in its final form after copyediting, page
composition, and review of proofs. Errors that could affect the content may be corrected
during these processes.
ACCE
PTED
Copyright © 2020 American Academy of Neurology. Unauthorized reproduction of this article is prohibited
Published Ahead of Print on August 4, 2020 as 10.1212/WNL.0000000000010446
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Kaushik 2
Dr. Rupa Ananthasivan, Manipal Hospitals, Department of Radiology, Bengaluru, Karnataka,
India
Dr. Bhavana Girishekar, Manipal Hospitals, Department of Radiology, Bengaluru,
Karnataka, India
Dr. Pramesh Reddy, Manipal Hospitals, Department of Radiology, Bengaluru, Karnataka,
India
Search terms: Dural sinus Malformation, DSM, MRI, Fetal MRI, Arteriovenous
Malformations
Submission Type: Teaching NeuroImages
Title Character Count: 27
Word count of manuscript: 100
Number of Figures: 2
Number of references: 2
Corresponding Author: Dr. Ullas V Acharya ([email protected])
Disclosure: The authors report no disclosures relevant to the manuscript.
Study Funding: No targeted funding reported. AC
CEPT
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Kaushik 3
Body of Manuscript:
24-year-old multigravida with no comorbidities underwent Anomaly Ultrasound at
21weeks5days, followed by Fetal MRI which showed dilatation of the torcula, adjacent
superior sagittal sinus, bilateral transverse sinuses and proximal sigmoid sinuses with
maintained flow voids (Figure 1); blood supply to the torcula from bilateral occipital arteries
and bilateral PCAs (Figure 2), suggesting a diagnosis of non-thrombosed midline type of
dural sinus malformation (DSM) in the fetus.1,2
DSM should be suspected on prenatal ultrasonography. Prompt fetal MRI must be done to
establish the diagnosis, identify intracranial complications, plan timing, mode of delivery and
postnatal treatment strategy, resulting in better postnatal outcome.
Appendix 1: Authors
Name Location Contribution
Dr. Kavya S Kaushik Manipal Hospitals, Old Airport Road, Bengaluru, India
Design and Conceptualisation of study; Major role in Acquisition of data, Drafting and revising the manuscript for intellectual content
Dr. Ullas V Acharya Manipal Hospitals, Old Airport Road, Bengaluru, India
Design and Conceptualisation of study; Major role in Acquisition of data, Analysis and interpretation of the data, Critical revision of the manuscript for intellectual content
Dr. Rupa Ananthasivan Manipal Hospitals, Old Airport Road, Bengaluru, India
Major role in Acquisition of data, Analysis and interpretation of the data, Critical revision of the
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Copyright © 2020 American Academy of Neurology. Unauthorized reproduction of this article is prohibited
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Kaushik 4
manuscript for intellectual content
Dr. Bhavana Girishekar Manipal Hospitals, Old Airport Road, Bengaluru, India
Major role in Acquisition of data, Analysis and interpretation of the data.
Dr. Pramesh Reddy Manipal Hospitals, Old Airport Road, Bengaluru, India
Major role in Acquisition of data, Analysis and interpretation of the data.
Acknowledgements: None
References:
1. Ebert M, Esenkaya A, Huisman TA, et al. Multimodality, anatomical, and diffusion-
weighted fetal imaging of a spontaneously thrombosing congenital dural sinus malformation.
Neuropediatrics 2012;43(5):279-282.
2. Rossi A, De Biasio P, Scarso E, et al. Prenatal MR imaging of dural sinus malformation: a
case report. Prenat Diagn. 2006;26(1):11-16.
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Copyright © 2020 American Academy of Neurology. Unauthorized reproduction of this article is prohibited
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Kaushik 5
Figures:
Figure 1: Fetal MRI
Single shot Turbo spin echo sequence (SS-TSE) images (A, B, C) in Axial, Sagittal and
Coronal planes reveal the ectatic torcula, posterior sagittal sinus and bilateral transverse
sinuses respectively. Flow voids are maintained. No mass effect or hydrocephal
Figure 2: Fetal Intracranial 3D Gradient Recalled Echo Dixon-based MRA
(A, B) Coronal and Sagittal MIP images depict prominent bilateral occipital arteries (arrows) supplying the DSM, which is visualised in the arterial phase (arrowhead).
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Copyright © 2020 American Academy of Neurology. Unauthorized reproduction of this article is prohibited
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DOI 10.1212/WNL.0000000000010446 published online August 4, 2020Neurology
Kavya S Kaushik, Ullas V Acharya, Rupa Ananthasivan, et al. Fetal dural sinus malformation
This information is current as of August 4, 2020
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