- 期刊
- OpenAccess
Reversible Cerebral Dural Sinus Ectasia Mimicking Vein of Galen Malformation in a Neonate With Patent Ductus Arteriosus: A Case Report
摘要
Diffuse dilatation of cerebral dural sinuses is a classic finding on the images of vein of Galen (VOG) malformation, which is a rare but severe neonatal vascular anomaly. However, if there is no evidence for abnormal intracranial shunts, impaired cardiac function should be considered a possible cause. In this report, a newborn with a large patent ductus arteriosus (PDA) and heart failure was found to have a suspicious vascular malformation on cranial ultrasound. Other than the marked engorgement of the VOG and major dural sinuses, no shunting was detected on time-of-flight or contrast-enhanced magnetic resonance (MR) angiography. A follow-up brain MR imaging (MRI) conducted 1 week after receiving PDA ligation showed the complete resolution of the previously detected engorged dural sinuses. In neonates with diffuse dural venous sinus dilatation without abnormal intracranial shunts, heart failure should be considered in differential diagnoses in addition to congenital brain vascular malformation.
延伸閱讀
- Yeh, F. J., Lee, C. W., & Tang, S. C. (2020). Cerebral Venous Sinus Thrombosis Caused by Hereditary Protein S Deficiency: A Case Report. 台灣中風醫誌, 2(3), 249-254. https://doi.org/10.6318/FJS.202009_2(3).0007
- Chen, H. Y., Chen, Y. F., Chiang, H. J., Hung, M. T., & Shen, W. C. (2004). Congenital Facial Arteriovenous Fistula Successfully Treated by Tranarterial Embolization: A Case Report. 中華放射線醫學雜誌, 29(6), 349-352. https://www.airitilibrary.com/Article/Detail?DocID=10188940-200412-29-6-349-352-a
- Hsu, Y. C., Ho, K. Y., Kuo, W. R., Wang, L. F., Lee, K. W., & Huang, S. L. (2004). Cerebral Radionecrosis with Cystic Degeneration Following Radiotherapy for Nasal Cavity Squamous Cell Carcinoma: A Case Report. The Kaohsiung Journal of Medical Sciences, 20(6), 308-312. https://www.airitilibrary.com/Article/Detail?DocID=02575655-200406-20-6-308-312-a
- Panagopoulos, D., Loukopoulou, S., Markogiannakis, G., & Eleftherakis, N. (2017). Cerebral hemorrhagic infarction as the initial manifestation of deep venous thrombosis in a child with patent foramen ovale: A case report. International Journal of Case Reports and Images (IJCRI), 8(11), 739-745. https://doi.org/10.5348/ijcri-2017116-CR-10855
- Chuang, F. S., Lin, C. M., Hseu, I. H., Fan, Y. K., & Lin, S. Y. (2009). Isolated Trochlear Nerve Palsy Associated with Carotid-Cavernous Sinus Fistula: A Case Report. 中華民國眼科醫學會雜誌, 48(2), 188-194. https://doi.org/10.30048/ACTASOS.200906.0011