Torcular Dural Sinus Malformation in the Early Childhood: A Case Report

Authors

  • Md Shafiqul Islam Associate Professor, Department of Neurosurgery, Dhaka Medical College Hospital, Bangladesh
  • Motasimul Hasan Shiplu Assistant Professor, Department of Neurosurgery, Dhaka Medical College Hospital, Bangladesh
  • Md Sumon Rana Assistant Professor, Department of Neurosurgery, Dhaka Medical College Hospital, Bangladesh
  • Md Shamsul Alam Associate Professor, Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Bangladesh
  • Ayub Ansari Associate Professor, Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Bangladesh
  • Musannah Ashfaq Resident, Department of Neurosurgery, Dhaka Medical College Hospital, Dhaka, Bangladesh
  • Md Shahnawas Biswas DG Health, Department of Neurosurgery, Dhaka Medical College Hospital, Bangladesh
  • Milton Kumer Saha Assistant Professor, Department of Neurosurgery, Shaheed Ziaur Rahman Medical College, Bogura, Bangladesh
  • Md Rabiul Karim Associate Professor, Department of Neurosurgery, Chittagong Medical College Hospital, Bangladesh
  • Mahmudul Hasan Resident, Department of Neurosurgery, Dhaka Medical College Hospital, Bangladesh

DOI:

https://doi.org/10.3329/bjns.v11i1.57992

Keywords:

Torcula, Dural sinus malformation, Dural arteriovenous shunt

Abstract

Arteriovenous malformations (AVM) are rare diseases in pediatric age groups, and dural sinus malformation (DSM) has a lower incidence rate. DSMs are associated with mild male dominance, and onset symptoms appear around 5 months of age. The most common clinical presentation is macrocrania, seizures, psychomotor delay, intracranial hemorrhage, congestive heart failure, and brain ischemia. Early recognition of these lesions is essential to prevent brain injury for ischemia and intracranial hypertension. Case description: We discuss the case of a 8 month-old boy presenting with macrocrania secondary to atorcular dural sinus malformation. This case was successfully treated by the endovascular procedure, reaching the goal of the treatment to obliterate the arterial portion of the fistula while preserving cerebral venous drainage to reduce the pial reflux to prevent venous hypertension and ischemic complications.

Bang. J Neurosurgery 2021; 11(1): 41-44

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Published

2022-02-22

How to Cite

Islam, M. S. ., Shiplu, M. H., Rana, M. S. ., Alam, M. S. ., Ansari, A. ., Ashfaq, M. ., Biswas, M. S. ., Saha, M. K. ., Karim, M. R. ., & Hasan, M. . (2022). Torcular Dural Sinus Malformation in the Early Childhood: A Case Report. Bangladesh Journal of Neurosurgery, 11(1), 41–44. https://doi.org/10.3329/bjns.v11i1.57992

Issue

Section

Case Reports