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中华医学超声杂志(电子版) ›› 2022, Vol. 19 ›› Issue (05) : 481 -483. doi: 10.3877/cma.j.issn.1672-6448.2022.05.017

所属专题: 经典病例

病例报告

产前超声诊断胎儿硬脑膜窦畸形并血栓形成一例
何光智1,(), 李洲1, 梁连英1, 周成礼2, 孔卫萍1, 方耿周1, 张方梅1   
  1. 1. 518106 深圳,中国科学院大学深圳医院(光明)超声科
    2. 518104 深圳,南方医科大学附属深圳妇幼保健院超声科
  • 收稿日期:2020-05-17 出版日期:2022-05-01
  • 通信作者: 何光智

Prenatal ultrasound diagnosis of fetal dural sinus malformation and thrombosis: a case report

Guangzhi He1(), Zhou Li1, Lianying Liang1   

  • Received:2020-05-17 Published:2022-05-01
  • Corresponding author: Guangzhi He
引用本文:

何光智, 李洲, 梁连英, 周成礼, 孔卫萍, 方耿周, 张方梅. 产前超声诊断胎儿硬脑膜窦畸形并血栓形成一例[J]. 中华医学超声杂志(电子版), 2022, 19(05): 481-483.

Guangzhi He, Zhou Li, Lianying Liang. Prenatal ultrasound diagnosis of fetal dural sinus malformation and thrombosis: a case report[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2022, 19(05): 481-483.

图1 胎儿硬脑膜窦畸形产前超声检查声像图。图a显示小脑幕上矢状窦及窦汇扩张,呈一囊性无回声区,其内可见一强回声团,边界清楚。图b彩色多普勒血流成像显示无回声区、强回声区内部及周边内均未见彩色血流信号显示。图c为胎儿颅脑三维重建图,显示窦汇区囊性包块,枕骨内侧附着团状回声,小脑蚓部完整,向前下移位注:CS为窦汇;T为丘脑;TH为血栓;CV为小脑蚓部;CC为胼胝体
图2 胎儿头部磁共振显像。图a(轴平面)、图b(正中矢状平面)均显示窦汇区呈囊性扩张,延伸至上矢状窦,于扩张的静脉窦内可见类圆形血栓形成注:TH为血栓;CS为窦汇;T为丘脑;SSS为上矢状窦
图3 胎儿引产后大体解剖图。图a显示窦汇区硬脑膜窦囊样扩张累及上矢状窦,内可见一凝血块样团块。图b为取出组织团块后显示小脑受压向后下移位,小脑幕及大脑镰完整,囊样扩张的硬脑膜窦内可见直窦、横窦开口注:TH为血栓;CS为窦汇;TS为横窦;SSS为上矢状窦,SS为直窦;CH为小脑半球
图4 引产胎儿硬脑膜窦内组织团块病理检查结果显示为血凝块
1
Xia W, Hu D, Xiao P, et al. Dural sinus malformation imaging in the fetus: based on 4 cases and literature review [J]. J Stroke Cerebrovasc Dis, 2018, 27(4): 1068-1076.
2
Cho HJ, Jung EJ, Byun JM, et al. Thrombosed fetal dural sinus malformation: correlation between prenatal ultrasound and autopsy findings [J]. Fetal Pediatr Pathol, 2018, 37(4): 287-295.
3
顾莉莉, 李胜利, 文华轩, 等. 胎儿硬脑膜窦畸形的产前超声诊断 [J/CD]. 中华医学超声杂志(电子版), 2013, 10(10): 799-803.
4
McInnes M, Fong K, Grin A, et al. Malformations of the fetal dural sinuses [J]. Can J Neurol Sci, 2009, 36(1): 72-77.
5
Gao J, Liu J, Zhou X, et al. Spontaneous resolution of a fetal dural sinus thrombosis: one case report and review of the literatures [J]. Int J Fertil Steril, 2012, 5(4): 259-262.
6
Ebert M, Esenkaya A, TAGMHuisman, et al. Multimodality, anatomical, and diffusion-weighted fetal imaging of a spontaneously thrombosing congenital dural sinus malformation [J]. Neuropediatrics, 2012, 43(5): 279-282.
7
Barbosa M, Mahadevan J, Weon YC, et al. Dural sinus malformations (DSM) with giant lakes, in neonates and infants. Review of 30 consecutive cases [J]. Interv Neuroradiol, 2003, 9(4): 407-424.
8
Xu K, Ji T, Li C, et al. Current status of endovascular treatment for dural arteriovenous fistulae in the anterior cranial fossa: a systematic literature review [J]. Int J Med Sci, 2019, 16(2):203-211.
9
Rutkowski MJ, Jian B, Lawton MT. Surgical management of cerebral dural arteriovenous fistulae [J]. Handb Clin Neurol, 2017, 143: 107-116.
10
Tonetti DA, Gross BA, Jankowitz BT, et al. Reconsidering an important subclass of high-risk dural arteriovenous fistulas for stereotactic radiosurgery [J]. J Neurosurg, 2018, 130(3): 972-976.
11
Shen SC, Tsuei YS, Chen WH, et al. Hybrid surgery for dural arteriovenous fistula in the neurosurgical hybrid operating suite [J]. J Neurointerv Surg, 2015, 7(2): e6.
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