{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:58:37Z","timestamp":1760147917529,"version":"3.44.0"},"reference-count":6,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,10,28]]},"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:p>Torcular dural sinus malformations (tDSMs) represent a rare subset of paediatric cerebrovascular malformations and are often diagnosed antenatally via ultrasound. The management of these in utero lesions remains controversial as previous studies suggested elective termination of the pregnancy because of their presumably high mortality and severe long-term morbidity. However, more recent evaluations have suggested that the overall prognosis for infants harbouring these lesions may be much better than previously believed. As such, we present the case of a neonate with a giant tDSM, diagnosed in utero, who was treated postnatally via staged transarterial and transvenous embolisation to alleviate worsening obstructive hydrocephalus and brainstem compression. We provide details regarding the surgical approach and long-term neurological outcomes for this patient. To the best of our knowledge, this is one of the largest reported tDSM presented in the literature.<\/jats:p>","DOI":"10.1136\/bcr-2021-244216","type":"journal-article","created":{"date-parts":[[2021,11,11]],"date-time":"2021-11-11T07:16:59Z","timestamp":1636615019000},"page":"e244216","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Staged embolisation of a giant torcular dural sinus malformation in a neonate"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9164-4984","authenticated-orcid":false,"given":"Evan M","family":"Luther","sequence":"first","affiliation":[{"name":"Neurological Surgery, University of Miami School of Medicine, Miami, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aria","family":"Jamshidi","sequence":"additional","affiliation":[{"name":"Neurological Surgery, University of Miami School of Medicine, Miami, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hunter","family":"King","sequence":"additional","affiliation":[{"name":"Neurological Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Starke","sequence":"additional","affiliation":[{"name":"Neurological Surgery, University of Miami School of Medicine, Miami, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,11,11]]},"reference":[{"key":"2025082622485816000_14.11.e244216.1","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1177\/159101990300900413","article-title":"Dural sinus malformations (DSM) with giant lakes, in neonates and infants. review of 30 consecutive cases","volume":"9","author":"Barbosa","year":"2003","journal-title":"Interv Neuroradiol"},{"key":"2025082622485816000_14.11.e244216.2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2017-013343"},{"key":"2025082622485816000_14.11.e244216.3","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2017-013344"},{"key":"2025082622485816000_14.11.e244216.4","first-page":"1871","article-title":"Development of posterior fossa dural sinuses, emissary veins, and jugular bulb: morphological and radiologic study","volume":"15","author":"Okudera","year":"1994","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025082622485816000_14.11.e244216.5","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2017-013654"},{"key":"2025082622485816000_14.11.e244216.6","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1007\/s00330-007-0783-y","article-title":"Dural sinus malformation (DSM) in fetuses. diagnostic value of prenatal MRI and follow-up","volume":"18","author":"Merzoug","year":"2008","journal-title":"Eur Radiol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-244216","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T05:49:05Z","timestamp":1756273745000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-244216"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11]]},"references-count":6,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2021,11,11]]},"published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1136\/bcr-2021-244216"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-244216","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,11]]}}}