Spontaneous resolution of marked dilatation of cerebral duro-venous system in newborn presenting with fetal hydrops.
A newborn with antenatal diagnosis of fetal hydrops at 36 wk of gestation, presented with congestive heart failure (CHF) and generalized edema. Computed tomographic angiography showed marked dilatation of cerebral duro-venous system including vein of Galen (VOG), straight sinus, torcula and transverse sinus without evidence of arteriovenous fistulae at the vein of Galen. Dilatation of duro-venous system resolved with concomitant improvement in biventricular function and CHF with decongestive therapy. Such entity should be differentiated from more serious conditions like VOG malformation and venous sinus thrombosis.
Sharma
Jayendra
J
Department of Pediatrics/Division of Pediatric Cardiology, Neonatology and Developmental Pediatrics, The Children Hospital at Downstate/SUNY, Brooklyn, NY, USA. jsharma@jhmc.org
Toubas
Paul
P
Sklar
Tzipporah
T
Pole-Spellman
John
J
D002550:Cerebral Veins / Q000473:pathology*; D004108:Dilatation, Pathologic; D004388:Dura Mater / Q000098:blood supply*; D004487:Edema / Q000209:etiology / Q000628:therapy; D006333:Heart Failure / Q000209:etiology / Q000628:therapy; D006801:Humans; D015160:Hydrops Fetalis / Q000175:diagnosis*; D007231:Infant, Newborn; D019586:Intracranial Hypertension / Q000209:etiology / Q000628:therapy; D012075:Remission, Spontaneous; D014057:Tomography, X-Ray Computed