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Prenatal thrombosis of torcular Herophili with spontaneous resolution and normal outcome
Savvas Grigoriadis1, Jose E Cohen, John Moshe Gomori
1Department of Neurosurgery, Hadassah University Hospital, Jerusalem, Israel. neurosavas@yahoo.gr
Background:
Prenatal thrombosis of torcular Herophili is a rare condition. It may be suspected during the routine ultrasonographic follow-up of the fetus, but MRI is necessary to establish the diagnosis. There are 7 reported cases with various results.
Methods:
We report a case of prenatal torcular Herophili thrombosis. We present 2 series of fetal MRIs. The first one was performed at 21 and the second at 37 weeks' gestation.
Results:
The second MRI revealed a total resolution of the thrombus. The product was a neurologically intact infant with normal development.
Conclusions:
This is the fourth reported case of fetal torcular Herophili thrombosis with normal outcome. There are no sufficient data regarding the best management of this rare condition; however, following up with fetal MRIs seems to be the most rational choice.
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