Torcular dural sinus malformation [Neurosurgery Wiki]

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====== Torcular dural sinus malformation ======

{{rss>https://pubmed.ncbi.nlm.nih.gov/rss/search/1fuD0jDVLZMfoR1ROjoZErRQYYrSlf8eRtRmszyc7v2UseLMAI/?limit=15&utm_campaign=pubmed-2&fc=20250131031844}}

===== Case reports =====
Torcular [[dural sinus malformation]]s (tDSMs) with [[high-flow fistula]]s pose [[complex]] [[management]] challenges due to their vascularity and the delicate [[neuroanatomy]] involved. 
A report presents the case of a [[child]] with tDSM and [[hydrocephalus]], who underwent 3 staged [[embolization]] [[procedure]]s but required a redo [[intervention]] due to residual [[malformation]] and [[venous hypertension]]. Utilizing the [[pressure cooker technique]] (PCT) in a redo setting allowed for high-pressure, targeted embolic delivery with minimized [[reflux]], achieving near-complete[[ occlusion]] and significant [[symptom]] relief. This case highlights PCT's potential to improve [[outcome]]s in multi-stage treatments of high-flow tDSM, reducing [[reflux]] and enhancing [[safety]] in technically demanding cases
((Solis Chucos FG, Ecos Quispe RL, Toledo M, Walker M, Chapot R. [[Efficacy]] of[[ Pressure Cooker Technique]] in Redo Embolization for High-Flow [[Torcular Dural Sinus Malformation]]. Neurointervention. 2025 Feb 3. doi: 10.5469/neuroint.2024.00556. Epub ahead of print. PMID: 39885621.)).