Evidence map›Paper›PMID 31396697›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2020

Dural sinus malformation with giant pouch (DSMGP): symptoms and treatment.

Flavio Requejo, Victoria Tcherbbis, Maria Laura Gonzalez, Romina Argañaraz, Juan Manuel Marelli, Beatriz Mantese

Abstract read
PubMed Publisher
In one paragraph

Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. The relation between cerebral arteriovenous malformations and heart diseases in the pediatric population: a systematic review and meta-analysis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Pooled it
  2. Article
  3. Intracranial arteriovenous shunts in infants: A decade of experience from a quaternary pediatric center.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  4. Article
  5. Development of bilateral subdural hematoma after endovascular embolization of a dural sinus malformation.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022
    Article
  6. Article
  7. Giant dural arteriovenous fistula in a pediatric patient: positive outcome following surgical treatment.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Flavio RequejoDepartment of Interventional Radiology, Hospital Nacional de Pediatria JP Garrahan, Combate de los Pozos 1881, 1254, Buenos Aires, Argentina. frequejo@intramed.net.ORCID 0000-0001-5070-0329
Victoria TcherbbisDepartment of Neurosurgery, Hospital Nacional de Pediatria JP Garrahan, Combate de los Pozos 1881, 1254, Buenos Aires, Argentina.
Maria Laura GonzalezDepartment of Interventional Radiology, Hospital Nacional de Pediatria JP Garrahan, Combate de los Pozos 1881, 1254, Buenos Aires, Argentina.
Romina ArgañarazDepartment of Neurosurgery, Hospital Nacional de Pediatria JP Garrahan, Combate de los Pozos 1881, 1254, Buenos Aires, Argentina.
Juan Manuel MarelliDepartment of Interventional Radiology, Hospital Nacional de Pediatria JP Garrahan, Combate de los Pozos 1881, 1254, Buenos Aires, Argentina.
Beatriz ManteseDepartment of Neurosurgery, Hospital Nacional de Pediatria JP Garrahan, Combate de los Pozos 1881, 1254, Buenos Aires, Argentina.
Garrahan Hospital · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study is to describe the clinical manifestations and treatment options of patients having dural sinus malformation with giant pouch (DSMGP) in a tertiary pediatric center.

introductionDural sinus malformation with giant pouch (DSMGP) is a rare vascular malformation affecting fetuses, newborns, and infants. It is characterized by a dilated dural sinus frequently thrombosed with arteriovenous fistula (AVF) in its wall. There is a few information about symptoms, best treatment, and prognosis of the disease. MATERIAL AND

methodsMedical charts of cases of DSMGP were retrospectively analyzed from January 2010 to January 2019. Our hospital is a pediatric tertiary center. An adult patient managed by the authors in another institution was added to the series.

resultsEight pediatric patients from 0 to 9 months were managed, four were males. The adult patient was a 40-year-old male. Symptoms were mass effect in 4 pediatric cases. Exophthalmos was present in the pediatric case and adult case. Both cases had venolymphatic malformation of the orbit. Congestive heart failure (CHF), epistaxis and facial vein engorgement, and intracranial hemorrhage (ICH) were the symptoms in other 3 cases. A child has spontaneous resolution of the disease. DISCUSSION: Transverse sinus and superior sagittal sinus are affected more commonly. Patients with totally thrombosed pouch had mass effect symptoms. These cases were managed by surgical excision. When AVFs are present, clinical manifestations were secondary to cerebral venous hypertension or cardiac overload. If cavernous sinus drained the shunt (capture), epistaxis and facial veins engorgement could be present. AVFs are amenable to embolization, achieving the control of venous hypertension in most cases. Cavernous malformation could be present and must be controlled because its enlargement could be a sign of uncontrolled venous hypertension. On the other hand, DSMGP can be accompanied by venolymphatic malformation conforming a cerebral venous metameric syndrome.

Indexed as

Arteriovenous FistulaCavernous SinusCentral Nervous System Vascular MalformationsEmbolization, TherapeuticAdultCerebral AngiographyChildCranial SinusesDura MaterFemaleHumansInfantInfant, NewbornMaleRetrospective StudiesDural sinus malformationEmbolizationGiant pouchVenous hypertension

Identifiers

PMID31396697
OpenAlexW2967240568

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.