DETECTION OF VEIN OF GALEN MALFORMATION IN A NEWBORN- A CASE REPORT

Amit Bajpai, Manoj Sharma

Abstract


Vein of Galen aneurysmal malformation (VGAM) is a rare congenital anomaly and amongst rare cause of congestive
heart failure in the neonatal period carrying high mortality rate. The diagnosis may remain elusive as the clinical picture
often mimics congenital cardiac malformation. Patients usually undergo high-risk procedures such as cardiac catheterization to establish a
diagnosis. Often, these investigations are inconclusive and can delay correct diagnosis. This study highlights the role of antenatal and follow up
Doppler USG which can lead to early diagnosis on the basis of characteristic Doppler ndings in a resource limited peripheral hospital. Various
therapeutic options for a VGAM include no treatment, endovascular treatment, open surgery and stereotactic radiosurgery. Timely diagnosis and
appropriate therapy especially endovascular management can result in fairly good outcome in these children.


Keywords


Vein of Galen, Transcranial Ultrasound

Full Text:

PDF

References


Patel, N, Mills JF, Cheung, MM, Loughnan, PM. Systemic haemodynamics in infants with vein of Galen malformation: assessment and basis for therapy. J Perinatol. 2007;27(7):460-463.

Berenstein , A, Fifi, JT, Niimi, Y. Vein of Galen malformations in neonates: new manage-ment paradigms for improving outcomes. Neurosurgery. 2012 ;70(5):1207-1213;discussion 1213-1204.

3. Pellegrino, PA, Milanesi, O, Saia, OS, Carollo, C. Congestive heart failure secondary to cerebral arterio-venous fistula. Childs Nerv Syst. 1987;3(3):141-144.

Long DM, Seljeskog EL, Chou SN, French LA. Giant arteriovenous malformations of in-fancy and childhood. J Neurosurg. 1974;40:304–12. [PubMed]

Gailloud P, O’Riordan DP, Burger I, Levrier O, Jallo G, Tamargo RJ, et al. Diagnosis and manaagement of vein of galen aneurysmal malformations. J Perinatol. 2005;25:542–51. [PubMed]

Jaeger JR, Forbes RP, Dandy WE. Bilateral congenital cerebral arteriovenous communica-tion aneurysm. Trans Am NeurolAssoc. 1937;63:173–6.

Raybaud CA, Strother CM. Persisting abnormal embryonic vessels in intracranial arteri-ovenous malformations. ActaRadiolSuppl. 1986;369:136–8. [PubMed]

Markowski J. Entwicklung der Sinus duraematris und der Hirnvenen des Menschen. Bulletin international de l’Académie des Sciences et des Lettres. Classe des sciences mathemati-quesetnaturelles. Serie B: Sciences naturelles. 1921:1–269. Numérosupplémentaire.

Halbach VV, Dowd CF, Higashida RT, Balousek PA, Ciricillo SF, Edwards MS. Endovas-cular treatment of mural-type vein of Galen malformations. J Neurosurg. 1998;89:74–80. [PubMed]

Mitchell PJ, Rosenfeld JV, Dargaville P, Loughnan P, Ditchfield MR, Frawley G, et al. En-dovascular management of vein of Galen aneurysmal malformations presenting in the neo-natal period. AJNR Am J Neuroradiol. 2001;22:1403–9. [PubMed]

Lasjaunias P, Garcia-Monaco R, Rodesch G, TerBrugge K, Zerah M, Tardieu M, et al. Vein of Galen malformation. Endovascular management of 43 cases. Childs NervSyst.


Refbacks

  • There are currently no refbacks.