Intracranial arteriovenous malformation in an infant: Vein of galen malformation: A case report

Galen ven malformasyonu bir veya birkaç serebral arterle Galen veni arasındaki anormal bağlantı ile karakterli nadir bir serebrovasküler hastalıktır. Yenidoğanlarda genellikle konjestif kalp yetmezliğine neden olur. İnfantlar, daha büyük çocuklar ve yetişkinler sıklıkla kitle etkisi, nöbetler veya intrakraniyal kanama ile gelirler. Burada Galen ven malformasyonu tanısı almış 9 aylık bir süt çocuğu sunulmuş ve nörolojik bulgular olsun ya da olmasın, yen/doğan veya erken sütçocukluğu döneminde açıklanamayan konjestif kalp yetmezliğinin Galen ven malformasyonuna bağlı olabileceğinin vurgulanması amaçlanmıştır.

Anahtar Kelimeler:

Serebral venler, Süt çocuğu, Kalp yetmezliği, konjestif, Serebrovasküler bozukluklar, Manyetik rezonans görüntüleme, Anjiyografi, Tanı teknik ve işlemleri

Bir infantta intrakraniyal arteriyovenöz malformasyon: Galen ven malformasyonu: Olgu sunumu

The vein of Galen malformation is a rare cerebrovascular disorder which is characterized by an abnormal direct communication between one or several cerebral arteries and the vein of Galen. In neonates, it usually causes congestive heart failure. Infants, older children, and adults usually present with mass effect, seizures, or intracranial hemorrhage. Here we report a 9-months-old infant diagnosed with the vein of Galen malformation. This report emphasizes that the unexplained congestive heart failure, with or without neurologic symptoms, during neonatal or early infancy period might be due to the vein of Galen malformation.

Keywords:

Cerebral Veins, Infant, Heart Failure, Congestive, Cerebrovascular Disorders, Magnetic Resonance Imaging, Angiography, Diagnostic Techniques and Procedures,

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1. Smilan P. lncorpora G, Sciacca P, et al. Vein of Galen aneurysmal malformation. Different clinical expressiveness. Three case reports Minerva Pediatr 2000; 52: 55-62
2. Lasiaunias P, Rodesch G, Terbrugge K, et al. Vein of Galen aneurysmal malformations. Report of 36 cases managed between 1982-88 Acta Neurchir (Wien) 1989, 99 26-37
3. Brunella F. Arteriovenous malformation of the vein of Galen in children Pediatr Radiol 1997 27 501 513
4. Wiggins CW, Loisel D Budock AM Intracranial arteriovenous malformation in a neonate: aneurysm of the Great Vein of Galen. Neonatal Netw1991, 9: 7 17
5. Meyers PM. Halbach VV, Phaturos CP, et al. Hemorrhagic complications in vein of Galen malformations. Ann Neural 2000; 47:748-755
6. Breuer, J Schmaltz AA, BarthH, et al. Aneurism of the vein of Galen as a possible cause of congestive heart failure. Monatsscht Kmderheilkd 1989;137:726-732
7. Miller C, Bisonette B, Humpreys RP. Cerebral arteriovenous malformations in children Can J Anaesth 1994, 41:321-331
8. Cylyk P, Vinuela F, Dion JE.Therapeutic alternatives for vein of Galen vascular malformations. J Neurosurg 1993;78:438-445
9. Hendson L, Emery DJ , Phillipos EZ, et al Persistent pulmonary hypertension of the newborn presenting as the primary manifestation of the vein of Galen Am J Perinatal 2000; 17:405-410.