Neuroradiology

, Volume 34, Issue 5, pp 457–459

Successful treatment of neonatal aneurysmal dilatation of the vein of Galen: the role of prenatal diagnosis and trans-arterial embolization

  • Y. Yamashita
  • T. Abe
  • N. Ohara
  • T. Maruoka
  • O. Toyoda
  • O. Inoue
  • K. Kojima
  • H. Kato
Interventional Neuroradiology

Summary

We report a neonate with aneurysmal dilatation of the vein of Galen diagnosed prenatally by color Doppler sonography and MRI at 37 weeks' gestation. The child was treated by transarterial embolization of microcoils 2 and 8 days after birth. The aneurysmal dilatation of the vein of Galen markedly decreased after embolization and the patient is developing normally at 2 years 5 months of age. Prenatal diagnosis and early intervention by transarterial embolization produced in a good outcome in this patient.

Key words

Aneurysmal dilatation of the vein of Galen Prenatal diagnosis Color Doppler sonography Magnetic resonance imaging Transarterial embolization 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Johnston IH, Whittle IR, Besser M, Morgan MK (1987) Vein of Galen malformation: diagnosis and management. Neurosurgery 20:747–758Google Scholar
  2. 2.
    Hirsch JH, Cyr D, Eberhardt H, Zunkel D (1983) Ultrasonographic diagnosis of an aneurysm of the vein of Galen in utero by duplex scanning. J Ultrasound Med 2:231–233Google Scholar
  3. 3.
    Reiter AA, Huhta JC, Carpenter RJ, Segall GK, Hawkins EP (1986) Prenatal diagnosis of arteriovenous malformation of the vein of Galen. J Clin Ultrasound 14:623–628Google Scholar
  4. 4.
    Rizzo G, Arduini D, Colosimo C, Boccolini MR, Mancuso S (1987) Abnormal fetal cerebral blood flow velocity waveforms as a sign of an aneurysm of the vein of Galen. Fetal Ther 2:75–79Google Scholar
  5. 5.
    Ishimatsu J, Yoshimura O, Tetsuou M, Hamada T (1991) Evaluation of an aneurysm of the vein of Galen in utero by pulsed and color Doppler ultrasonography. Am J Obstet Gynecol 164:743–744Google Scholar
  6. 6.
    McCord FB, Shields MD, McNeil A, Halliday HL, McClure G, Reid MM (1987) Cerebral arteriovenous malformation in a neonate: treatment by embolisation. Arch Dis Child 62:1273–1275Google Scholar
  7. 7.
    Vaksmann G, Decoulx E, Mauran P, Jardin M, Rey C, Dupuis C (1989) Evaluation of vein of Galen arteriovenous malformation in newborns by two dimensional ultrasound, pulsed and color Doppler method. Eur J Pediatr 148:510–512Google Scholar
  8. 8.
    Yamashita Y, Nakamura Y, Okudera T, Nishiyori A, Mikashima T, Yamaga H, Matsuishi T, Kato H (1990) Neuroradiological and pathological studies on neonatal aneurysmal dilation of the vein of Galen. J Child Neurol 5:45–48Google Scholar
  9. 9.
    Roosen N, Schirmer M, Lins E, Bock WJ, Stock W, Gahlen D (1986) MRI of an aneurysm of the vein of Galen. AJNR 7:733–735Google Scholar
  10. 10.
    Lasjaunias P, Rodesch G, Pruvost P, Laroche FG, Landrieu P (1989) Treatment of vein of Galen aneurysmal malformation. J Neurosurg 70:746–750Google Scholar

Copyright information

© Springer-Verlag 1992

Authors and Affiliations

  • Y. Yamashita
    • 1
    • 3
  • T. Abe
    • 2
  • N. Ohara
    • 1
  • T. Maruoka
    • 1
  • O. Toyoda
    • 1
  • O. Inoue
    • 1
  • K. Kojima
    • 2
  • H. Kato
    • 1
  1. 1.Department of Pediatrics and Child HealthKurume University School of MedicineKurumeJapan
  2. 2.Department of RadiologyKurume University School of MedicineKurumeJapan
  3. 3.Department of PediatricsBaylor College of MedicineHoustonUSA

Personalised recommendations