Advertisement

The Indian Journal of Pediatrics

, Volume 71, Issue 5, pp 459–463 | Cite as

Spectrum of clinical presentations of vein of Galen aneurysm

  • C. K. Sasidharan
  • P. Anoop
  • M. Vijayakumar
  • M. P. Jayakrishnan
  • G. Reetha
  • T. G. Sindhu
Clinical Brief

Abstract

Aneurysm of the vein of Galen is a rare intracranial vascular malformation. It is known to have diverse manifestations and varying severity. Four cases with different modes of presentation and outcome are reported. A mortality of 50 per cent was encountered. Among the survivors, one had neurologic sequelae whereas the other had attained age-appropriate developmental milestones. The former was a rare case of spontaneous thrombosis of the aneurysm while the latter was a boy who underwent therapeutic embolization.

Key words

Vein of Galen aneurysm Cardiac failure Hydrocephalus 

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. Vein of Galen malformation: Diagnosis and management.Neurosurgery 1987; 20: 747.PubMedCrossRefGoogle Scholar
  2. 2.
    Hoffman HJ, Chuang S, Hendrick EB, Humphreys RP. Aneurysms of vein of Galen: Experience at the hospital for sick children, Toronto.J Neurosurg 1982; 57 : 316.PubMedGoogle Scholar
  3. 3.
    Ciricillo SF, Edwards MS, Schmidt KGet al. Interventional neuroradiological management of vein of Galen malformations in the neonate.Neurosurgery 1990; 27: 22.PubMedCrossRefGoogle Scholar
  4. 4.
    Sasidharan CK, Sanalkumar P. Vein of Galen aneurysm.Ind J Pediatr 1990; 57(3): 446.Google Scholar
  5. 5.
    Raybaud CA, Strother CM, Hald JK. Aneurysms of the vein of Galen: Embryonic and anatomical features relating to the pathogenesis of the malformation.Neuroradiology 1989; 31 : 109.PubMedCrossRefGoogle Scholar
  6. 6.
    Gold AP, Ransohoff JR, Carter S. Vein of Galen malformation.Acta Neurol Scand 1964; 40 (suppl 11): 5.CrossRefGoogle Scholar
  7. 7.
    Cumming GR. Circulation in neonates with intracranial arteriovenous fistula and cardiac failure.Am J Cardiol 1980; 45: 1019.PubMedCrossRefGoogle Scholar
  8. 8.
    Garcia-Monaco R, de Victor D, Mann C, Hannedouche A, Terbrugge K, Lasjaunias P. Congestive cardiac manifestations from cerebrocranial arteriovenous shunts: Endovascular management in 30 children.Childs Nerv Syst 1991; 7 : 48.PubMedCrossRefGoogle Scholar
  9. 9.
    Zerah M, Garcia-Monaco R, Rodesch Get al. Hydrodynamics in vein of Galen malformations.Childs Nerv Syst 1992; 8: 111.PubMedCrossRefGoogle Scholar
  10. 10.
    Sainte-Rose C, Lacombe J, Pierre-Kahn A, Renier D, Hirsch JF. Intracranial venous sinus hypertension: Cause or consequence of hydrocephalus in infants?J Neurosurg 1984; 60: 727.PubMedGoogle Scholar
  11. 11.
    Friedman DM, Rutkowski M, Madrid M, Bernstein A. Sinus venosus atrial septal defect associated with vein of Galen malformations: Report of two cases.Pediatr Cardiol 1994; 15 : 50.PubMedCrossRefGoogle Scholar
  12. 12.
    McElhinney DB, Halbach VV, Silverman NH, Dowd CF, Hanley FL. Congenital cardiac anomalies with vein of Galen malformations in infants.Arch Dis Child 1998; 78: 548.PubMedGoogle Scholar
  13. 13.
    Kothari SS, Naik N, Juneja R, Saxena A. Aneurysm of the vein of Galen in neonates: Report of four cases.Ind Heart J 2001; 53 : 499.Google Scholar
  14. 14.
    Martinez-Lage JF, Santos JMG, Poza M, Garcia-Sanchez F. Prenatal magnetic resonance imaging detection of a vein of Galen aneurysm.Childs Nerv Syst 1993; 9: 377.PubMedCrossRefGoogle Scholar
  15. 15.
    Sanders RC. Prenatal ultrasonic detection of anomalies with a lethal or disastrous outcome.Radiol Clin North Am 1990; 28: 163.PubMedGoogle Scholar
  16. 16.
    Frawley GP, Dargaville PA, Mitchell PJ, Tress BM, Loughnan P. Clinical course and medical management of neonates with severe cardiac failure related to vein of Galen malformation.Arch Dis Child 2002; 87: F 144.Google Scholar
  17. 17.
    King WA, Wackym PA, Vinuela F, Peacock WJ. Management of vein of Galen aneurysms: Combined surgical and endovascular approach.Childs Nerv Syst 1989; 5 : 208.PubMedCrossRefGoogle Scholar
  18. 18.
    Beltramello A, Perini S, Mazza C. Spontaneously healed vein of Galen aneurysm.Childs New Syst 1991; 7: 129.CrossRefGoogle Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 2004

Authors and Affiliations

  • C. K. Sasidharan
    • 1
  • P. Anoop
    • 1
  • M. Vijayakumar
    • 1
  • M. P. Jayakrishnan
    • 1
  • G. Reetha
    • 1
  • T. G. Sindhu
    • 1
  1. 1.Department of PediatricsInstitute of Maternal and Child Health, Medical CollegeCalicut, KeralaIndia

Personalised recommendations