Summary
An aneurysm of the vein of Galen is a rare midline arteriovenous malformation. The clinical signs and the prognosis strictly depend on age of presentation and on the amount of blood shunted into the malformation. In the newborn, cardiac failure is the most common presenting sign. In older children hydrocephalus, headache, focal neurological signs and subarachnoid bleeding may be the reason for admission. At the Hospital for Sick Children six patients with an aneurysm of the vein of Galen were studied by angiography and CT. Four of them were newborn in cardiac failure. Angiography was essential for the accurate demonstration of all the feeding vessels to the malformation and their exact location. Computed tomography also added useful information on associated hydrocephalus and ischemic brain damage. The dilated vein of Galen, straight sinus and torcular were clearly seen. Abnormal arterial vessels feeding the malformation were also recognized.
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References
Amacher, L. A. V., Shillito, J.: The syndromes and surgical treatment of aneurysms of the great vein of Galen. J. Neurosurg. 39, 89–98 (1973)
Aube, M. Tenner, M. S., Brown, J., Sher, J.: Arteriovenous malformation of the vein of Galen. Acta Radiol. [Suppl.] (Stockh.) 347, 23–30 (1975)
Byrd, S. E., Bentson, J. R., Winter, J., Wilson, G. H., Joyce, P. W. and O'Connor, L.: Giant aneurysms simulating brain neoplasms on computed tomography. J. Comp. Ass. Tomogr. 2, 303–307 (1978)
Cronquist, S., Granholm, L., Lundstrom N. R.: Hydrocephalus and congestive heart failure caused by intracranial arteriovenous malformations in infants. J. Neurosurg. 36, 249–254 (1974)
Dandy, W. E.: Arteriovenous aneruysms of the brain. Arch. Surg. 17, 488–498 (1928)
Gomez, M. R., Whitten, C. F., Nolke, A., Berstein, J., Meyer, J. S.: Aneurysmal malformation of the great vein of Galen causing heart failure in early infancy. Pediatrics 31, 400–411 (1963)
Harwood-Nash, D. C., Fitz, C. R.: Neuroradiology in infants and children. Vol. II, p. 494. Saint Louis: Mosby 1976
Knudson, M. R. P., Alden, L. C. E.: Symptomatic arteriovenous malformation in infants less than 6 months of age. Pediatrics 64, 238–241 (1979)
Leblanc, R., Ethier, R., Little, J. R.: Computerized tomography findings in arteriovenous malformation of the brain. J. Neurosurg. 51, 765–772 (1979)
Litvak, J., Yahr, M. D., Ransohoff, J.: Aneurysms of the great vein of Galen and midline cerebral arteriovenous anomalies. J. Neurosurg. 17, 945–954 (1960)
Long, D. M., Seljeskog, E. L., Chou, S., French, L. A.: Giant arteriovenous malformations of infancy and childhood. J. Neurosurg. 40, 304–312 (1974)
O'Brien, M. S., Schechter, M. M.: Arteriovenous malformation involving the galenic system. Am. J. Roentgenol. 110, 50–55 (1970)
Poppen, J.L., Avman, N.: Aneurysms of the great vein of Galen. J. Neurosurg. 17, 238–244 (1960)
Russel, W., Newton, T. H.: Aneurysm of the great vein of Galen: Case report and review of the literature. Am. J. Roentgenol. 92, 756–760 (1964)
Spallone, A.: Computed tomography in aneurysms of the vein of Galen. J. Comp. Ass. Tomogr. 3 (6), 779–782 (1979)
Terbrugge, K., Scotti, G., Ethier, R.: Computerized tomography in intracranial arteriovenous malformations. Radiology 122, 703–705 (1977)
Ventureyra, E. C. G., Ivan, L. P., Nabavi, N.: Deep seated giant arteriovenous malformations in infancy. Surg. Neurol. 10, 365–370 (1978)
Weir, B. V. A., Allen, P.B.R., Miller, J. D. R.: Case report and technical notes: excision of thrombosed vein of Galen aneurysm in an infant. J. Neurosurg. 29, 619–622 (1968)
Yasargil, M. G., Antic, J., Laciga, R., Jain, K. K., Boone, S. C.: Arteriovenous malformations of vein of Galen: Microsurgical treatment. Surg. Neurol. 6, 195–200 (1976)
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Martelli, A., Scotti, G., Harwood-Nash, D.C. et al. Aneurysms of the vein of Galen in children: CT and angiographic correlations. Neuroradiology 20, 123–133 (1980). https://doi.org/10.1007/BF00341777
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DOI: https://doi.org/10.1007/BF00341777