Document Detail

Hemorrhagic complications in vein of Galen malformations.
MedLine Citation:
PMID:  10852540     Owner:  NLM     Status:  MEDLINE    
The authors report on a series of spontaneous intracranial hemorrhages associated with vein of Galen aneurysmal malformations (VGAMs). Thirty-four children with VGAMs have been treated at this institution since 1986. Eight children (24%) harbored the mural-type malformation, and 26 (76%) had the choroidal-type lesion. Two children (25%) with mural lesions and 1 (4%) with a choroidal lesion suffered hemorrhagic complications. Two presented with acute intracranial hemorrhage. A third child developed acute intracranial hemorrhage due to delayed dural sinus thrombosis after endovascular treatment of his choroidal-type VGAM. The subjects ranged in age from 13 days to 17 months at the time of presentation. Each patient underwent rapid radiological evaluation and treatment with endovascular surgery. Post-procedural arteriography demonstrated complete occlusion of the malformation in each patient. For the 3 patients with hemorrhage, follow-up has taken place over 49-, 107-, and 43-month intervals, respectively. Vein of Galen aneurysmal malformations can present with acute intracranial hemorrhage or develop delayed intracranial hemorrhage but respond to treatment using standard endovascular techniques. The presence of hemorrhage does not de facto portend a poor prognosis.
P M Meyers; V V Halbach; C P Phatouros; C F Dowd; A M Malek; T E Lempert; J E Lefler; R T Higashida
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of neurology     Volume:  47     ISSN:  0364-5134     ISO Abbreviation:  Ann. Neurol.     Publication Date:  2000 Jun 
Date Detail:
Created Date:  2000-06-23     Completed Date:  2000-06-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7707449     Medline TA:  Ann Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  748-55     Citation Subset:  IM    
Department of Radiology, University of California at San Francisco 94123-0628, USA.
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MeSH Terms
Cerebral Angiography
Cerebral Hemorrhage / etiology*,  radiography,  surgery
Cerebral Veins / abnormalities*,  pathology,  radiography
Infant, Newborn
Intracranial Aneurysm / complications*,  radiography,  surgery
Tomography, X-Ray Computed

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