| Prenatal diagnosis of vein of Galen aneurysmal malformation: report of two cases with proposal for prognostic indices. | |
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MedLine Citation:
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PMID: 9358579 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Vein of Galen aneurysmal malformation (VGAM) is a rare, intracranial vascular anomaly that, until recently, has usually been diagnosed postnatally. Today, however, with the advances in high-resolution ultrasonography and colour Doppler, prenatal diagnosis is relatively easy. Due to novel intravascular embolization techniques, the prognosis of neonates with VGAM has markedly improved. A healthy infant with normal neurodevelopmental and cardiovascular status is now a reality. For the best outcome, however, careful planning of the appropriate time, mode, and place of delivery should be undertaken. To achieve this goal, in utero prognostic factors should be determined. This report illustrates, for the first time, prenatal ultrasonographic indices that may predict the outcome in two cases with a prenatal diagnosis of VGAM. The indices included mapping of intracranial feeding arteries, assessment of the width of the straight sinus, assessment and measurement of flow in the straight sinus, existence of 'steal' retrograde aortic flow, and the appearance of high-output cardiac state. By using these prenatal ultrasonographic parameters, fetal outcome may be predicted and appropriate management decided upon. |
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Authors:
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Y Yuval; A Lerner; S Lipitz; Z Rotstein; J Hegesh; R Achiron |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Prenatal diagnosis Volume: 17 ISSN: 0197-3851 ISO Abbreviation: Prenat. Diagn. Publication Date: 1997 Oct |
Date Detail:
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Created Date: 1998-02-10 Completed Date: 1998-02-10 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8106540 Medline TA: Prenat Diagn Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 972-7 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel Hashomer, Israel. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aneurysm / embryology*, ultrasonography Cerebral Veins / embryology*, ultrasonography Female Follow-Up Studies Humans Predictive Value of Tests Pregnancy Pregnancy Outcome Prognosis Ultrasonography, Doppler, Color Ultrasonography, Prenatal / methods* |
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