Treatment of vein of Galen aneurysmal malformation

Pierre Lasjaunias Neuroradiology Unit and Neuropediatric Service, Hôpital de Bicêtre, Paris, and Pediatric Service, CHR de Gien, Gien, France

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Georges Rodesch Neuroradiology Unit and Neuropediatric Service, Hôpital de Bicêtre, Paris, and Pediatric Service, CHR de Gien, Gien, France

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Phillippe Pruvost Neuroradiology Unit and Neuropediatric Service, Hôpital de Bicêtre, Paris, and Pediatric Service, CHR de Gien, Gien, France

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Françoise Grillot Laroche Neuroradiology Unit and Neuropediatric Service, Hôpital de Bicêtre, Paris, and Pediatric Service, CHR de Gien, Gien, France

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Pierre Landrieu Neuroradiology Unit and Neuropediatric Service, Hôpital de Bicêtre, Paris, and Pediatric Service, CHR de Gien, Gien, France

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✓ The authors report the case of a vein of Galen aneurysmal malformation in a 1-year-old baby presenting with an enlarging head. The lesion was a direct arteriovenous fistula in a dilated vein of Galen and was treated by complete embolization in one session. Four months after occlusion of the shunt, the ectatic vein of Galen and torcular were normal, and the head circumference had stabilized. This case serves as an opportunity to emphasize the quality of results that can be obtained with endovascular techniques. Proper analysis of the vein of Galen angioarchitecture allows planning for appropriate treatment with the lowest possible risk of morbidity and mortality.

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  • 1.

    Berenstein A, & Lasjaunias P: Surgical Neuroangiography, Vol IV. Endovascular Treatment of Brain, Spine and Spinal Cord Lesions. Heidelberg: Springer-Verlag (In press, 1989) Berenstein A, Lasjaunias P: Surgical Neuroangiography, Vol IV. Endovascular Treatment of Brain, Spine and Spinal Cord Lesions. Heidelberg: Springer-Verlag (In press, 1989)

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  • 2.

    Clarisse J, , Dobbelaere P, & Rey C, et al: Aneurysms of the great vein of Galen. Radiological-anatomical study of 22 cases. J Neuroradiol 5:91102, 1978 Clarisse J, Dobbelaere P, Rey C, et al: Aneurysms of the great vein of Galen. Radiological-anatomical study of 22 cases. J Neuroradiol 5:91–102, 1978

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  • 5.

    Grossman RI, , Bruce DA, & Zimmerman RA, et al: Vascular steal associated with vein of Galen aneurysm. Neuroradiology 26:381386, 1984 Grossman RI, Bruce DA, Zimmerman RA, et al: Vascular steal associated with vein of Galen aneurysm. Neuroradiology 26:381–386, 1984

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    Hoffmann HJ, , Chuang S, & Hendrick EB, et al: Aneurysms of the vein of Galen. Experience at the Hospital for Sick Children, Toronto. J Neurosurg 57:316322, 1982 Hoffmann HJ, Chuang S, Hendrick EB, et al: Aneurysms of the vein of Galen. Experience at the Hospital for Sick Children, Toronto. J Neurosurg 57:316–322, 1982

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  • 8.

    Lasjaunias P, , Terbrugge K, & Chiu M: Coaxial balloon-catheter device for treatment of neonates and infants. Radiology 159:269271, 1986 Lasjaunias P, Terbrugge K, Chiu M: Coaxial balloon-catheter device for treatment of neonates and infants. Radiology 159:269–271, 1986

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  • 9.

    Lasjaunias P, , Terbrugge K, & Piske R, et al: Dilatation de la veine de Galien. Formes anatomo-cliniques et traitement endovasculaire à propos de 14 cas explorés et/ou traités entre 1983 et 1986. Neurochirugie 33:315333, 1987 Lasjaunias P, Terbrugge K, Piske R, et al: Dilatation de la veine de Galien. Formes anatomo-cliniques et traitement endovasculaire à propos de 14 cas explorés et/ou traités entre 1983 et 1986. Neurochirugie 33:315–333, 1987

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    Maheut J, , Santini JJ, & Barthez MA, et al: Symptomatologie clinique de l'anévrysme de l'ampoule de Galien. Résultats d'une enquête nationale. Neurochirurgie 33:285290, 1987 Maheut J, Santini JJ, Barthez MA, et al: Symptomatologie clinique de l'anévrysme de l'ampoule de Galien. Résultats d'une enquête nationale. Neurochirurgie 33:285–290, 1987

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    Mickle JP, & Quisling RG: The transtorcular embolization of vein of Galen aneurysms. J Neurosurg 64:731735, 1986 Mickle JP, Quisling RG: The transtorcular embolization of vein of Galen aneurysms. J Neurosurg 64:731–735, 1986

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  • 15.

    Rodesch G, , Lasjaunias P, & Terburgge K, et al: Lesions vasculaires artério-veineuses intra-crâniennes de l'enfant. Place des technique endovasculaires à propos de 44 cas. Neurochirurgie 34:293303, 1988 Rodesch G, Lasjaunias P, Terburgge K, et al: Lesions vasculaires artério-veineuses intra-crâniennes de l'enfant. Place des technique endovasculaires à propos de 44 cas. Neurochirurgie 34:293–303, 1988

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  • 16.

    Yaşargil MG: Microneurosurgery, Volume IIIb. AVM of the Brain, Clinical Considerations, General and Specific Operative Techniques, Surgical Results, Nonoperated Cases, Cavernous and Venous Angiomas, Neuroanesthesia. Stuttgart: Georg Thieme, 1988, pp 317396 Yaşargil MG: Microneurosurgery, Volume IIIb. AVM of the Brain, Clinical Considerations, General and Specific Operative Techniques, Surgical Results, Nonoperated Cases, Cavernous and Venous Angiomas, Neuroanesthesia. Stuttgart: Georg Thieme, 1988, pp 317–396

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