Vein of Galen malformations(VGMs)are rare,consisting approximately 1%of intracranial vascular mal-formations,but nearly one third of pediatric vascular mal-formations,which can cause severe morbidity and mortality in ...Vein of Galen malformations(VGMs)are rare,consisting approximately 1%of intracranial vascular mal-formations,but nearly one third of pediatric vascular mal-formations,which can cause severe morbidity and mortality in infants and older children,but more particu-larly in neonates.We presented 2 patients with VGMs which were confirmed by characteristic clinical symptoms and neuroradiological findings(including CT,MRI and/or angiography).One patient underwent embolization fol-lowed by CT,MRI and conventional angiography.The patient’s neurological and cognitive status was normal at present.The other neonate died of congestive heart failure 36 h after birth.展开更多
Background:Developmental venous anomaly (DVA),previously known as 'venous angioma',is the most common cerebral vascular malformation,but hemispheric DVA is extremely rare.Case presentation:In this article we p...Background:Developmental venous anomaly (DVA),previously known as 'venous angioma',is the most common cerebral vascular malformation,but hemispheric DVA is extremely rare.Case presentation:In this article we present a 21-year-old female with a large DVA draining the whole left hemisphere,combined with a vein of Galen varix and falcine sinus.To our knowledge,only 4 cases of hemispheric DVA have been reported before,however,none with a vein of Galen varix.This patient's digital subtraction angiography also revealed double straight sinus with severe stenosis of one of the sinuses,which was considered to be the possible reason of the venous varix.The patient was managed conservatively,and her clinical status was stable for 1 year.Conclusions:Because brain DVA drains the normal cerebral parenchyma and the hemorrhage risk is relatively low,hemispheric DVA is considered to be a benign anomaly,and conservative treatment is recommended.展开更多
文摘Vein of Galen malformations(VGMs)are rare,consisting approximately 1%of intracranial vascular mal-formations,but nearly one third of pediatric vascular mal-formations,which can cause severe morbidity and mortality in infants and older children,but more particu-larly in neonates.We presented 2 patients with VGMs which were confirmed by characteristic clinical symptoms and neuroradiological findings(including CT,MRI and/or angiography).One patient underwent embolization fol-lowed by CT,MRI and conventional angiography.The patient’s neurological and cognitive status was normal at present.The other neonate died of congestive heart failure 36 h after birth.
文摘Background:Developmental venous anomaly (DVA),previously known as 'venous angioma',is the most common cerebral vascular malformation,but hemispheric DVA is extremely rare.Case presentation:In this article we present a 21-year-old female with a large DVA draining the whole left hemisphere,combined with a vein of Galen varix and falcine sinus.To our knowledge,only 4 cases of hemispheric DVA have been reported before,however,none with a vein of Galen varix.This patient's digital subtraction angiography also revealed double straight sinus with severe stenosis of one of the sinuses,which was considered to be the possible reason of the venous varix.The patient was managed conservatively,and her clinical status was stable for 1 year.Conclusions:Because brain DVA drains the normal cerebral parenchyma and the hemorrhage risk is relatively low,hemispheric DVA is considered to be a benign anomaly,and conservative treatment is recommended.
