scholarly journals Antenatal diagnosis and prognostic factors of aneurysmal malformation of the vein of Galen

Medicine ◽  
2017 ◽  
Vol 96 (30) ◽  
pp. e7483 ◽  
Author(s):  
Doru Herghelegiu ◽  
Cringu A. Ionescu ◽  
Irina Pacu ◽  
Roxana Bohiltea ◽  
Catalin Herghelegiu ◽  
...  
2015 ◽  
pp. bcr2015213785 ◽  
Author(s):  
Parth J Darji ◽  
Viplav S Gandhi ◽  
Hiral Banker ◽  
Hemang Chaudhari

Open Medicine ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. 440-445 ◽  
Author(s):  
Snezana Crnogorac ◽  
Aleksandra Vuksanovic Bozaric

AbstractThe term vein of Galen aneurysm is related to a group of different vascular anomalies, with one common distinction being the dilatation of the vein of Galen. It represents a rear vascular anomaly, whose incidence is yet unknown, although some authors suggest numbers around 1:25000 deliveries. It accounts for only 1% of all intracranial malformations, but the percentage of this anomaly in pediatric populations is up to 30%. In most cases the diagnosis is made postnatal, while antenatal diagnosis, because of the pathophysiology of aneurysm itself, as well as pathophysiology of its possible complications, is made usually during the third trimester, frequently after the 34th week of gestation. The earliest reported diagnosis was made at 25 weeks’ gestation. In this case we present 25-year old gravida, pregnancy at 28th week of gestation with aneurysm, and sonographically detected aneurysm of the vein of Galen, that ended with termination of pregnancy.


1996 ◽  
Vol 38 (1) ◽  
pp. 87-90 ◽  
Author(s):  
A. Campi ◽  
G. Scotti ◽  
M. Filippi ◽  
S. Gerevini ◽  
F. Strigimi ◽  
...  

1995 ◽  
Vol 38 (1) ◽  
pp. 87-90 ◽  
Author(s):  
A. Campi ◽  
G. Scotti ◽  
M. Filippi ◽  
S. Gerevini ◽  
F. Strigimi ◽  
...  

2017 ◽  
Vol 12 (3) ◽  
pp. E137-41 ◽  
Author(s):  
Osama M. Sarhan ◽  
Ahmed El Helaly ◽  
Abdul Hakim Al Otay ◽  
Mustafa Al Ghanbar ◽  
Ziad Nakshabandi Nakshabandi

Introduction: Fetal hydronephrosis (HN) occurs in around 5% of pregnancies and its prognosis depends mainly on the grade of the dilation.We attempted to determine the fate of isolated, unilateral, high-grade HN in children with antenatal diagnosis, emphasizing the risk factors for progression.Methods: We retrospectively evaluated 424 children (690 kidney units) with antenatal HN in the period between 2010 and 2014. We included only those patients with isolated high-grade HN (Society for Fetal Urology [SFU] Grade 3 or 4). Patients with bilateral HN or unilateral HN associated with dilated ureter or reflux and patients with missed followup were excluded. The prognosis of HN (whether improved, stabilized, or progressed) and the need for surgical intervention in this subset of patients was evaluated.Results: A total of 44 children (34 boys and 10 girls) were identified. Ultrasounds showed SFU Grade 3 HN in 24 (54%) and SFU Grade 4 HN in 20 (46%). After a mean followup of three years (range 1‒5), 10 children (23%) needed surgical intervention; four Grade 3 HN (16%) and six Grade 4 HN (30%). The majority of children with differential renal function (DRF) ≥40% (69.5%) were stable or improved. Five girls (50%) and five boys (17%) progressed and required surgical intervention. No patient with a renal pelvis anteroposterior diameter (APD) <1.5 cm needed surgical intervention.Conclusions: Infants with isolated, unilateral, high-grade HN might be managed conservatively. Male gender, DRF ≥40%, SFU Grade 3 HN, and APD <1.5 cm were favourable prognostic factors.


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