Republished: Retreatment of a choroidal vein of Galen malformation with embolization 42 years after open surgical treatment in the neonatal period

2016 ◽  
Vol 9 (5) ◽  
pp. e19-e19
Author(s):  
Lucas Elijovich ◽  
Asim F Choudhri ◽  
Adam S Arthur ◽  
Paul Klimo ◽  
Frederick A Boop ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Cerebral Artery ◽  
Intraventricular Hemorrhage ◽  
Open Surgery ◽  
Anterior Cerebral Artery ◽  
Neonatal Period ◽  
Venous Hypertension ◽  
Vein Of Galen ◽  
Vein Of Galen Malformation ◽  
Open Surgical Treatment

In 1976 an infant boy initially presented with a choroidal vein of Galen malformation (cVOGM). Craniotomy and clipping of the anterior cerebral artery and posterior choroidal arteries was performed, which was reported in the literature 40 years ago. The patient remained asymptomatic until age 42 when he re-presented with an isolated intraventricular hemorrhage. Angiography demonstrated cVOGM with venous sinus occlusive disease leading to venous hypertension and subsequent intraventricular hemorrhage. The angiogram also demonstrated a ‘pseudo-nidus’ composed of multiple arterial-to-arterial anastomoses that had developed as a result of the original surgical treatment. We embolized a portion of the lesion to reduce the venous hypertension. The patient has been asymptomatic for more than 2 years. To our knowledge, this is the first reported case of a symptomatic neonatal VOGM treated with open surgery that required embolization as an adult for a delayed hemorrhagic presentation.

scholarly journals Retreatment of a choroidal vein of Galen malformation with embolization 42 years after open surgical treatment in the neonatal period

2016 ◽  
pp. bcr2016012709
Author(s):  
Lucas Elijovich ◽  
Asim F Choudhri ◽  
Adam S Arthur ◽  
Paul Klimo ◽  
Frederick A Boop ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Neonatal Period ◽  
Vein Of Galen ◽  
Vein Of Galen Malformation ◽  
Open Surgical Treatment

scholarly journals Vein of Galen malformation, a rare cause of epilepsy

2016 ◽  
Vol 03 (01) ◽  
pp. 024-025
Author(s):  
Mohammad Sayadnasiri
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Vascular Malformation ◽  
Neonatal Period ◽  
Severe Congestive Heart Failure ◽  
Low Flow ◽  
Vein Of Galen ◽  
Vein Of Galen Malformation ◽  
Venous Structure ◽  
Cerebral Vascular Malformation

AbstractVein of Galen malformation (VOGM) is a rare congenital cerebral vascular malformation characterized by an aneurysmally dilated midline deep venous structure, fed by abnormal arteriovenous communication. Most patients develop severe congestive heart failure at neonatal period that is fatal if left untreated. Rarely, patients with low-flow fistula present with headache, seizure, or focal neurological sign at adulthood. A 28-year-old female with VOGM-related epilepsy was introduced in this brief report.

scholarly journals Surgical Treatment for Aneurysms at the Proximal Segment of the Anterior Cerebral Artery (A1) : A Report of Six Cases

2013 ◽  
Vol 22 (6) ◽  
pp. 467-473
Author(s):  
Tsuyoshi Izumo ◽  
Takayuki Matsuo ◽  
Kentaro Hayashi ◽  
Nobutaka Horie ◽  
Hiroaki Yokoyama ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Proximal Segment

Decrease in Pulsatile Flow in the Anterior Cerebral Arteries in Infantile Hydrocephalus

PEDIATRICS ◽  
1982 ◽  
Vol 69 (1) ◽  
pp. 4-7
Author(s):  
Alan Hill ◽  
Joseph J. Volpe
Keyword(s):  
Cerebral Artery ◽  
Pulsatile Flow ◽  
Intraventricular Hemorrhage ◽  
Anterior Cerebral Artery ◽  
Cerebral Arteries ◽  
Critical Factor ◽  
Optimal Timing ◽  
Infantile Hydrocephalus ◽  
Arnold Chiari Malformation

The effect of ventriculomegaly with or without elevated intracranial pressure (ICP) on pulsatile flow in the anterior cerebral artery has been studied by a noninvasive Doppler technique in 11 infants with hydrocephalus. The cause of hydrocephalus was intraventricular hemorrhage in nine infants, Arnold-Chiari malformation in one, and bacterial meningitis in one. The pulsatility index (PI) (inversely related to pulsatile flow) was calculated from the systolic and diastolic amplitudes of flow in the anterior cerebral artery. All 11 patients with elevated PI had marked ventriculomegaly, and all but two had raised ICP. Four patients with massive ventriculomegaly and elevated ICP had maximal PI (ie, 1.00). The finding of elevated PI with ventriculomegaly and normal ICP, observed in two patients, suggested that ventriculomegaly is a more critical factor than ICP in the pathogenesis of the impaired flow. Treatment of ventriculomegaly in seven patients resulted in a decrease in PI. Of the four untreated patients, three died and one was not available for further study. Compromised flow in the anterior cerebral artery may be a sensitive barometer of impending ischemic injury with evolving ventriculomegaly, particularly following intraventricular hemorrhage. The PI may be a valuable parameter for the study of the mechanism of brain injury and for determination of optimal timing of corrective intervention.

scholarly journals Endovascular treatment of a tentorial dural arteriovenous fistula

2014 ◽  
Vol 37 (v1supplement) ◽  
pp. 1 ◽  
Author(s):  
Omar Choudhri ◽  
Michael P. Marks
Keyword(s):  
Endovascular Treatment ◽  
Arteriovenous Fistula ◽  
Cerebral Artery ◽  
Dural Arteriovenous Fistula ◽  
Posterior Cerebral Artery ◽  
Interesting Case ◽  
Venous Hypertension ◽  
Vein Of Galen ◽  
Arteriovenous Fistulae ◽  
Tentorium Cerebelli

Tentorial dural arteriovenous fistulae are rare intracranial fistulae, in which the fistula pocket is present within the leaves of tentorium cerebelli. These tentorial fistulae can be rarely present near the galenic complex, where they can engorge the deep venous system and cause symptoms of venous hypertension. We present an interesting case of endovascular treatment of a galenic tentorial dural arteriovenous fistula in a patient with headaches and imbalance. The fistula was accessed through the artery of Davidoff and Schecter from the posterior cerebral artery supplying the fistula. The fistula was completely embolized using Onyx and with preservation of vein of Galen.The video can be found here: http://youtu.be/igX2X5tfvrg.

scholarly journals Dissecting Aneurysm of the Anterior Cerebral Artery Requiring Surgical Treatment. Case Report.

2000 ◽  
Vol 40 (12) ◽  
pp. 624-627 ◽  
Author(s):  
Yukihiro WAKABAYASHI ◽  
Toshihisa NAKANO ◽  
Mitsuo ISONO ◽  
Tsuyoshi SHIMOMURA ◽  
Shigeaki HORI
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Dissecting Aneurysm

scholarly journals The results of open surgical treatment of bilateral staghorn and multiple nephrolithiasis

2018 ◽  
Vol 99 (4) ◽  
pp. 722-729
Author(s):  
S B Imamverdiev ◽  
T A Talibov ◽  
I F Makhmudov
Keyword(s):  
Surgical Treatment ◽  
Renal Artery ◽  
Open Surgery ◽  
Left Kidney ◽  
The Other ◽  
Before And After ◽  
The Status ◽  
Group 2 ◽  
Open Surgical Treatment ◽  
The Right

Aim. To determine the status and to increase the effectiveness of open surgical treatment of bilateral staghorn nephrolithiasis. Methods. We studied the results of surgical treatment of 250 patients who underwent open surgery for severe forms of bilateral staghorn nephrolithiasis. The patients were divided into four groups according to the features of changes in both kidneys and ureters - group 1 included 125 (50.0%) patients with bilateral staghorn nephrolithiasis, group 2 - 35 (14.0%) patients with staghorn nephrolithiasis of solitary or the only functioning kidney, 70 (28.0%) patients with unilateral staghorn nephrolithiasis and solitary or multiple kidney or ureter stones on the other side were included into group 3, and group 4 inlcuded 20 (8.0%) patients with unilateral staghorn nephrolithiasis and nonobstructive hydronephrosis and other diseases on the other side. The age of patients ranged from 7 to 76 years old, ranging among children from 7 to 18 years (average age 12.1±0.4 years) and among adults from 19 to 76 years (average age 46.4±0.6 years). Among patients, 121 (48.4%) were males and 129 (51.6%) were females. Results. Surgical tactics and the results of performed surgeries in certain groups were studied. Overall, 127 (50.8±3.8%) of 250 patients underwent surgery on the right kidney, and 123 (49.2±3.2%) - on the left kidney. To achieve minimal blood loss during the surgery, in 20% of cases renal artery was clamped. To protect kidneys from ischemia, 3 mg/kg of furosemide, 0.2 mg/kg of verapamil and 1 mg/kg of methylethylpiridinol were used before and after clamping of the renal artery. Open surgical treatment of 250 patients with bilateral staghorn nephrolithiasis was successful in 246 (98.4±0.8%) patients. In case of residual stones, extracorporeal or ureterorenoscopic shock wave lithotripsy was performed. Conclusion. Despite the wide application of modern endoscopic methods of therapy in the treatment of this group of patients, in complex forms of staghorn nephrolithiasis open surgery is more effective.

scholarly journals Stenting of a Venous Stenosis in Vein of Galen Aneurysmal Malformation

2001 ◽  
Vol 7 (3) ◽  
pp. 237-240 ◽  
Author(s):  
S. Brew ◽  
W. Taylor ◽  
A. Reddington
Keyword(s):  
Cardiac Failure ◽  
Neonatal Period ◽  
Jugular Bulb ◽  
Venous Hypertension ◽  
High Flow ◽  
Arteriovenous Shunt ◽  
Vein Of Galen ◽  
Venous Outflow ◽  
Venous Stenosis ◽  
Parenchymal Damage

The vein of Galen aneurysmal malformation (VGAM) is a high flow arteriovenous shunt at the choroidal level. In the neonatal period, it typically presents with cardiac failure. Venous stenoses, occlusions and anomalies are often present. In the absence of adequate venous outflow pathways, severe, irreversible cerebral parenchymal damage may occur due to intracranial venous hypertension, altered hydrodynamics and ischaemia. We present a case of deployment of a stent across a focal superior jugular bulb stenosis in an effort to avert this outcome.

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