Vein of Galen Aneurysmal malformations

被引：92

作者：

Alvarez, H. ^{[1
]}

Monaco, R. Garcia ^{[1
]}

Rodesch, G. ^{[1
]}

Sachet, M. ^{[1
]}

Krings, T. ^{[1
]}

Lasjaunias, Pierre ^{[1
]}

机构：

[1] Hop Bicetre, Serv Neuroradiol Diagnost & Therapeut, F-94275 Paris, France

来源：

NEUROIMAGING CLINICS OF NORTH AMERICA | 2007年 / 17卷 / 02期

关键词：

D O I：

10.1016/j.nic.2007.02.005

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

Different types of malformations share a dilated vein of Galen, but only one of them is a true vein of Galen aneurysmal malformation (VGAM). The optimal window of opportunity for treatment is between 4 and 5 years of age, because this allows the child to grow and mature. Heart failure and hydrocephalus respond favorably to embolization. Cerebrospinal fluid ventricular shunting, if needed, should be per-formed after the embolization. The transvenous approach carries significantly elevated morbidity and mortality and is rarely indicated. Anatomic cure of the VGAM is not the main goal of treatment; the ultimate goal is control of the malformation to allow the brain to mature and develop normally.

引用

页码：189 / +

页数：19

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