Neonatal Congestive Heart Failure as the Presenting Symptom of Cerebral Arteriovenous Malformation

Carroll, Charles; Jakoby, Ruth Kerr

doi:10.3171/jns.1966.25.2.0159

Cited by 28 publications

(6 citation statements)

References 29 publications

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“…9 A search of the literature revealed 12 cases of neonatal congestive heart failure as the presenting symptom of such lesions. 2 Unlike aneurysms of the vein of Galen, these arteriovenous malformations are rarely seen in children, they are rarely associated with aneurysms, and they rarely cause congestive cardiac failure.…”

Section: Discussionmentioning

confidence: 99%

Infantile Cardiomegaly as a Complication of Vascular Malformations of the Brain: Report of Two Cases

Al-Watban

Banna

1988

Ann Saudi Med

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J Al-Watban, M Banna, Infantile Cardiomegaly as a Complication of Vascular Malformations of the Brain: Report of Two Cases. 1988; 8(5): 373-376 Congenital heart diseases constitute the main cause of cardiomegaly in the neonatal period. Extracardiac arteriovenous communications are an exceedingly rare precipitating cause of heart disease. We have encountered two cases of cardiac enlargement secondary to intracranial arteriovenous shunts and wish to draw attention to this situation. Case Reports Case 1A 7-month-old boy was referred to King Faisal Specialist Hospital (KFSH) for evaluation of hydrocephalus. On clinical examination, the child was obviously hydrocephalic. He was very weak and could not support himself in the sitting position, nor could he roll over on his own when he was positioned flat on the examination table. His tendon reflexes were all brisk. A chest roentgenogram showed generalized cardiomegaly (Figure 1).Computed tomography showed a massive aneurysm of the vein of Galen (Figure 2), which was confirmed angiographically. A ventriculoperitoneal shunt was inserted for the treatment of hydrocephalus with the view that surgery might be considered at a later date. Case 2A 7-year-old girl was referred to KFSH because of epilepsy and severe mental and physical retardation. Prior to her referral, she was investigated in another hospital, where CT and magnetic resonance imaging (MRI) of the brain showed a large vascular malformation (Figures 3, 4).

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Section: Discussionmentioning

confidence: 99%

Infantile Cardiomegaly as a Complication of Vascular Malformations of the Brain: Report of Two Cases

Al-Watban

Banna

1988

Ann Saudi Med

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“…It is evident that CHF has a prominent role in the pathophysiology of these infants [5,8,9,18,24,25,36]. Recognition of heart failure is not difficult when overt but in milder cases it may be confused with other forms of respiratory disease, such as recurrent bronchitis, pneumonia or asthma.…”

Section: Discussionmentioning

confidence: 99%

Intracranial Arteriovenous Anomalies of Infancy: Modern Concepts

Godersky¹,

Menezes²

1987

Pediatr Neurosurg

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A variety of cerebrovascular abnormalities may become manifest in the first years of life. We present our recent experience with 7 children, ages 1 week to 7 months of age, who presented with congestive heart failure and progressive head enlargement (3), heart failure alone (1) and head enlargement alone (2). The anomalies include vein of Galen aneurysm (3), complex arteriovenous fistula (2) and posterior fossa dural arteriovenous malformations (2). Computed tomographic scanning was invaluable in delineating the site of the lesion while arterial digital subtraction angiography was utilized to obtain the high-quality images, reduced dye volume and rapid filming. Direct surgical intervention was accomplished in 5 cases, while embolization was utilized in 2. One child underwent direct partial occlusion and embolization. Congestive heart failure resolved in 2 of 3 operated cases and improved in those undergoing embolization. Hydrocephalus improved in 2 cases with the elimination of the fistula. Morbidity included seizures and a hemorrhagic infarction in 1 case. Neurologic outcome was satisfactory and there was no surgical mortality.

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“…Advances in diagnostic and therapeutic modalities have considerably altered the perception of vein of Galen malformation manifesting in the neonatal period, from a condition with uniformly grave morbidity and mortality to a favorable one, 1 – 2 except in the most severe cases. As intractable cardiac failure is a common denominator in a majority of neonatal cases, 3 and the coexistence of any significant congenital heart disease that can imperil the already jeopardized cardiac status portrays a dismal outcome. 3 – 4 Only twenty-three (23) cases of vein of Galen malformation coexisting with a congenital cardiac defect have been reported, including five patients by McElhinney 5 in his review of 1998.…”

mentioning

confidence: 99%

Vein of Galen malformation and interrupted aortic arch in a neonate: a previously unreported association

Hussain¹,

Amin²,

Kurdi³

et al. 2005

Annals of Saudi Medicine

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Neonatal Congestive Heart Failure as the Presenting Symptom of Cerebral Arteriovenous Malformation

Cited by 28 publications

References 29 publications

Infantile Cardiomegaly as a Complication of Vascular Malformations of the Brain: Report of Two Cases

Infantile Cardiomegaly as a Complication of Vascular Malformations of the Brain: Report of Two Cases

Intracranial Arteriovenous Anomalies of Infancy: Modern Concepts

Vein of Galen malformation and interrupted aortic arch in a neonate: a previously unreported association

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