Spontaneous thrombosis of vein of Galen aneurysmal malformation after ventriculoperitoneal shunting

Kuzeylı, Kayhan; Çakır, Ertuğrul; Karaarslan, Gökalp; Ahmetoğlu, Ali; Peksoylu, Bekircan; Yazar, Uğur; Baykal, Süleyman

doi:10.1016/j.jocn.2003.03.008

Cited by 13 publications

(10 citation statements)

References 13 publications

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“…6 Although it could not be ascertained from documentation, all three of the similar previously reported cases began to have symptoms around the time of closure of fontanelles between 2 and 6 months of age. 9,15,19 Hurst et al, Chapman and Hockley, and Irfan et al showed attenuated straight sinus and low flow, which was seen in our case once hydrocephalus developed (►Fig. 7).…”

Section: Discussionsupporting

confidence: 63%

“…They also did well neurologically, and at follow-up at 6 years and 11 months, respectively, they showed continued decrease in size of lesion. 19,31 Hurst et al attributed it due to the slow flow nature of the VGM due to outlet obstruction. Chapman and Hockley had a case with no follow-up angiogram until 3 years of age who had shunt placed at 5 months of age that was calcified and thrombosed.…”

Section: Discussionmentioning

confidence: 99%

“…There have been no reports of recanalization in the literature. 7,9,11,[13][14][15]18,19,21 There are competing strategies treatment of VGM and subsequent hydrocephalus. Embolization not only allows the removal of the high venous pressure to improve reabsorption of cerebrospinal fluid, but also over time decreases the size of the malformation allowing for improvement of hydrocephalus due to compression of cerebral aqueduct.…”

Section: Discussionmentioning

confidence: 99%

“…supported by the ring enhancement seen in these patients that has been shown to be vascular granulation tissue at autopsy in previous studies. 9,15,19,39,40…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous Occlusion of a Vein of Galen Malformation: A Case Report and Proposed Mechanism

Storey

Notarianni

Nanda

et al. 2016

J Pediatr Neuroradiol

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A vein of Galen malformation (VGM) is a rare condition of the pediatric population. Our patient was diagnosed with VGM on intrauterine ultrasound. At birth, she was noted to have multiple congenital heart defects but no signs of congestive heart failure, and intervention was delayed. Our patient presented at 4 months of age with worsening hydrocephalus due to the enlargement of the VGM. A ventricular peritoneal shunt was placed. At 26 months of age, our patient was taken for embolization of the VGM. Cerebral angiography showed no VGM. We present that changes in hemodynamics after shunt placement lead to the thrombosis of the VGM.

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Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…supported by the ring enhancement seen in these patients that has been shown to be vascular granulation tissue at autopsy in previous studies. 9,15,19,39,40…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Spontaneous Occlusion of a Vein of Galen Malformation: A Case Report and Proposed Mechanism

Storey

Notarianni

Nanda

et al. 2016

J Pediatr Neuroradiol

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“…The suggested causes of spontaneous thrombosis of aneurysmal malformation in the vein of Galen include slow-flow shunts, obstruction of the venous outflow tract, and obstruction of the feeding artery. 13,14 We postulate that, in our patient, medical therapy in the form of diuretic agents and captopril decreased the diameter of the left-to-right shunt and the hepatic vein diameter and enabled venous thrombosis of that vascular channel.…”

mentioning

confidence: 84%

Regression of a Large Congenital Hepatic Arteriovenous Malformation

Agha¹,

Zakaria²,

Mostafa³

et al. 2015

Texas Heart Institute Journal

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Congenital hepatic arteriovenous malformations are rarely seen in association with persistent neonatal pulmonary hypertension. We report the case of a full-term female newborn who presented with heart failure and respiratory distress soon after birth. Echocardiographic investigation revealed severe persistent pulmonary hypertension and patent ductus arteriosus. Here we report spontaneous regression in size of both the feeder vessel and the vascular bed of the congenital hepatic arteriovenous malformation. We postulate that our conservative use of oral heart failure therapy, in the form of diuretic agents and captopril, decreased the congestion and diameter of the affected vessels.

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Varying clinical and imaging outcomes in patients with spontaneous thrombosis of vein of Galen malformation—a report of two cases

et al. 2015

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Spontaneous thrombosis of vein of Galen aneurysmal malformation after ventriculoperitoneal shunting

Cited by 13 publications

References 13 publications

Spontaneous Occlusion of a Vein of Galen Malformation: A Case Report and Proposed Mechanism

Spontaneous Occlusion of a Vein of Galen Malformation: A Case Report and Proposed Mechanism

Regression of a Large Congenital Hepatic Arteriovenous Malformation

Varying clinical and imaging outcomes in patients with spontaneous thrombosis of vein of Galen malformation—a report of two cases

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