Abstract
Using combined echoencephalography and Doppler flow determination the diagnosis Arteriovenous aneurysm of the great cerebral vein of Galen could be made in two infants. Without vascular surgery one patient died, the other recovered completely. CT scanning confirmed the diagnosis. Invasive methods such as cerebral angiography were avoided.
Case histories, neuropathological findings, ultrasound method and results are presented. Pathogenesis, clinical signs, treatment and prognosis are discussed. With the ultrasound method presented, the nature and location of the vascular anomaly were demonstrable, thus additional higher risk diagnostic methods could be avoided or planned more purposefully.
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References
Amacher AL, Shillito J (1973) The syndromes and surgical treatment of aneurysm of the great vein of Galen. J Neurosurg 39: 89–98
Bada HS, Hajjar W, Chua C, Summer DS (1979) Non-invasive diagnosis of neonatal asfyxia and intraventricular hemorrhage by Doppler ultrasound. J Pediatrics 95:775–779
Barber FE, Baker DW, Nation AWC, Strandness DE, Reid JM (1974) Ultrasonic duplex Echo-Doppler scanner. IEEE Transact Biomed Eng 21:109–113
Bejar R, Merrit TA, Coen RW, Mannino F, Gluck L (1982) Pulsatility index, patent ductus arteriosus, and brain damage. Pediatrics 69:818–822
Bliesener JA (1981) Intrakranielle Veränderungen im Säuglingsund frühen Kindesalter. Monatsschr Kinderheilk 192:200–215
Couture A, Ferran JL, Senac JP, Caston-Tabouriech, Bonnet H (1981) Image ultrasonore d'un anévrysme de la vein de Galien. Arch Fr Pediatr 38:55–57
Diebler C, Dulac O, Renier D, Ernest C, Lalande G (1981) Aneurysms of the vein of Galen in infants, aged 2 to 15 months. Diagnosis and natural evolution. Neuroradiology 21:185–197
Edwards MK, Brown DL, Muller J, Grossman CB, Chua GT (1981) Cribisde neurosonography. Realtime sonography for intracranial investigation of the neonate. AJR 136:271–276
Eriksson SE, Zbornikova V, Johansson J, Link M (1981) Comparison between directional Doppler and angiography in the diagnosis of internal carotid artery disease. Acta Neurol Scand 63:1–5
Gill RW, Trudinger BJ, Garret WJ, Kossof G, Warren PS (1981) Fetal umbilical venous flow measured in utero by pulsed Doppler and B-mode ultrasound. Am J Obstet Gynecol 139:720–725
Gold AP, Ransohoff J, Carter S (1964) Vein of Galen malformation. Acta Neurol Scand 40 (Suppl) 11:5–31
Gomez MR, Whitten CF, Nolke A, Bernstein J, Meyer JS (1963) Aneurysmal malformation of the great vein of Galen causing heart failure in early infancy. Pediatrics 41:400–411
Grant EG, Schellinger D, Borts FT, McCullough DC, Friedman GR, Sivasubramanian KN, Smith Y (1981) Real time sonography of the neonatal and infant head. AJR 136:265–270
Hobson RW, Berry SM, Jamil Z, Menta K, Hart L, Simpsom H (1981) Oculoplethysmography and pulsed Doppler ultrasonic imaging in diagnosis of carotid arterial disease. Surg Gynecol Obstet 152:433–436
Holden AM, Fyler DV, Shillito J, Nadas AS (1972) Congestive heart failure from intracranial arteriovenous fistula in infancy. Pediatrics 49:30–39
Levine OR, Antillon J, Marquis JR, Curtis G (1979) Arteriovenous malformations in young infants. J Med Soc (New Yersey) 76: 118–121
Lynch TG, Wright CB, Miller EV, Slaymaker EE (1981) Evaluation of cerebrovascular Doppler examination and oculoplethysmography in a clinical perspective. Stroke 12:325–330
Menezes AH, Graf CJ, Jacobi CG, Cornell SH (1981) Management of vein of Galen aneurysms. J Neurosurg 55:457–462
Norman MG, Berker LE (1974) Cerebral damage in neonates resulting from arteriovenous malformation of the vein of Galen. J Neurol Neurosurg Psychiatr 37:252–258
Shirkhoda A, Whaley RA, Boone SC, Scatliff JH, Schnapf D (1981) Varied CT appearance of aneurysms of the vein of Galen in infancy. Neuroradiology 21:265–270
Shuman WP, Rogers JV, Mack LA, Alvord EC, Christie DP (1981) Real-time sonographic sector scanning of neonatal cranium. AJR 137:821–828
Sivakoff M, Nouri S (1982) Diagnosis of vein of Galen arteriovenous malformation by two-dimensional ultrasound and pulsed Doppler method. Pediatrics 69:84–86
Snider AR, Soifer SJ, Silverman NH (1981) Detection of intracranial arteriovenous fistula by two-dimensional ultrasonography. Circulation 63:1179–1185
Sunderland CO, Morgan CL, Lees MH (1971) Cerebral arterio-venous fistula producing temporary heart failure in a newborn infant. Clin Ped 10:309–311
Takashima S, Becker LE (1980) Neuropathology of cerebral arteriovenous malformations in children. J Neurol Neurosurg Psychiatr 43:380–385
Volpe JJ (1982) Anterior fontanel: window to the neonatal brain. J Pediatr 100:395–398
Watson DG, Smith RR, Brann AW (1978) Arteriovenous malformation of the vein of Galen. Treatment in a neonate. Am J Dis Child 130:520–525
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Mullaart, R.A., Daniëls, O., Hopman, J.C.W. et al. Ultrasound detection of congenital Arteriovenous aneurysm of the great cerebral vein of Galen. Eur J Pediatr 139, 195–198 (1982). https://doi.org/10.1007/BF01377356
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DOI: https://doi.org/10.1007/BF01377356