モチヅキ ユウイチ
  望月 悠一
   所属   医学部 医学科(東京女子医科大学病院)
   職種   助教
論文種別 症例報告
言語種別 英語
査読の有無 査読あり
表題 Clinical Course and Management of Vein of Galen Varix of the Neonate: A Case Report and Literature Review.
掲載誌名 正式名:Pediatric neurosurgery
略  称:Pediatr Neurosurg
ISSNコード:(1423-0305)1016-2291(Linking)
掲載区分国外
巻・号・頁 1-7頁
著者・共著者 Mochizuki Yuichi, Niimi Yasunari, Sato Shinsuke, Inoue Tatsuya, Kuwamoto Kentaro, Shima Shogo, Mochizuki Tatsuki, Kawamata Takakazu, Okada Yoshikazu
発行年月 2019/07
概要 A 28-year-old pregnant woman underwent an emergency caesarian section after 39 weeks of gestation because of decreased fetal movement and baseline fetal heart rate variability. The neonate was diagnosed with neonatal asphyxia and presented with right cardiac failure due to pulmonary hypertension. The neonate presented convulsion, and plane computed tomography (CT) showed dilation of the vein of Galen and sinuses on day 3. Magnetic resonance imaging and CT with contrast were performed after cardiac failure subsided, and there was no evidence of arteriovenous shunt and normalization of the vein of Galen. The patient was diagnosed with vein of Galen varix (VGV). In the previous literature, only 3 cases of VGV have been reported. VGV is considered to be caused by right cardiac failure without the presence of an arteriovenous shunt and requires treatment only for cardiac failure and its cause. Therefore, it is important to differentiate VGV from vein of Galen aneurysmal malformation.
DOI 10.1159/000500768
PMID 31266039