望月 悠一
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Assistant Professor
Article types Case report
Language English
Peer review Peer reviewed
Title Clinical Course and Management of Vein of Galen Varix of the Neonate: A Case Report and Literature Review.
Journal Formal name:Pediatric neurosurgery
Abbreviation:Pediatr Neurosurg
ISSN code:(1423-0305)1016-2291(Linking)
Domestic / ForeginForegin
Volume, Issue, Page 1-7頁
Author and coauthor Mochizuki Yuichi, Niimi Yasunari, Sato Shinsuke, Inoue Tatsuya, Kuwamoto Kentaro, Shima Shogo, Mochizuki Tatsuki, Kawamata Takakazu, Okada Yoshikazu
Publication date 2019/07
Summary 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