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[Treatment of cerebral vein aneurysms in children]
W Boratyński1, J Wocjan, R Bogusz
1Oddziału Neurochirurgii Centrum Zdrowia Dziecka, Warszawie.
Insights
Aneurysms of the vein of Galen are rare vascular malformations in infants. Surgical clipping of feeding vessels led to good outcomes in four out of five male infants treated.
Area of Science:
- Pediatric Neurosurgery
- Vascular Neurology
- Pediatric Radiology
Background:
- Aneurysms of the vein of Galen are rare congenital vascular malformations.
- These anomalies primarily affect newborns and infants, presenting significant diagnostic and therapeutic challenges.
Purpose of the Study:
- To review the diagnosis and treatment outcomes of aneurysms of the vein of Galen in a pediatric cohort.
- To evaluate the effectiveness of surgical intervention in managing this rare condition.
Main Methods:
- Diagnosis was established using computed tomography and cerebral angiography.
- Treatment involved surgical clipping of supplying vessels.
- Management of associated hydrocephalus included valve placement in two cases.
Main Results:
- Five male infants, aged 6 weeks to 16 months, were treated between 1982 and 1989.
- One patient died during diagnostic procedures.
- Four surgically treated patients demonstrated good clinical outcomes.
Conclusions:
- Surgical clipping of supplying vessels is an effective treatment for aneurysms of the vein of Galen in infants.
- Despite the risks, including mortality during diagnosis, favorable outcomes are achievable with timely intervention.
Abstract:
Aneurysms of the vein of Galen are very rare vascular anomalies found mainly in newborns and infants. In the years 1982-1989 five children with these aneurysms were treated. Their age was from 6 weeks to 16 months, all were males. The diagnosis was based on computed tomography (initial examination) and cerebral angiography. Two cases with hydrocephalus were treated with valves. The main procedure was clipping of supplying vessels. One child died during diagnostic procedures. The results in four operated on patients are good.