Spontaneous thrombosis of vein of Galen aneurysmal malformation.

Abstract:

:Two cases of aneurysmal malformations of the vein of Galen (AVG) with spontaneous thrombosis are reported. Angiogram and MRI before thrombosis demonstrated AVGs with slow arteriovenous shunts and associated stagnation of contrast in the venous sac secondary to severe outflow restriction. Based on these findings, one patient was managed conservatively, and the other underwent placement of a ventriculoperitoneal shunt. Surveillance of the lesions with subsequent MRIs revealed spontaneous thrombosis of the AVGs with excellent clinical outcomes. Proposed mechanisms of spontaneous thrombosis include slow flow shunts, obstruction of the venous outflow or obstruction of the feeding artery. Similar cases in the literature are reviewed with special emphasis on diagnostic tests, symptomatology, mechanisms of thrombosis and therapeutic options.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Nikas DC,Proctor MR,Scott RM

doi

10.1159/000028828

keywords:

subject

Has Abstract

pub_date

1999-07-01 00:00:00

pages

33-9

issue

1

eissn

1016-2291

issn

1423-0305

pii

28828

journal_volume

31

pub_type

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