Vein of Galen aneurysmal malformation presenting as severe heart failure in a neonate.
Arteriovenous malformation
Brain
CT
Embolization
Heart failure
Neonate
Transfontanellar Ultrasound
Vein of Galen aneurysmal malformation
Journal
Radiology case reports
ISSN: 1930-0433
Titre abrégé: Radiol Case Rep
Pays: Netherlands
ID NLM: 101467888
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
19
09
2021
accepted:
20
09
2021
entrez:
8
11
2021
pubmed:
9
11
2021
medline:
9
11
2021
Statut:
epublish
Résumé
The vein of Galen aneurysmal malformation (VGAM) is a rare cerebral arteriovenous malformation that can be life-threatening if not diagnosed and treated early. VGAM usually presents in the neonatal period with high-output cardiac failure. We report the case of a full-term male neonate who presented with respiratory distress, and a fontanel bruit soon after birth. A chest radiograph revealed marked cardiomegaly. Transthoracic echocardiography showed dilatation of all four cardiac chambers and a patent ductus arteriosus. Transfontanellar doppler ultrasound and brain computed tomography confirmed the diagnosis of a VGAM. Clinical worsening took place despite aggressive hemodynamic and ventilatory support. The patient's Bicêtre Neonatal Evaluation Score for embolization was 2. Endovascular treatment could not be performed. The patient regretfully passed away. VGAM should be considered in the differential diagnosis of neonatal congestive heart failure with a structurally normal heart. Early diagnosis and treatment improve prognosis considerably.
Identifiants
pubmed: 34745403
doi: 10.1016/j.radcr.2021.09.054
pii: S1930-0433(21)00695-6
pmc: PMC8551785
doi:
Types de publication
Case Reports
Langues
eng
Pagination
3961-3964Informations de copyright
© 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington.
Références
BMJ Case Rep. 2018 Sep 27;2018:
pubmed: 30262543
Eur J Paediatr Neurol. 2020 Mar;25:29-39
pubmed: 31996298
Am J Roentgenol Radium Ther Nucl Med. 1974 Nov;122(3):495-502
pubmed: 4432972
Neuroradiol J. 2015 Feb;28(1):72-5
pubmed: 25924177
Dev Med Child Neurol. 2018 Apr;60(4):424-429
pubmed: 29359331
J Neurosurg Pediatr. 2011 Jan;7(1):3-10
pubmed: 21194279
AJNR Am J Neuroradiol. 2017 Dec;38(12):2308-2314
pubmed: 28982789
Child Neurol Open. 2016 Apr 04;3:2329048X15624704
pubmed: 28503603
Pediatr Ann. 2015 Oct;44(10):e243-6
pubmed: 26473426
J Radiol Case Rep. 2019 Mar 31;13(3):13-18
pubmed: 31565173
BMJ Case Rep. 2013 Sep 26;2013:
pubmed: 24072831
Medicine (Baltimore). 2017 Jul;96(30):e7483
pubmed: 28746188
Neurosurgery. 2006 Nov;59(5 Suppl 3):S184-94; discussion S3-13
pubmed: 17053602
AJNR Am J Neuroradiol. 2001 Aug;22(7):1403-9
pubmed: 11498438