Prenatal diagnosis of vein of Galen malformation: a multidisciplinary challenge.
Vein of Galen aneurysmal malformation (VGAM) is a rare congenital arteriovenous malformation of the choroid plexus situated within the roof of the third ventricle. If large, it leads to an extracardiac left-to-right shunt featuring as a high output heart failure in the neonate. In our case of VGAM, hypoxic-ischemic brain lesions due to the steal phenomenon could be demonstrated prenatally. In a multidisciplinary clinical setting, withdrawal of active care and initiation of good end-of-life care was decided on and carried through.
Nuutila
Mika
M
Department of Obstetrics and Gynecology, Helsinki University Central Hospital, Helsinki, Finland.
Saisto
Terhi
T
D000328:Adult; D002550:Cerebral Veins / Q000002:abnormalities*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D002532:Intracranial Aneurysm / Q000175:diagnosis; D002538:Intracranial Arteriovenous Malformations / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D010166:Palliative Care; D011247:Pregnancy; D011296:Prenatal Diagnosis; D016216:Ultrasonography, Prenatal