[A case of vein of Galen aneurysmal malformation with a newly developed dural arteriovenous fistula after successful embolization].
We report a case of vein of Galen aneurysmal malformation (VGAM) with a newly developed dural arteriovenous fistula (AVF) subsequent to successful embolization. A male neonate diagnosed as VGAM with prenatal ultrasonography and MRI presented severe cardiac and respiratory failure soon after birth. Five sessions of transarterial embolization using NBCA were performed during the first 6 months of his life. The shunt flow was effectively reduced and heart failure was resolved after the treatment. Follow-up angiography performed 2.5 years after the last embolization revealed complete obliteration of VGAM and newly developed small dural AVF on the wall of the thrombosed falcorial sinus. We believe that the dural AVF in this case was caused by local venous hypertension or induction of angiogenic factor during the thrombosing process of VGAM.
Department of Neurosurgery, Hokkaido University Graduate School of Medicine, Hokkaido, Japan.
Takeshi
T
Asano
Satoshi
S
Kuroda
Kiyohiro
K
Houkin
Daisuke
D
Yoshida
Kazutoshi
K
Cho
Hideaki
H
Shiraishi
Shinji
S
Saito
D020785:Central Nervous System Vascular Malformations / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D002533:Cerebral Angiography; D002550:Cerebral Veins / Q000002:abnormalities*; D004621:Embolization, Therapeutic; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D012851:Sinus Thrombosis, Intracranial / Q000000981:diagnostic imaging / Q000601:surgery*; D054080:Vein of Galen Malformations / Q000150:complications / Q000175:diagnosis / Q000601:surgery*