Department of Neurosurgery, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Hong Kong.
Hong Kong Med J. 2012 Oct;18(5):435-8.
Vein of Galen aneurysmal malformation is a rare entity in the paediatric population. However, it is being recognised with increasing frequency due to better diagnostic techniques. Neonates usually present with congestive heart failure, while in older infants and children it tends to manifest with seizures, hydrocephalus, intracerebral or subarachnoid haemorrhages. We present a case of ruptured vein of Galen aneurysmal malformation in a 3-month-old baby boy treated by transarterial embolisation using Guglielmi detachable coils.
Galen 静脉动脉瘤样畸形在儿科人群中较为罕见。然而，由于诊断技术的提高，其发病率也在不断增加。新生儿通常表现为充血性心力衰竭，而在较大的婴儿和儿童中，其倾向于表现为癫痫发作、脑积水、颅内或蛛网膜下腔出血。我们报告了一例 3 个月大男婴的破裂性 Galen 静脉动脉瘤样畸形病例，采用 Guglielmi 可解脱弹簧圈经动脉栓塞治疗。
