King W A, Wackym P A, Viñuela F, Peacock W J
Department of Surgery, UCLA School of Medicine.
Childs Nerv Syst. 1989 Aug;5(4):208-11. doi: 10.1007/BF00271021.
The extremely high morbidity and mortality associated with all forms of management of aneurysms of the vein of Galen continues to pose a tremendous challenge. Recent advances in neuroradiologic endovascular embolization techniques have offered some encouraging early results in the treatment of these vascular lesions. Our experience in managing two neonates and a 10-year-old boy with vein of Galen aneurysms is presented. The neonates underwent transtorcular embolization, while the boy was treated by standard transarterial balloon embolization. All patients had satisfactory outcomes. The combined surgical and radiologic approaches are simple when compared to previous surgical techniques, and early results suggest that they are preferable alternatives. The natural history of vein of Galen aneurysms and the various therapeutic modalities available are discussed.
与所有形式的大脑大静脉动脉瘤治疗相关的极高发病率和死亡率仍然构成巨大挑战。神经放射血管内栓塞技术的最新进展在这些血管病变的治疗中取得了一些令人鼓舞的早期成果。本文介绍了我们治疗两名患有大脑大静脉动脉瘤的新生儿和一名10岁男孩的经验。新生儿接受了经心室栓塞，而男孩则接受了标准的经动脉球囊栓塞治疗。所有患者均取得了满意的结果。与以前的手术技术相比，联合手术和放射学方法较为简单，早期结果表明它们是更好的选择。文中还讨论了大脑大静脉动脉瘤的自然病史以及现有的各种治疗方式。
