Priyadarshi Archana, Luig Melissa
The Neonatal Intensive Care Unit Westmead Hospital P.O Box 533 Wentworthville New South Wales 2145 Australia.
Australas J Ultrasound Med. 2016 Oct 12;19(4):160-163. doi: 10.1002/ajum.12031. eCollection 2016 Nov.
Vein of Galen aneurysmal malformation (VGAM) is a rare congenital vascular malformation. We report a case of VGAM being associated with presence of bilateral hydrocephalus, gross cardiomegaly and is unique in two ways. Firstly, clinical presentation was associated with a large discrete cystic swelling along right side of the neck, which has not previously been reported. Secondly, this was a missed diagnosis of VGAM due to omission of colour Doppler study while performing diagnostic fetal cranial ultrasound just prior to delivery, following referral for assessment on a previously identified abnormality.
大脑大静脉动脉瘤样畸形（VGAM）是一种罕见的先天性血管畸形。我们报告一例与双侧脑积水、心脏明显增大相关的大脑大静脉动脉瘤样畸形，该病例在两个方面具有独特性。首先，临床表现与沿颈部右侧的一个大的孤立性囊性肿物有关，此前未见相关报道。其次，这是一例大脑大静脉动脉瘤样畸形的漏诊病例，原因是在分娩前因先前发现的异常转诊进行诊断性胎儿颅脑超声检查时遗漏了彩色多普勒检查。
