Banjac Lidija, Banjac Boban
Clinical Center of Montenegro, Institute of Children's Diseases, Department of Neonatology, Podgorica, Montenegro.
University of Montenegro, Faculty of Medicine, Podgorica, Montenegro.
Acta Clin Croat. 2024 Apr;63(1):203-206. doi: 10.20471/acc.2024.63.01.25.
In this article, we present a neonate with the vein of Galen aneurysmal malformation, a rare blood vessel malformation of the brain, which was clinically manifested by signs of cardiac failure. Cranial ultrasound suspected the existence of the vein of Galen aneurysmal malformation, and the diagnosis was confirmed by computed tomography and magnetic resonance imaging. Based on our case, we believe that cranial ultrasound should be included in the screening protocol for neonates with cardiac failure. In addition, we believe that endovascular embolization of the blood vessels that supply the aneurysm is the method of choice in treating the vein of Galen aneurysmal malformation. Treatment of neonates with the vein of Galen aneurysmal malformation is challenging and requires a multidisciplinary approach (neonatologists, cardiologists, neuroradiologists, and neurosurgeons).
在本文中，我们介绍了一名患有大脑大静脉动脉瘤样畸形的新生儿，这是一种罕见的脑血管畸形，临床表现为心力衰竭症状。头颅超声怀疑存在大脑大静脉动脉瘤样畸形，计算机断层扫描和磁共振成像确诊了该诊断。基于我们的病例，我们认为头颅超声应纳入心力衰竭新生儿的筛查方案。此外，我们认为对供应动脉瘤的血管进行血管内栓塞是治疗大脑大静脉动脉瘤样畸形的首选方法。治疗患有大脑大静脉动脉瘤样畸形的新生儿具有挑战性，需要多学科方法（新生儿科医生、心脏病专家、神经放射科医生和神经外科医生）。
