Olin M S, Eltomey A A, Dunsmore R H, Roberts M P
Neurosurgery. 1982 Feb;10(2):258-62.
The authors report a case of thrombosed vein of Galen aneurysm in a 4.5-year-old girl with craniofacial dysostosis (Crouzon's disease). Six previously reported cases appear in the literature. The initial presentation is often associated with the symptoms and signs of hydrocephalus. Computed tomography shows an enhancing mass in the region of the posterior 3rd ventricle with the characteristic "target sign." Arteriography of all aspects of both the anterior and the posterior cerebral circulation is essential. Surgical results in cases of vein of Galen aneurysm have generally been poor, but recent reports of successful operative intervention to treat the thrombosed variety promise satisfactory treatment.
作者报告了一例患有颅面骨发育不全(克鲁宗病)的4.5岁女孩的大脑大静脉瘤血栓形成病例。文献中出现了6例先前报道的病例。最初的表现通常与脑积水的症状和体征有关。计算机断层扫描显示第三脑室后部区域有一个强化肿块,具有特征性的“靶征”。对大脑前循环和后循环的各个方面进行动脉造影至关重要。大脑大静脉瘤病例的手术结果通常较差,但最近关于成功手术干预治疗血栓形成类型的报道预示着会有令人满意的治疗效果。