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56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e. V. (DGNC)
3èmes journées françaises de Neurochirurgie (SFNC)

Deutsche Gesellschaft für Neurochirurgie e. V.
Société Française de Neurochirurgie

07. bis 11.05.2005, Strasbourg

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Aneurysm of the vein of Galen

Meeting Abstract

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  • N. Ianovici - Neurosurgery Clinic, University of Medicine and Pharmacy "Gr. T. Popa", Iasi, Romania
  • A. Iordache - Neurosurgery Clinic, University of Medicine and Pharmacy "Gr. T. Popa", Iasi, Romania
  • corresponding author C. Tuleasca - Faculty of Medicine, University of Medicine and Pharmacy "Gr. T. Popa", Iasi, Romania

Deutsche Gesellschaft für Neurochirurgie. Société Française de Neurochirurgie. 56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 3èmes journées françaises de Neurochirurgie (SFNC). Strasbourg, 07.-11.05.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc09.05.-01.05

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dgnc2005/05dgnc0005.shtml

Published: May 4, 2005

© 2005 Ianovici et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

Objective

We introduce you the case of a two months and a week age masculine suckling baby who was diagnosed with aneurysm of the great cerebral vein, a central nervous system rare arteriovenous malformation characterized by a high venous flux.

Methods

Clinical study: pregnancy with frequent abortion imminence, new-born in term (9 months) by natural birth, weight of 3200 g, Apgar score 9, height of 50 cm, who indicated the physiologic jaundice, was Anti Hepatitis B and Bacil Calmette-Guerin vaccinated , artificially fed, exposes in the clinic for apnea and perioronasal cyanosis and episodes of gazed look for some seconds, other times for some minutes, time while he doesn't react to any stimuli.

Paraclinical study: It is recommended CT, transcraneous US (bi-dimensional and EcoDoppler), echocardiography, thoracic teleradiography and hemoleukogram.

Results

CT: parenchymatous formation with a density closed to the cerebral parenchyme, situated in the great cerebral vein's tank, with intense contrast connection of intravascular type and with dilated and contrasted vessels especially during the precocious time; increased size of the inferior longitudinal sinus; this hyperdense formation has a globularis aspect and stretches towards the median line predominantly to the right hemisphere. He didn't present any hydrocephaly. Transcraneous US:

• Bi-dimensional: on a transversal section, laterally to the right lateral ventricle, a trans-sonic formation with a posterior confirmation echo (16-17 mm diameter). On the longitudinal section, the described formation is posterior projected to the ventricular system;

• EcoDoppler: vascular pulsatile formation, situated at 3.5 cm depth, with increased flux speed (100 cm/s) with a tortuous aspect, perceptible to the anterior and posterior fontanel level as well as in the occipital foramen level; flux with anteroposterior direction.

Echocardiography: Foramen Ovale permeable, persistent of arterial channel and medium valvular pulmonary stenosis. Thoracic teleradiography: accentuated pulmonary drawing intercleidohilary and bilateral hiliobasal; heart with increased transversal diameter on both inferior arches.

Hemoleucograma presented leucocitosis with thrombocitosis (750000/mm3).

Conclusions

We'll have to decide whether to apply a conservative treatment or to take in consideration a surgical approach or an embolisation depending on the evolution of the patient and the complications that will appear.