Implications of serial magnetic resonance imaging in the management of a newborn with vein of Galen aneurysmal malformation and a review of the relevant literature

Despite advanced endovascular methods and comprehensive intensive care in the neonatal vein of Galen aneurysmal malformation, overall mortality ranges between 37-63% in treated patients with 37-50% of survivors possessing poor neurologic outcomes. These findings stress the need for more accurate and...

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Bibliographic Details
Published inThe Turkish journal of pediatrics Vol. 65; no. 1; pp. 118 - 123
Main Authors Aykanat, Alper, Balcı, Sinan, Karlı-Oğuz, Hatice Kader, Arat, Anıl, Yiğit, Şule
Format Journal Article
LanguageEnglish
Published Turkey Hacettepe University Faculty of Medicine 01.01.2023
Subjects
Case reports
Cerebral Veins
Congenital diseases
Decision making
Embolization
Female
Heart failure
Humans
Hypertension
Infant, Newborn
Intensive care
Intervention
Ischemia
Magnetic Resonance Imaging
Medical prognosis
Mortality
Nervous system
Neurodevelopmental disorders
Parents
Pregnancy
Ultrasonic imaging
Veins & arteries
vein of Galen aneurysmal malformation
magnetic resonance imaging
newborn
diffusion-weighted imaging
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Summary:Despite advanced endovascular methods and comprehensive intensive care in the neonatal vein of Galen aneurysmal malformation, overall mortality ranges between 37-63% in treated patients with 37-50% of survivors possessing poor neurologic outcomes. These findings stress the need for more accurate and timely recognition of the patients who may and may not benefit from aggressive intervention. This case report presents a newborn with a vein of Galen aneurysmal malformation whom antenatal and postnatal follow-up included serial magnetic resonance imaging (MRI) including diffusion-weighted series. Given the experience from our current case and in light of the relevant literature, it is plausible that diffusion-weighted imaging studies may widen our perspective on dynamic ischemia and progressive injury occurring within the developing central nervous system of such patients. Meticulous identification of patients may favorably influence the clinical and parental decision on early delivery and prompt endovascular treatment versus aiding avoidance of further futile interventions both antenatally and postnatally.
ISSN:0041-4301
2791-6421
DOI:10.24953/turkjped.2021.1624