Li Junliang,Xu Xinke,Chen Cheng,et al.Diagnosis and treatment of Galen venous aneurysmal malformation: a report of 6 cases[J].Journal of Clinical Pediatric Surgery,,18():744-747.[doi:10.3969/j.issn.1671-6353.2019.09.007]
Diagnosis and treatment of Galen venous aneurysmal malformation: a report of 6 cases
- CLC:
- R726;R743.4;R742.7
- Abstract:
- Objective To explore the treatment and prognosis of Galen’s venous aneurysmal malformation and summarize the relevant clinical experiences.Methods The clinical data were retrospectively reviewed for 6 hospitalized children undergoing neurointerventional embolization for Galen venous aneurysmal malformation from May 2015 to August 2018.There were 3 boys and 3 girls with a median age of 11.8 (3-24) months.Their imaging features,treatments and follow-up outcomes were analyzed.Results The embolization methods consisted of simple balloon-assisted coil,simple balloon-assisted Glubran-2 surgical glue embolization and coils plus Glubran-2 surgical glue embolization.Four patients were cured once by embolization.One patient was cured by two embolizations,one patient had minimal fistula after two embolizations and four patients underwent no cerebrospinal fluid shunting preoperatively.During magnetic resonance imaging (MRI) follow-ups,hydrocephalus was significantly relieved after embolization.No recurrence was detected on digital subtraction angiography (DSA) at 4-16 months post-operation.Conclusion The incidence of Galen venous aneurysmal malformation is significantly higher in children than that in adults.Neurological interventional embolization is both safe and effective.Postoperative hydrocephalus often relieves itself.Most patients have a good prognosis.
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Memo
收稿日期:2019-06-14。
通讯作者:李方成,Email:sjwklfc@126.com