Case Report
Copyright ©The Author(s) 2017.
World J Clin Pediatr. Feb 8, 2017; 6(1): 103-109
Published online Feb 8, 2017. doi: 10.5409/wjcp.v6.i1.103
Table 1 Classification of vein of galen aneurysmal malformations
Classification system
Litvak
Category AAneurysms of the great vein of Galen
Category BRacemorse conglomeration of blood vessels in the cerebral structures
Category CTransitional types of midline AV shunts
Lasjaunias
Type IChoroidal type
Type IIMural type
Yasargil
Type IPure AVF between leptomeningeal arteries and feeders from P3, segments of posterior cerebral arteries and vein of Galen
Type IIFeeders from the thalamo-perforating vessels and from P1 and P2 segments of the posterior cerebral arteries
Type IIIMixture of type I and II
Type IV
IV AAneurysmal dilation of the vein of Galen resulting from shunting from an adjacent thalamic AVM
IV BSimilar to type IV A with the AVM being mesencephalic instead of thalamic
IV CThalamomesencephalic or mesodiencephalic plexiform malformation along with an adjacent and separate cisternal AVF to the vein of Galen
Secondary enlargement of vein of Galen
Vein of Galen dilationMalformations that drain pial or dural shunts into the true vein of Galen or its tributary associated with the dilation of the vein of Galen
Vein of Galen varixDilation of the vein of Galen in the absence of AV shunt
Table 2 Clinical details and outcome of 47 neonatal embolizations
DiagnosedGestational age (wk)Birth weight (g)SymptomsTotal sessionsOutcomeRef.
Antenatal (31 wk)N/AN/ACCFMultipleNormalMitchell et al[19] 2001
PostnatalN/AN/ACCFMultipleNormal
PostnatalN/AN/ACCF1Death (2 d)
PostnatalN/AN/ACCFMultipleNormal
Antenatal (36 wk)Full termN/ACCF3Death (24 d)Frawley et al[17] 2002
PostnatalFull termN/ACCF3Normal
PostnatalFull termN/ACCF1Death (2 d)
PostnatalFull termN/ACCF4Psychomotor delay
PostnatalFull termN/ACCF4Normal
PostnatalFull termN/ACCF1Normal
Antenatal (38 wk)Full termN/ACCF3Normal
Antenatal (32 wk)Full termN/ACCF4Death (39 d)
Postnatal36N/ACCF1Death (24 h)Jones et al[20] 2002
PostnatalFull termN/ACCFMultipleNormal
Antenatal (28 wk)N/AN/ACCF1Death (29 h)Maheshwari et al[23] 2003
PostnatalFull term3400CCF1Death (7d)Mathew et al[21] 2013
N/AFull termN/ACCF2NormalMcSweeney et al[22] 2010
N/AFull termN/ACCF1Normal
N/AFull termN/ACCF1Normal
N/AFull termN/ACCF4Psychomotor delay
N/AFull termN/ACCF3Psychomotor delay
N/AFull termN/ACCF5Psychomotor delay
N/AFull termN/ACCF1Death
N/AFull termN/ACCF1Death
Antenatal (35 wk)Full term3290CCF1NormalKaradeniz et al[16] 2011
PostnatalN/AN/ACCF2NormalMeila et al[18] 2012
AntenatalN/AN/ACCF4Normal
PostnatalN/AN/ACCF6Death (2 yr)
PostnatalN/AN/ACCF2Psychomotor delay
PostnatalN/AN/ACCF6Psychomotor delay
AntenatalN/AN/ACCF3Normal
PostnatalN/AN/ACCF4Normal
AntenatalN/AN/ACCF3Psychomotor delay
Postnatal362897CCF5NormalBerenstein et al[5] 2012
Postnatal341810CCF1Death
AntenatalFull term4165CCF2Normal
Antenatal363409CCF4Normal
PostnatalFull term3400CCF6Normal
PostnatalFull term2930CCF6Hemiparesis
AntenatalFull term2386CCF2Normal
AntenatalFull term4204CCF6Psychomotor delay
Antenatal362825CCF3Psychomotor delay
Antenatal (36 wk)Full term2675CCF5NormalThe present report