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Adaev A.R.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Yakovlev S.B.

Burdenko’ National medical research center of neurosurgery, Moscow, Russia

Khukhlaeva E.A.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Arteriovenous malformations of vein of Galen: results of treatment

Authors:

Adaev A.R., Yakovlev S.B., Khukhlaeva E.A.

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Journal: Burdenko's Journal of Neurosurgery. 2012;76(3): 54‑60

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To cite this article:

Adaev AR, Yakovlev SB, Khukhlaeva EA. Arteriovenous malformations of vein of Galen: results of treatment. Burdenko's Journal of Neurosurgery. 2012;76(3):54‑60. (In Russ.)

 
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We performed retrospective and prospective analysis of surgical treatment of arteriovenous malformations of vein of Galen. Since 1987 till 2009 90 patients were operated in Burdenko Neurosurgical Institute. Age varied between 1 month and 38 years, 69 patients were children below 10. The paper describes main techniques for early diagnosis of the disease, its manifestation depending on age and type of malformation, treatment modalities, early postoperative and follow-up results. Endovascular treatment was applied in 75 (83.3%) patients. Complications with persistent neurological deficit after endovascular occlusion were observed in 10 (16%) patients, 2 patients died shortly after surgery. Conclusion: endovascular surgery is the treatment of choice in arteriovenous malformations of vein of Galen; optimal age for endovascular procedure is 4-5 months; observation in asymptomatic course is ineffective.

Keywords:

arteriovenous malformation
endovascular surgery
children
hydrocephalus

Authors:

Adaev A.R.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Yakovlev S.B.

Burdenko’ National medical research center of neurosurgery, Moscow, Russia

Khukhlaeva E.A.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

List of references:

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  2. Doren M., Tercanli S., Holzgreve W. Prenatal sonographic diagnosis of a vein of Galen aneurysm: relevance of associated malformations for timing and mode of delivery. Ultrasound Obstet Gynecol 1995; 6: 287-289.
  3. Frawley G.P., Dargaville P.A., Mitchell P.J. et al. Clinical course and medical management of neonates with severe cardiac failure related to vein of Galen malformation. Archiv Dis Childhood Fetal Neonatal 2002; 87: 144-149.
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  15. Yuval Y., Lerner A., Lipitz S. et al. Prenatal diagnosis of vein of Galen aneurysmal malformation: report of two cases with proposal for prognostic indices. Prenat Diagn 1997; 17: 972-977.
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