Follow-up
Further Outpatient Care
Patient should be monitored for the development of hydrocephalus.
Next:
Further Inpatient Care
Infants who undergo surgical ligation or selective embolization should be reimaged to assess results of the therapeutic intervention.
Head circumference measurements should be obtained in patients who undergo ventriculoperitoneal shunt to treat hydrocephalus.
Previous
Next:
Transfer
Patients diagnosed with VGAM should be transferred to a tertiary neonatal intensive care unit where a pediatric neurologist, an interventional neuroradiologist, and a neurosurgeon are available for management of the infant.
Previous
Next:
Complications
More than half of patients with VGAM have a malformation that cannot be corrected. Patients frequently die in the neonatal period or in early infancy.
Previous
Media Gallery
-
Cerebral MRI showing large flow void in the central region with enlarged straight sinus.
-
Coronal MRI of head showing large central vein of Galen malformation with moderate degree of hydrocephalus.
-
Cranial MRI showing flow void in the sagittal plain and drainage to the straight and transverse sinuses.
-
Sagittal cerebral MRI with gadolinium showing the relationship of a vein of Galen malformation to the corpus callosum.
-
MRI venogram showing vein of Galen malformation with draining veins.
-
Venogram showing the draining vasculature for the vein of Galen malformation.
-
Skull radiograph showing coils that have been placed during an intravascular embolization of a vein of Galen malformation. Note the ventriculoperitoneal shunt catheter in the anterior head region to relieve hydrocephalus.
of
7
