Prenatal diagnosis of vein of Galen malformation; antenatal ultrasound aiding prognosis and postnatal management
Keywords:
Prenatal diagnosis, VGAM, Color and 3D power Doppler, Prenatal imagingAbstract
We present a case of Vein of Galen Malformation (VGAM) diagnosed prenatally with 3 dimensional color and power Doppler ultrasonography. On the basis of prenatal imaging, the arterial feeders, drainage and secondary damage like hydrocephalus and cerebral thinning were assessed. This can be useful in counseling patients and providing a realistic view of outcome and management after birth. This is of utmost importance in a country like India, where there is disparity in services and infrastructure in maternity hospitals.
References
Yuval Y, Lerner A, Lipitz S, Rotstein Z, Hegesh J, Achiron R. Prenatal diagnosis of vein of Galen aneurysmal malformation: report of two cases with proposal for prognostic indices. Prenat Diagn 1997; 17:972-7.
Sepulveda W, Platt CC, Fisk NM. Prenatal diagnosis of cerebral arteriovenous malformation using color Doppler ultrasonography: case report and review of the literature. Ultrasound Obstet Gynecol 1995;6:282-6.
Ciricillo SF, Edwards MS, Schmidt KG, et al. Interventional neuroradiological management of vein of Galen malformations in neonates. Neurosurgery 1990;27:22-8.
