Prenatal venous malformation of Galen diagnosis · • PaladiniD. et al (2017) reports, that the...
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Prenatal venous malformation of Galen diagnosis Miriam Crespo Rodriguez, Laia Vila Homs, Maria Antonia Perelló, Rafael José Campos Candela, Maria Vila Cortés, Rosa Ruiz de Gopegui Gynecology and Obstetrics Service of the University Hospital of Son Espases Objective REPORT ON A PRENATAL VENOUS MALFORMATION OF GALEN DIAGNOSIS Material and methods • A descriptive study of a case of venous malformation of galen diagnosis CASE REPORT • We report the case of a pregnant woman of 34 weeks, with no obstetric or personal family history of interest. she was derived from a private clinic due to the obstetric ultrasound finding of the third trimester of the ventriculomegaly. ULTRASOUND MAGNETIC RESONANCE Conclusion • Is a rare anomaly of the intracranial circulation that constitutes 1% of all intracranial vascular malformations • Prognostic and clinical management factors have been studied in fetal series that are too small to allow reliable statistical evaluation. • Paladini D. et al (2017) reports, that the main brain lesions, tricuspid regurgitation and, to a lesser extent, the volume of VGAM ≥ 20,000 mm3 are the only prenatal variables associated with the poor outcome in VGAM fetal. • Prenatal multidisciplinary counseling and management should be based on these variables. Works Cited • • Martin M. Mortazavi, M.D. et al. Vein of Galen aneurysmal malformations: critical analysis of the literature with proposal of a new classi cation system. Neurosurg Pediatrics 12:293–306, 2013. • • Paladini D, Deloison B, Rossi A, Chalouhi G.E, Gandolfo C, Sonigo P, Buratti S, Millischer A.E, Tuo G, Ville Y, Pistorio A, Cama A, Salomon L.J. Vein of Galen Aneurysmal malformation (VGAM) in the fetus. A retrospective analysis of perinatal prognostic indicators in a two-center series of 49 cases. Cardiomegaly Severe triscupid regurgitation Reverse ductus wave Galen venus malformation Poor prognosis -> pregnancy interruption Autopsy: Aneurysmal vein dilatation of Galen associated to signs of congestive heart failure
Transcript of Prenatal venous malformation of Galen diagnosis · • PaladiniD. et al (2017) reports, that the...
Prenatal venous malformation of Galen diagnosisMiriam Crespo Rodriguez, Laia Vila Homs, Maria Antonia Perelló, Rafael José Campos Candela, Maria Vila Cortés, Rosa Ruiz de Gopegui
Gynecology and Obstetrics Service of the University Hospital of Son Espases
Objective
REPORT ON A PRENATAL VENOUS MALFORMATION OF GALEN DIAGNOSIS
Material and methods• A descriptive study of a case of venous
malformation of galen diagnosis
CASE REPORT
• We report the case of a pregnant woman of 34 weeks, with no obstetric or personal family history of interest. she was derived from a private clinic due to the obstetric ultrasound finding of the third trimester of the ventriculomegaly.
ULTRASOUND
MAGNETIC RESONANCE
Conclusion• Is a rare anomaly of the intracranial circulation that constitutes 1%
of all intracranial vascular malformations • Prognostic and clinical management factors have been studied in
fetal series that are too small to allow reliable statistical evaluation. • Paladini D. et al (2017) reports, that the main brain lesions, tricuspid
regurgitation and, to a lesser extent, the volume of VGAM ≥ 20,000 mm3 are the only prenatal variables associated with the poor outcome in VGAM fetal.
• Prenatal multidisciplinary counseling and management should be based on these variables.
Works Cited• • Martin M. Mortazavi, M.D. et al. Vein of Galen aneurysmal
malformations: critical analysis of the literature with proposal of a new classi cation system. Neurosurg Pediatrics 12:293–306, 2013.
• • Paladini D, Deloison B, Rossi A, Chalouhi G.E, Gandolfo C, Sonigo P, Buratti S, Millischer A.E, Tuo G, Ville Y, Pistorio A, Cama A, Salomon L.J. Vein of Galen Aneurysmal malformation (VGAM) in the fetus. A retrospective analysis of perinatal prognostic indicatorsin a two-center series of 49 cases.
Cardiomegaly
Severe triscupid regurgitation
Reverse ductus wave
Galen venus malformation
Poor prognosis -> pregnancy interruption
Autopsy: Aneurysmal vein dilatation of Galen associated to signs of congestive heart failure
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