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 REVIEW ARTICLE
Year : 2011  |  Volume : 6  |  Issue : 3  |  Page : 109-117

Pediatric aneurysms and vein of Galen malformations


1 Department of Radiodiagnosis and Imaging, Kasturba Hospital, Manipal, India
2 Department of Neurosurgery, PGIMER, Chandigarh, India

Correspondence Address:
S N Mathuriya
Department of Neurosurgery, PGIMER, Chandigarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1817-1745.85728

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Pediatric aneurysms are different from adult aneurysms - they are more rare, are giant and in the posterior circulation more frequently than in adults and may be associated with congenital disorders. Infectious and traumatic aneursyms are also seen more frequently. Vein of Galen malformations are even rarer entities. They may be of choroidal or mural type. Based on the degree of AV shunting they may present with failure to thrive, with hydrocephalus or in severe cases with heart failure. The only possible treatment is by endovascular techniques - both transarterial and transvenous routes are employed. Rarely transtorcular approach is needed. These cases should be managed by an experienced neurointerventionist.






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