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Journal of Pediatric Neurology 2011; 09(02): 243-246
DOI: 10.3233/JPN-2011-0476
Georg Thieme Verlag KG Stuttgart – New York

Spontaneous thrombosis of vein of Galen malformation: Case report and review of literature

Suyash Mohan
a   Department of Radiology, Neuroradiology Division, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
,
Ashish Verma
b   Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareily Road, Lucknow, UP, India
,
Gagan Sharma
b   Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareily Road, Lucknow, UP, India
,
Rajendra Vishnu Phadke
b   Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareily Road, Lucknow, UP, India
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Publication History

31 October 2009

09 March 2010

Publication Date:
30 July 2015 (online)

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Abstract

We describe the case of a 4-month-old infant with evolving spontaneous thrombosis of vein of Galen malformation. It is an anomaly that occurs most often in children, with a high mortality due to the accompanying severe cardiac failure. Spontaneous thrombosis of vein of Galen malformation is rare. There are several proposed mechanisms of spontaneous thrombosis notable ones being slow flow shunts and severe obstruction of the venous outflow. The absence of blood flow at the deep cerebral venous system due to malformation thrombosis, along with absence of signs or symptoms of intracranial hypertension led us to conservative treatment of the patient presented here.

Keywords

Vein of Galen malformation - spontaneous thrombosis - transcranial ultrasound - color Doppler