alexa Vein of Galen Aneurysmal Malformation | Open Access Journals
ISSN: 2167-0897
Journal of Neonatal Biology
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Vein of Galen Aneurysmal Malformation

Sunil Munakomi*
Department of Neurosurgery, College of Medical Sciences, Nepal
Corresponding Author : Sunil Munakomi
Department of Neurosurgery
College of Medical Sciences, Nepal
Tel: +97756524203
E-mail: [email protected]
Received: August 12, 2015; Accepted: September 07, 2015; Published: September 11, 2015
Citation: Sunil Munakomi. (2015) Vein of Galen Aneurysmal Malformation. J Neonatal Biol 4:195.doi:10.4172/2167-0897.1000195
Copyright: © 2015 Munakomi S. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Short Commentary
Vein of Galen aneurysmal malformation is because of the persistence of the proximal aspect of Median prosencephalic vein of Markowski that normally drains the primitive choroidal vessels [1,2]. It normally obliterates within 11 week of gestation.
There is presence of falcine sinus leading to the characteristic accessory torcula appearance in the cerebral venous imaging studies. This differentiates it from the vein of Galen aneurysmal dilatation wherein there is presence of a normal draining straight sinus. There may be associated other venous anomalies like the stenosed, fenestrated, duplicated or absent straight sinus owing to the absence of cavernous sinus drainage prior to six months of age [3].
Clinically patients’ present either with features of cardiac failure due to high shunt in cases of choroidal variant or symptoms of raised intracranial pressure due to hydrocephalus in mural variants [4]. There has been various classification used but most commonly applied is the Yasargil classification [5] (Table 1).
Bicetre scoring [6] has been adopted to evaluate and assess the overall general status of the patients with VOGM.
Currently this condition can be managed either via open surgical [5], embolisation [7] or via the gamma knife modalities [8]. Most opt for the embolisation either via the arterial or the transvenous route. Recently Mortazavi et al have described a new scoring system so as to formulate a correct management strategy for this entity [3] (Tables 2 and 3).
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