Open AccessVein of Galen Aneurysmal Malformation Presenting with Obstructive Hydrocephalus: A Case Report
Author(s) -
Nischal Khanal,
B. Rajbhandari,
Gopal Sedain,
Sushil Krishna Shilpakar
Publication year - 2019
Publication title -
journal of institute of medicine
Language(s) - English
Resource type - Journals
eISSN - 1993-2987
pISSN - 1993-2979
DOI - 10.3126/jiom.v41i3.37374
Subject(s) - medicine , hydrocephalus , shunt (medical) , shunting , obstructive hydrocephalus , arteriovenous malformation , surgery , endovascular treatment , vascular malformation , vein , gold standard (test) , radiology , aneurysm
The prognosis for children harboring vein of Galen aneurysmal malformation (VGAM) has significantly improved over the last three decades due to refinements in the interventional endovascular techniques. It is now possible to obliterate the malformation with better results. Endovascular approaches evolved as the gold standard treatment option for this disorder. A few reports were published warning about the high rate of complications associated with ventriculoperitoneal shunting (VPS) in this setting. We present a pediatric case with VGAM where an emergency ventriculoperitoneal shunt procedure was required for symptomatic obstructive hydrocephalus (HCP) and management of the subsequent complications that followed it.