Vein of Galen Aneurysmal Malformation Presenting with Obstructive Hydrocephalus: A Case Report

Authors

  • Nischal Khanal Department of Neurosurgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal
  • Binod Rajbhandari Department of Neurosurgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal
  • Gopal Sedain Department of Neurosurgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal
  • Sushil K Shilpakar Department of Neurosurgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu, Nepal

Keywords:

Complications, obstructive hydrocephalus, vein of Galen aneurysmal malformation, ventriculoperitoneal shunt

Abstract

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.

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Published

2019-12-30

How to Cite

Khanal, N., Rajbhandari, B., Sedain, G., & Shilpakar, S. K. (2019). Vein of Galen Aneurysmal Malformation Presenting with Obstructive Hydrocephalus: A Case Report. Journal of Institute of Medicine Nepal, 41(3), 86–88. Retrieved from https://nepjol.info./index.php/JIOM/article/view/37374

Issue

Section

Case Reports