Diagnosis of foetal vein of galen aneurysmal malformation by ultrasound combined with magnetic resonance imaging: a case series
Abstract Background Foetal vein of Galen aneurysmal malformation (VGAM) is a very rare congenital malformation of the cerebral blood vessels. We sought to evaluate the diagnostic value of ultrasound in combination with magnetic resonance imaging (MRI) in foetal VGAM. Case presentation Prenatal ultra...
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| Format: | Article |
| Language: | English |
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BMC
2020-06-01
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| Series: | BMC Medical Imaging |
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| Online Access: | http://link.springer.com/article/10.1186/s12880-020-00463-6 |
| _version_ | 1811218273388199936 |
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| author | Tian-gang Li Yao-yue Zhang Fang Nie Mei-juan Peng Yun-Zhi Li Pei-long Li |
| author_facet | Tian-gang Li Yao-yue Zhang Fang Nie Mei-juan Peng Yun-Zhi Li Pei-long Li |
| author_sort | Tian-gang Li |
| collection | DOAJ |
| description | Abstract Background Foetal vein of Galen aneurysmal malformation (VGAM) is a very rare congenital malformation of the cerebral blood vessels. We sought to evaluate the diagnostic value of ultrasound in combination with magnetic resonance imaging (MRI) in foetal VGAM. Case presentation Prenatal ultrasound combined with MRI diagnosed five cases of VGAM. Two dimensional ultrasound images were used to find the echo-free cystic structure below the thalamus and above the cerebellum with five cases. Colour blood flow showed dilated VGAM in five cases, while the arteriovenous spectrum was explored in two cases and foetal heart failure was found in other three cases. MRI was manifested as a dilated VGAM found at the midline of the brain, demonstrating widening or dilation of the straight sinus in four cases, ventricular dilatation in one case, brain parenchyma bleeding in two cases, and grey matter softening in one case. One infant died on the day of its birth, while the other four infants died within one month to six months after birth. Conclusions Ultrasound combined with MRI can more accurately and comprehensively observe the pathological characteristics of VGAM, diagnose related complications early and determine its prognosis. |
| first_indexed | 2024-04-12T07:07:04Z |
| format | Article |
| id | doaj.art-43f7f6cb87924e388e86cd48a7227375 |
| institution | Directory Open Access Journal |
| issn | 1471-2342 |
| language | English |
| last_indexed | 2024-04-12T07:07:04Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Imaging |
| spelling | doaj.art-43f7f6cb87924e388e86cd48a72273752022-12-22T03:42:45ZengBMCBMC Medical Imaging1471-23422020-06-012011610.1186/s12880-020-00463-6Diagnosis of foetal vein of galen aneurysmal malformation by ultrasound combined with magnetic resonance imaging: a case seriesTian-gang Li0Yao-yue Zhang1Fang Nie2Mei-juan Peng3Yun-Zhi Li4Pei-long Li5Department of Ultrasound Diagnosis, Gansu Provincial Maternity and Child-care HospitalDepartment of Ultrasound Diagnosis, Gansu Provincial Maternity and Child-care HospitalDepartment of Ultrasound diagnosis, Lanzhou University Second HospitalDepartment of Ultrasound Diagnosis, Gansu Provincial Maternity and Child-care HospitalDepartment of Ultrasound Diagnosis, Gansu Provincial Maternity and Child-care HospitalDepartment of Ultrasound Diagnosis, Gansu Provincial Maternity and Child-care HospitalAbstract Background Foetal vein of Galen aneurysmal malformation (VGAM) is a very rare congenital malformation of the cerebral blood vessels. We sought to evaluate the diagnostic value of ultrasound in combination with magnetic resonance imaging (MRI) in foetal VGAM. Case presentation Prenatal ultrasound combined with MRI diagnosed five cases of VGAM. Two dimensional ultrasound images were used to find the echo-free cystic structure below the thalamus and above the cerebellum with five cases. Colour blood flow showed dilated VGAM in five cases, while the arteriovenous spectrum was explored in two cases and foetal heart failure was found in other three cases. MRI was manifested as a dilated VGAM found at the midline of the brain, demonstrating widening or dilation of the straight sinus in four cases, ventricular dilatation in one case, brain parenchyma bleeding in two cases, and grey matter softening in one case. One infant died on the day of its birth, while the other four infants died within one month to six months after birth. Conclusions Ultrasound combined with MRI can more accurately and comprehensively observe the pathological characteristics of VGAM, diagnose related complications early and determine its prognosis.http://link.springer.com/article/10.1186/s12880-020-00463-6Ultrasound, magnetic resonance imagingFoetus, vein of Galen aneurysmal malformationPrenatal diagnosisCongenital malformation |
| spellingShingle | Tian-gang Li Yao-yue Zhang Fang Nie Mei-juan Peng Yun-Zhi Li Pei-long Li Diagnosis of foetal vein of galen aneurysmal malformation by ultrasound combined with magnetic resonance imaging: a case series BMC Medical Imaging Ultrasound, magnetic resonance imaging Foetus, vein of Galen aneurysmal malformation Prenatal diagnosis Congenital malformation |
| title | Diagnosis of foetal vein of galen aneurysmal malformation by ultrasound combined with magnetic resonance imaging: a case series |
| title_full | Diagnosis of foetal vein of galen aneurysmal malformation by ultrasound combined with magnetic resonance imaging: a case series |
| title_fullStr | Diagnosis of foetal vein of galen aneurysmal malformation by ultrasound combined with magnetic resonance imaging: a case series |
| title_full_unstemmed | Diagnosis of foetal vein of galen aneurysmal malformation by ultrasound combined with magnetic resonance imaging: a case series |
| title_short | Diagnosis of foetal vein of galen aneurysmal malformation by ultrasound combined with magnetic resonance imaging: a case series |
| title_sort | diagnosis of foetal vein of galen aneurysmal malformation by ultrasound combined with magnetic resonance imaging a case series |
| topic | Ultrasound, magnetic resonance imaging Foetus, vein of Galen aneurysmal malformation Prenatal diagnosis Congenital malformation |
| url | http://link.springer.com/article/10.1186/s12880-020-00463-6 |
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