ABSTRACT
Using the example of a recurrent tumor with a 10-year follow-up, the authors show that mutation of the IDH1/2 genes in astrocytomas is not always an early event in the pathogenesis of glioma, that in rare cases a 1p19q codeletion can be found in astrocytomas, and that IDH-mutant tumors can occur in childhood.
Subject(s)
Astrocytoma , Brain Neoplasms , Glioma , Humans , Brain Neoplasms/genetics , Brain Neoplasms/pathology , Glioma/genetics , Astrocytoma/genetics , Mutation , Isocitrate Dehydrogenase/geneticsABSTRACT
UNLABELLED: We performed retrospective and prospective analysis of surgical treatment of arteriovenous malformations of vein of Galen. Since 1987 till 2009 90 patients were operated in Burdenko Neurosurgical Institute. Age varied between 1 month and 38 years, 69 patients were children below 10. The paper describes main techniques for early diagnosis of the disease, its manifestation depending on age and type of malformation, treatment modalities, early postoperative and follow-up results. Endovascular treatment was applied in 75 (83.3%) patients. Complications with persistent neurological deficit after endovascular occlusion were observed in 10 (16%) patients, 2 patients died shortly after surgery. CONCLUSION: endovascular surgery is the treatment of choice in arteriovenous malformations of vein of Galen; optimal age for endovascular procedure is 4-5 months; observation in asymptomatic course is ineffective.
Subject(s)
Endovascular Procedures/methods , Microsurgery/methods , Vein of Galen Malformations/surgery , Adolescent , Adult , Cerebral Angiography , Cerebrospinal Fluid Shunts , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Prospective Studies , Retrospective Studies , Treatment Outcome , Ultrasonography, Prenatal , Vein of Galen Malformations/diagnostic imaging , Vein of Galen Malformations/embryology , Young AdultABSTRACT
The literature review deals with historical stages of understanding of vein of Galen AVM pathogenesis in children up to state-of-art considerations. The authors analyzed existing classifications, clinical presentation, variants of natural course, problems of diagnostics and management of these patients. Causes of complications and possible ways for their prevention are also discussed.
