Clinics in diagnostic imaging (132). Vein of Galen malformation.
Singapore Med J
; 51(11): 896-8; quiz 899, 2010 Nov.
Article
en En
| MEDLINE
| ID: mdl-21140118
ABSTRACT
A two-day-old, full-term male infant was admitted to the neonatal intensive care unit with heart failure. He was found to be non-dysmorphic, with no clinical evidence of sepsis. Physical examination was significant for hepatomegaly, active precordium, pansystolic murmur and hypotension requiring ionotropic support. A cranial bruit was detected on auscultation. Chest radiography revealed cardiomegaly and pulmonary oedema due to heart failure. Electrocardiogram and two-dimensional echocardiography were normal. Magnetic resonance imaging of the brain showed a large vein of Galen malformation, extensive cerebral ischaemia and multiple cerebral infarcts. This case illustrates the importance of auscultation of the cranium to rule out vein of Galen malformation, a potential cause of high-output cardiac failure in neonates in the absence of other common causes of heart failure.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Embolia Pulmonar
/
Cardiomegalia
/
Malformaciones de la Vena de Galeno
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
Límite:
Humans
/
Male
/
Newborn
Idioma:
En
Revista:
Singapore Med J
Año:
2010
Tipo del documento:
Article
País de afiliación:
Canadá