Affiliations: Department of Radiology, Neuroradiology Division,
University of Pennsylvania School of Medicine, Philadelphia, PA, USA | Department of Radiodiagnosis, Sanjay Gandhi
Postgraduate Institute of Medical Sciences, Raebareily Road, Lucknow, UP,
India
Note: [] Correspondence: Dr. Rajendra Vishnu Phadke, M.D., Department of
Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences,
Raebareily Road, 226014, Lucknow, UP, India. Tel.: +91 522 2668700; Extn: (O)
2560, 2561, (R) 2562; Fax: +91 522 2668017; E-mail: drsuyash@gmail.com;
rphadke@sgpgi.ac.in
Abstract: We describe the case of a 4-month-old infant with evolving
spontaneous thrombosis of vein of Galen malformation. It is an anomaly that
occurs most often in children, with a high mortality due to the accompanying
severe cardiac failure. Spontaneous thrombosis of vein of Galen malformation is
rare. There are several proposed mechanisms of spontaneous thrombosis notable
ones being slow flow shunts and severe obstruction of the venous outflow. The
absence of blood flow at the deep cerebral venous system due to malformation
thrombosis, along with absence of signs or symptoms of intracranial
hypertension led us to conservative treatment of the patient presented
here.
Keywords: Vein of Galen malformation, spontaneous thrombosis, transcranial ultrasound, color Doppler
