Aneurysm of the vein of Galen is a pseudo-aneurysmal dilation of the ampulla of Galen with one or more arteriovenous fistulas, discovered ante or postnatally. We report two cases for which the diagnoses of aneurysm of the vein of Galen were made in the neonatal period at 5 and 17 days of life in front of clinical signs of heart failure and an intracranial murmur. Cardiac ultrasound remains a tool that can guide the diagnosis objectifying the ascending diastolic flow at the level of the arch of the aorta. The transfontanellar ultrasound remained the examination of choice in our two patients for the confirmation of the diagnosis. In our two patients, no specific treatment could be carried out and their evolution was unfavorable with death of the two patients. The aneurysm of the vein of Galen is a rare disease whose prognosis is often unfavorable in our context of exercise. Auscultation of the skull must be systematic in the face of any severe heart failure that cannot be explained by the data of the cardiovascular examination.
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Coundoul, A. M. , Konate, S. , Gueye, M. , Fall, A. L. , Sow, A. , Faye, P. M. , Diagne, G. , Mbaye, A. , Kane, A. , Mbodj, M. , Bop, K. , Ndiaye, S. T. , Sow, P. S. , Sow, N. F. , Seck, M. A. , Fattah, M. and Ndiaye, O. (2023). Vein of Galen Aneurysm as a Possible Cause of Congestive Heart Failure in the Neonatal Period: About 2 New Cases. Open Access Library Journal, 10, e8697. doi: http://dx.doi.org/10.4236/oalib.1108697.
Maheut, J., Santini, J.J., Barthez, M.A. and Billard, C. (1987) Clinical Symptomatology of Galen’s Ampulla Aneurysm. Results of a National Survey. Neurosurgery, 33, 285-290.
Lasjaunias, P.L., Chng, S.M., Sachet, M., Alvarez, H., Rodesch, G. and Garcia-Monaco, R. (2006) Management of Vein of Galen Aneurysmal Malformations. Neurosurgery, 59 (Supp 3), S184-194. https://doi.org/10.1227/01.NEU.0000237445.39514.16
Kamaoui, I., Maarounfi, M., Squalli, N. and Houssaini, S. (2005) Exceptional Presentation of an Aneurysm of the Vein of Galen. Journal of Radiology, 86, 1522.
https://doi.org/10.1016/S0221-0363(05)76136-9
Sasidharan, C., Anoop, P., Vijayakumar, M., Jayakrishnan, M., Reetha, G. and Sindhu, T. (2004) Spectrum of Clinical Presentations of Vein of Galen Aneurysm. Indian Journal of Pediatrics, 71, 459-463. https://doi.org/10.1007/BF02725643
Casasco, A., Lylyk, P., Hodes, J.E., Aymard, A. and Marland, J.J. (1991) Percutaneous Transvenous Catheterization and Embolization of Vein of Galeneurysms. Neurosurgery, 28, 260-266. https://doi.org/10.1227/00006123-199102000-00013
Raybaud, C.A., Strother, C.M. and Hald, J.K. (1989) Aneurysms of the Vein of Galen: Embryonic Considerations and Anatomical Features Relating to the Pathogenesis of the Malformation. Neuroradiology, 31, 109-128.
https://doi.org/10.1007/BF00698838
Ruchoux, M.M., Renjard, L., Monegier du Sorbier, C., Raybaud, C., Santini, J.J. and Lhuintre, Y. (1987) Histopathology of the Vein of Galen. Neurosurgery, 33, 272-284.
Sepulveda, W., Platt, C.C. and Fisk, N.M. (1995) Prenatal Diagnosis of Cerebral Arteriovenous Malformation Using Color Doppler Ultrasonography: Case Report and Review of the Literature. Ultrasound in Obstetrics & Gynecology, 6, 282-286.
https://doi.org/10.1046/j.1469-0705.1995.06040282.x
Cherif, A., Néji, K., et al. (2007) Gallien’s Ampulla Aneurysm: About a Neonatal Case of Unusual Evolution. Archives de Pédiatrie, 14, 893-896.
https://doi.org/10.1016/j.arcped.2007.01.019
Campi, A., Scotti, G., Filippi, M., Gerevini, S., Strigimi, F. and Lasjaunias, P. (1996) Antenatal Diagnosis of Vein of Galen Aneurysmal Malformation: MR Study of Fetal Brain and Postnatal Follow-Up. Neuroradiology, 38, 87-90.
https://doi.org/10.1007/BF00593231
Kurihara, N., Tokieda, K., Ikeda, K., Mori, K., Hokuto, I., Nishimura, O., et al. (2001) Prenatal MR Findings in a Case of Aneurysm of the Vein of Galen. Pediatric Radiology, 31, 160-162. https://doi.org/10.1007/s002470000389
