Normal Perfusion Pressure Breakthrough Complicating Surgery for the Vein of Galen Malformation: Report of Three Cases
作者:
Michael Morgan,
Ian Johnston,
Thoralf Sundt,
期刊:
Neurosurgery
(OVID Available online 1989)
卷期:
Volume 24,
issue 3
页码: 406-410
ISSN:0148-396X
年代: 1989
出版商: OVID
关键词: Vein of Galen;Aneurysm;Circulation;Cerebrum;Hyperemia;Complication.
数据来源: OVID
摘要:
&NA;Three cases are described of infants who developed malignant brain swelling (and in one case hemorrhage) after surgery for vein of Galen malformations. The cause for the brain swelling was felt to be due to hyperperfusion, or the “normal perfusion pressure breakthrough” syndrome. Although well‐described for cerebral parenchymal arteriovenous malformations, cases of this complication occurring in vein of Galen malformations have not previously been reported. It is concluded from these cases that infants with large arteriovenous shunts, as attested by cardiac failure and cerebral atrophy, have an increased risk of developing this complication. (Neurosurgery24:406‐410, 1989)
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