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Normal Perfusion Pressure Breakthrough Complicating Surgery for the Vein of Galen Malformation: Report of Three Cases
- Source :
- Neurosurgery. 24:406-410
- Publication Year :
- 1989
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 1989.
-
Abstract
- 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.
- Subjects :
- Intracranial Arteriovenous Malformations
Male
Reoperation
medicine.medical_specialty
Intracranial Pressure
Arteriovenous fistula
Brain Edema
Cerebral edema
Postoperative Complications
Aneurysm
medicine
Humans
Intraoperative Complications
Vein
Cerebral Hemorrhage
Cerebral atrophy
business.industry
Infant, Newborn
Infant
medicine.disease
Cerebral Veins
Surgery
medicine.anatomical_structure
Reperfusion Injury
Heart failure
Female
Neurology (clinical)
Complication
business
Perfusion
Craniotomy
Subjects
Details
- ISSN :
- 15244040 and 0148396X
- Volume :
- 24
- Database :
- OpenAIRE
- Journal :
- Neurosurgery
- Accession number :
- edsair.doi.dedup.....4c4e53bdbfce58578c728f4894d1cd2e