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Showing 2 results for Brain Aneurysm

Mr Rabani, A Gabar Nejad,
Volume 10, Issue 37 (4-2005)
Abstract

ABSTRACT: Introduction & Objective: Horseshoe kidney is seen in about 1 in 400 persons. It is found more commonly in males by 2: 1 margin . It can be seen in all age groups but in autopsy series. It is more prevalent in children, that is related to the high incidence of multiple congenital anomalies associated with the horseshoe kidney, some of which are incompatible with long- term survival. Case: The patient was a 25 years old man who presented with RLQ pain from 2 months before admission. In physical Examination, there was tenderness in this area. All routine lab data were in normal range. Sonography showed normal left kidney , absence right kidney and a large cystic structure occupying the left and posterior aspect of the bladder. IVP showed non visualization of right kidney , malrotation of left kidney and a filling defect in the right side of the bladder. C.T. Scan with and without IV contrast confirmed above data. Cystoscopy revealed hemitrigone with a mass effect . Surgical exploration showed, ectopic right ureter within ejaculatory ducts. All its abnormal course, deviating to left side and ending in a fibro vascular structure attached to an isthmus on vertebral column. 2 months later the patient were admitted in neurosurgical ward and underwent craniotomy due to brain aneurysm. Conclusion: Horseshoe kidney may present with unilateral renal agenesis or only with a rudimentary kidney with ectopic ureter.
Bita Pourmohammadi, Negin Armide, Ghasem Bayani, Meisam Babaei,
Volume 30, Issue 2 (2-2025)
Abstract


Introduction:
Vein of Galen aneurysmal malformation (VGAM) is a vascular anomaly that develops during the fetal period, specifically between 6–11 weeks of pregnancy. It can be diagnosed prenatally through ultrasound and MRI, and postnatally using MRI and CT imaging. This malformation may present with neurological symptoms and typically has a poor prognosis without treatment. The aim of this study was to report a case of VGAM diagnosed after birth with good prognosis.
Case report:
A 3 days boy presenting with jaundice and respiratory distress. He was born via normal vaginal delivery (NVD) at a gestational age of 37 weeks, with an Apgar score of 9-10, and a birth weight of 3060 grams. On examination, the infant exhibited caput succedaneum (temporary swelling of the soft tissues on the head), increased head circumference, undescended testicles (UDT), a hemangioma at the tip of the nose, and heart murmur (II/VI). The patient's mother had a history of chronic hypertension. Due to the increased head circumference, the infant underwent brain CT scan and then MRI and MRV, which revealed a 20x30 mm aneurysm in the vein of Galen. Echocardiography showed a closing patent ductus arteriosus (PDA), pulmonary hypertension (PH), and a dilated right ventricle. The patient underwent staged embolization's (a mini-invasive endovascular procedure) during 20 months after the initial diagnosis. The patient has no renal, hepatic, or cardiac issues. His language, personal, and social development are normal; however, he exhibits a mild delay in motor development. On the growth chart, he is in the 5th percentile, with an upward trend observed.
Conclusion:
Failure to diagnose and treat VGAM can result in a poor prognosis or death. Therefore, brain aneurysmal malformation should be considered in infants with macrocephaly and cardiomegaly. In this report, early and timely diagnosis followed by appropriate treatment allowed the child to lead a near-normal life, supported by therapy and regular follow-up.
 

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