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Printer friendly 20,214,918 articles and books periodicals literature keyword title author topic member login user name    password     remember me join us forgot password? viagra coupon The free library > health >  health, general >  south african journal of radiology >  june 1, 2011 the free library >  date >  2011 >  june >  1 >  south african journal of radiology mri imaging of vein of galen malformations at steve biko academic hospital: a mini case series. viagra cost Introduction vein of galen aneurysmal malformation (vogm) is an arterio-venous fistula involving aneurysmal dilatation of the median prosencephalic vein of markowski. viagra generic Dilated arteries drain into a large midline venous pouch in the region of the quadrigeminal cistern. viagra taken by young men It is a rare condition and is demonstrated in less than 1% of cerebral vascular malformations at any age and up to 30% of paediatric vascular malformations. viagra to canada Associated clinical findings may include cardiomegaly, widened mediastinum, pulmonary oedema and cyanosis. cheapest place buy viagra (1-3) heart failure and cyanosis in infants almost always results from congenital heart disease, but systemic arterio-venous malformations are a rare cause for such a presentation and the diagnosis is often missed or delayed. (4) the following is a discussion and presentation of mri images of 4 patients with this rare condition who presented at steve biko academic hospital within a 2-year period. Case 1 an 8-month old baby presented to the paediatric department with increasing head circumference, above the 97th percentile, delayed motor milestones with an inability to sit, and neuro-developmental delay. cheap viagra online On clinical examination, an audible cranial bruit and cardiac ejection systolic murmur were found. viagra canada The child was in cardiac failure. viagra taken by young men Mri examination confirmed a vein of galen malformation (fig. 1). A well-defined midline pouch was demonstrated in the posterior fossa, communicating with the left posterior cerebral artery. The circle of willis demonstrated large congested arteries owing to the arteriovenous fistula. Smaller feeding arteries were noted adjacent to the vein of galen. A ventriculo-peritoneal shunt was inserted, and the child's neurological condition improved. This was followed by endovascular intervention. The child is being followed up and is currently doing well. Case 2 a 4-week-old baby was referred from a peripheral clinic with clinical signs and symptoms of cardiac failure and an incidental cranial bruit. This prompted further evaluation to exclude an associated intracranial shunt. generic viagra without prescription Mri confirmed a vein of galen malformation (fig. 2) with several dilated intracranial arteries (branches of the anterior cerebral artery) communicating with a large midline venous pouch. This in turn drained via falcin. viagra taken by young men










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