Journal
JOURNAL OF NEUROSURGERY-PEDIATRICS
Volume 15, Issue 2, Pages 197-202Publisher
AMER ASSOC NEUROLOGICAL SURGEONS
DOI: 10.3171/2014.10.PEDS14244
Keywords
vein of Galen; endovascular procedures; neuropsychological tests; pediatric neurosurgery; vascular disorders
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Cognitive regression is a well-described presentation of vein of Galen aneurysmal malformations (VGAMs) in childhood. However, it remains unclear whether successful treatment of the malformation can reverse cognitive regression. Here, the authors present the case of a 5-year-old girl with a VGAM that was treated with staged endovascular embolization procedures. Comprehensive neurocognitive assessments were completed before intervention and approximately 6 years after initial presentation. There were significant age-matched improvements in this child's neurocognitive profile over this period. The authors believe that timely and successful treatment of VGAM in children may not only stabilize the associated cognitive deterioration'but, in some cases, may ameliorate these deficits. Details of this case and a discussion of neurocognitive deficits related to VGAM are presented.
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