Vein of Galen Malformation Manifesting as High-Output Heart Failure

The sudden onset of vomiting in a previously healthy term neonate has a broad differential requiring a thorough history and physical examination. When this does not reveal the underlying cause, a workup must be performed to rule out potentially devastating diagnoses that must be addressed in a timel...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2021-12, Vol.13 (12), p.e20067
Main Authors: Uwaezuoke, Destiny, Wahba, Andrew
Format: Article
Language:English
Subjects:
Abdomen
Blood
Cardiology
Case reports
Catheters
Congenital diseases
Cyanosis
Emergency medical care
Heart failure
Intensive care
Kidneys
Neurosurgery
Pediatrics
Pulmonary arteries
Sinuses
Thyroid gland
Ultrasonic imaging
Veins & arteries
Vomiting
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Summary:The sudden onset of vomiting in a previously healthy term neonate has a broad differential requiring a thorough history and physical examination. When this does not reveal the underlying cause, a workup must be performed to rule out potentially devastating diagnoses that must be addressed in a timely fashion. In infants, this clinical presentation could be due to infections such as sepsis or meningitis, gastrointestinal causes such as anatomical abnormalities or ingestions, or cardiac causes such as congenital heart disease. Conversely, inborn errors of metabolism or neurologic issues such as vascular anomalies or a tumor with associated increased intracranial pressure could also be the culprit. In this report, we discuss the case of a previously healthy newborn with a rare cause of vomiting and feeding intolerance, which was ultimately discovered to be due to the vein of Galen malformation.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.20067