Vein of Galen Aneurysmal Malformations: An Ultrasonographic Incidental Finding—A Case Report

Table 1

Bicêtre-score for evaluation of the therapeutically management of neonates with VGAM (Lasjaunias PL et al. (2006) [6]).

Points	Cardiac function	Cerebral function	Respiratory function	Hepatic function	Renal function
5	Normal	Normal	Normal	—	—
4	Overload, no medical treatment	Subclinical, isolated EEG abnormalities	Tachypnoea, finishes bottle	—	—
3	Failure, stable with medical treatment	Nonconvulsive intermittent neurologic signs	Tachypnoea, does not finish bottle	No hepatomegaly, normal hepatic function	Normal
2	Failure, not stable with medical treatment	Isolated convulsion	Assisted ventilation, normal saturation FiO2 <0.25	Hepatomegaly, normal hepatic function	Transient anuria
1	Ventilation necessary	Seizures	Assisted ventilation, normal saturation FiO2 >0.25	Moderate or transient hepatic insufficiency	Unstable diuresis with treatment
0	Resistant to medical therapy	Permanent neurological signs	Assisted ventilation, desaturation	Abnormal coagulation, elevated enzymes	Anuria

Score <8: no intervention, 8–12: immediate/emergency embolization, >12: delayed treatment over the age of 5 months.