Q28.28
Conditions
Interventions
Group 1: Prospective, noninterventional observational study in neonates with Vein of Galen Malformation.
Data collection by ultrasound, Doppler/duplex sonography, and contrast-enhanced sonography at f
Sponsors
Klinik für Kinder- und JugendmedizinSana Kliniken Duisburg GmbH
Eligibility
Sex/Gender
All
Age
No minimum to 1 Months
Inclusion criteria
Inclusion criteria: neonatal Vein of Galen Malformation
Exclusion criteria
Exclusion criteria: Other AV malformation Other malformation or chromosomal disorder affecting prognosis Inpatient admission after the 28th day of life
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint of the short-term outcome is the cerebral damage assessed by MRI or cranial ultrasonography during the course of hospitalization. The primary endpoint of the long-term outcome is the Parent Report of Children's Abilities Revised (PARCAR) Questionnaire at 23-27 months of age. | — |
Secondary
| Measure | Time frame |
|---|---|
| Data on each individual patient are collected at different points in time: 1. during the first inpatient stay for interventional or palliative therapy at Sana Kliniken Duisburg. 2. during subsequent stays at Sana Kliniken Duisburg. 3. during the annual response to a questionnaire on the boundary stones of development. 4. when answering the standardized questionnaire "Parent Report of Children's Abilities Revised" (PARCAR) Questionnaire for the assessment of children's abilities at the age of 23-27 months corrected. 5. neuropsychological testing (WIPPSI-IV) at the age of 5 years. The following endpoints are scheduled for analysis: Short-term outcome parameters: - Imaging-visible cerebral damage from the first MRI to the MRI in the second inpatient stay; recorded by means of a structured reporting system if necessary derivation of a scoring system. - Death/severe cerebral damage on imaging - Bicêtre score before elective intubation for MRI or for embolization, respectively - Organ involvement during the course - Procedural complications of neurointerventional therapy during first inpatient stay - Doppler parameters such as aortic steal, Doppler indices of brain-supplying arteries, flow profile in superior sagittal sinus. Long-term outcome parameters collected at 2 years of age: - Results of the PARCAR parent questionnaire with output of developmental percentiles. - Death/severe multiple disabilities. - Neurological deficits: Hemiparesis, infantile cerebral palsy, motor development delay, i.e., failure to reach or delay in reaching milestones (turning, sitting, walking), language development delay/disorder, shunt-supplied hydrocephalus, epilepsy, visual impairment, hearing impairment - severe procedural complications of neurointerventional therapy: parenchymal hemorrhage, ischemia/infarction, intraventricular hemorrhage with creation of EVD, venous occlusion, arterial dissection or spasm with cerebral insult Long-term outcome parameters collected at | — |
Countries
Germany
Contacts
Public ContactSimone Schwarz
Klinik für Kinder- und JugendmedizinSana Kliniken Duisburg GmbH
Outcome results
None listed