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Ｇａｌｅｎ静脉动脉瘤样畸形是一种少见的颅内血管畸形，由于位置深在，治疗较为困难。作者收治１１例该类畸形，其中５例为先天性Ｇａｌｅｎ静脉动脉瘤样畸形（ＶＧＡＭ），治疗主要是闭塞瘘口；继发性Ｇａｌｅｎ静脉动脉瘤样扩张（ＶＧＡＤ）５例，其治疗主要是栓塞脑实质或硬膜的畸形血管来达到治愈或改善临床症状；另１例依据ＭＲＩ进行诊断，未作造影及分类。本组有８例行血管内治疗，其中５例治愈，３例临床症状好转；有２例发生自发血栓，未治疗。作者对Ｇａｌｅｎ静脉动脉瘤样畸形的概念、分类及影像学特点，特别是血管内治疗方法和注意事项进行了讨论。
Galen venous aneurysm-like deformity is a rare intracranial vascular malformation, due to the location of the deep, the treatment is more difficult. The authors treated 11 cases of such deformities, including 5 cases of congenital Galen venous aneurysm-like deformity (VGAM), the treatment is mainly occluded fistula; secondary Galen vein aneurysm-like dilatation (VGAD) in 5 cases, the treatment is mainly Embolization of the parenchyma or dura deformity of the blood vessels to achieve cure or improve clinical symptoms; the other one based on MRI diagnosis, no imaging and classification. The group of 8 patients underwent endovascular treatment, of which 5 were cured, 3 patients improved clinical symptoms; 2 cases of spontaneous thrombosis, untreated. The authors discuss the concept, classification and imaging features of Galen aneurysm-like deformity, particularly the endovascular treatment methods and precautions.