Intracranial Vein of Galen Malformation and its management
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Date
2025
Authors
Al-balushi, Jubran
Journal Title
Journal ISSN
Volume Title
Publisher
UCC Medical Research and Technology Society
Published Version
Abstract
Background: Vein of Galen Malformation (VOGM) is a rare congenital arteriovenous malformation affecting the paediatric population, characterized by a fistula between the diencephalon and a dilated vein of Galen. Case Description: This report presents the case of a 6-month-old male infant referred for developmental delays and abnormal head circumference. Clinical examination revealed macrocephaly, dilated scalp veins, and neurological abnormalities. Neuroimaging, including CT, MRI and MRA, confirmed a large VOGM with associated hydrocephalus. Furthermore, an echocardiography revealed a high-flow cardiac murmur, confirming the hemodynamic impact of the VOGM. A multidisciplinary team devised a treatment plan involving a combined transvenous and trans-arterial endovascular embolization method using a “kissing microcatheter technique” and ventriculoperitoneal shunt placement. Postoperative recovery showed improvement in neurodevelopmental milestones and reduced head circumference. VOGM management requires a comprembolisation technique highlights the importance of considering this innovative surgical option in complex vascular cases.
Description
Keywords
Kissing microcatheter technique , Trans-arterial endovascular embolization , Paediatric Intracranial Vein of Galen Malformation
Citation
Al-balushi, J. (2025) 'Intracranial Vein of Galen Malformation and its management', UCC Student Medical Journal, 5, p.94. https://doi.org/10.33178/SMJ.2025.1.21