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  Vol. 63 No. 10, October 2006 TABLE OF CONTENTS
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  Images in Neurology
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Vein of Galen Aneurysmal Malformation

Arch Neurol. 2006;63:1500-1501.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 1-month-old neonate presented with mild congestive heart failure and increased head circumference. Magnetic resonance imaging of the brain was performed. Axial T2-weighted magnetic resonance images (Figure 1) showed a large flow void behind the region of the third ventricle with few tortuous vessels draining into its lateral walls. Magnetic resonance venography (Figure 2) demonstrated the enlarged venous varix and a prominent falcine sinus cephalad to the straight sinus. There was mild associated hydrocephalus. A diagnosis of "mural" type of vein of Galen aneurysmal malformation (VGAM) was made. The patient responded well to medical therapy for heart failure and is presently doing well at 3 months' follow-up. He is scheduled to undergo transcatheter embolization at about 8 months of age.


 
Figure appears in full text version.
Figure 1. Two consecutive T2-weighted axial images (A and B) show a large flow void behind the third ventricle with few tortuous vessels draining into it.



 
Figure appears in full text version.
. . . [Full Text of this Article]


AUTHOR INFORMATION

Jyoti Kumar, MD, DNB; Atin Kumar, MD, DNB; Sudhir Gupta, MD







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