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Vein of Galen malformation

Case contributed by: Dr Frank Gaillard

CTA brain

Modality: CT

CTA of the brain of an infant (images 1, 4 and 5) demonstrates marked dilatation of a vessel in the region of the vein of Galen with multiple enlarged feeding arteries from both sides. Drainage is via both a persistent falcine sinus and the straight sinus. (Note it is not actually the vein of Galen, but rather a persistent median prosencephalic vein)

Transcranial Ultrasound

Modality: Ultrasound

MRI Brain

Modality: MRI

Case Discussion:

Features are consistent with a vein of Galen malformation.

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