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Vein of Galen malformation

Case contributed by Saeed Soltany Hosn

Presentation

Acute on chronic headache.

Patient Data

Age: 30
Gender: Male
ct

CT scan shows an enlarged midline vascular structure in the pineal region. There are also numerous enlarged  vessels in basal cistern which supplying this vascular structure.

Case Discussion

Findings are in keeping with vein of Galen malformation, although this is very uncommon in adults, usually presenting in early childhood. Further imaging with angiography is required to assess the exact anatomy. 

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