Case Report
Vein of Galen Malformations- An Insight to Undo the ‘Gordian Knot’ of Surgeons by Neuro-Interventional Radiologist
Avi Agrawal, Chandrika Makker, Kritika Agrawal* and Shankey Garg*
Department of Radiology, MMIMSR, Mullana, India
*Corresponding author: Kritika Agrawal and Shankey Garg, Department of Radiology, MMIMSR, Mullana, India
Email: doctorkritika3@gmail.com
Article Information: Submission: 10/08/2023; Accepted: 31/08/2023; Published: 05/09/2023
Copyright: © 2023 Agrawal A, et al. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Vein of Galen malformations are rare and unique congenital malformations of the cerebral vasculature. It is due to direct arteriovenous fistulous connection of misshapen arteries in brain with a persistent embryonic precursor of Vein of Galen (Median Prosencephalic vein of Markowski) instead of connecting with the capillaries. We are reporting 2 cases of VGAM. The first case is of a middle-aged man
with intractable occipital headache with features of VOGM. The second case demonstrates antenatal diagnosis of VAGM in association with ventriculomegaly and cardiomegaly in routine antenatal scan at 30 weeks of gestation in a twin pregnancy. Considering the rarity of these lesions, there are very few studies that have been able to adequately diagnose VOGM. Thus, making this study radically essential
for continuing developments in the diagnostic aspects of diagnosing and managing these lesions.
Keywords: Vein of Galen Malformation; Arterio-Venous Fistula; Median Prosencephalic vein of Markowski; Middle-aged man; Twin pregnancy; Congenital malformations; Gordian knot; Congestive cardiac failure; Cerebral Venous hypertension; Embolization; Misshapen arteries; Aneurysmal Dilatation; Endovascular therapy; Varix Aneurysm