Vein of Galen aneurysmal malformation: Pit-falls in the diagnosis

Archana Priyadarshi; Melissa Luig

doi:10.1002/ajum.12031

Vein of Galen aneurysmal malformation: Pit-falls in the diagnosis

Australas J Ultrasound Med. 2016 Oct 12;19(4):160-163. doi: 10.1002/ajum.12031. eCollection 2016 Nov.

Authors

Archana Priyadarshi¹, Melissa Luig¹

Affiliation

¹ The Neonatal Intensive Care Unit Westmead Hospital P.O Box 533 Wentworthville New South Wales 2145 Australia.

Abstract

Vein of Galen aneurysmal malformation (VGAM) is a rare congenital vascular malformation. We report a case of VGAM being associated with presence of bilateral hydrocephalus, gross cardiomegaly and is unique in two ways. Firstly, clinical presentation was associated with a large discrete cystic swelling along right side of the neck, which has not previously been reported. Secondly, this was a missed diagnosis of VGAM due to omission of colour Doppler study while performing diagnostic fetal cranial ultrasound just prior to delivery, following referral for assessment on a previously identified abnormality.

Keywords: central cystic lesion; cranial ultrasound; vein of Galen aneurysmal malformation.

Publication types

Case Reports