Case Report on Vein of Galen Malformation with Intranidal Aneurysm and Diverticulum

The case report consists of a mixed pathology in the vein of Galen complex - a Galenic malformation with it’s own aneurysm. Furthermore, the aneurysm was seen to have its own diverticulum. Investigations included multiple imaging modalities to yield the final diagnosis of the patient. A carefully curated approach to treatment and a safe recovery of the patient has been followed in the report. . Differential diagnoses may include but are not limited to cerebral venous thrombosis and intracranial hemorrhage. The age group in which the malformation arises is important with respect to the outcome. Infants and children with the diagnosis have a more optimistic prognosis compared to neonates as the latter have a higher likelihood of developing heart failure. In conclusion, the rarity of the case stems from the presence of a mixed pathology and warrants a very intricate understanding of neuroanatomy as a whole.

Keywords:Vein of galen; Malformation; Intranidal; Aneurysm; Diverticulum; Endovascular; Embolization; Mixed pathology

Abbreviations:VoGM: Vein of Galen Malformation; VoGAM: Vein of Galen Aneurysmal Malformation: AVMs: Arteriovenous Malformations; HR: Heart Rate; BP: Blood Pressure; Temp: Temperature; RR: Respiratory Rate; CT: Computed Tomography; MRA: Magnetic Resonance Angiography; DSA: Digital Subtraction Angiography