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Vein of Galen aneurysmal malformations (VGAM) are rare intracranial vascular anomalies typically found in children. The anatomic landmark of a VGAM is the presence of multiple arteriovenous shunts draining into a dilated median prosencephalic vein, an embryonic vessel normally absent at the adult stage. This article reviews the developmental anatomy, the clinical presentation, and the current management of VGAM. KEYWORDS: Aneurysmal malformations of the vein of Galen, Trans catheter embolization (TCE), cardiac failure. INTRODUCTION: The vein of Galen is located under the cerebral hemispheres and drains the anterior and central regions of the brain into the sinuses of the posterior cerebral fossa. The vein of Galen aneurysmal malformation is a choroidal type of arteriovenous malformation involving the vein of Galen forerunner and is distinct from an arteriovenous malformation with venous drainage into a dilated, but already formed, vein of Galen. 1 Aneurysmal malformations of the vein of Galen (VGAM) typically result in high-output congestive heart failure or may present with developmental delay, hydrocephalus, and seizures. MATERIALS AND METHODS: Here we present a case, a term male newborn appropriate for gestational age referred to us for respiratory distress, grunting and increased precordial activity and cardiac murmur. On extensive evaluation was found to have in MRI brain scan with Venogram revealed a huge vein of Galen aneurysm /malformation with multiple feeders (Choroidal in type). A brief review of literature is discussed.

CARDIAC FAILURE AND PPHN DUE TO EXTRA CARDIAC CAUSE IN NEWBORN (VEIN OF GALEN MALFORMATION)