Distinctive neck swelling in a patient with a vein of Galen arteriovenous malformation

摘要: A vein of Galen arteriovenous malformation (VGAM) is a rare intracranial shunt lacking capillary bed and resulting in subsequent aneurysmal enlargement. VGAM has been previously reported to present as cardiovascular abnormalities, including increased right-sided cardiac load pressure, dilatation, pulmonary hypertension retrograde flow into the aortic arch. We report first case presenting gross neck swelling 39-week-old immediately at birth. Transthoracic echocardiography detected dilatation superior vena cava innominate vein, right ventricular arterial Follow-up ultrasound revealed tortuous carotid artery bilateral veins. Transcranial abnormally dilated vessels posterior third ventricle, confirming VGAM. Our demonstrates that while differential diagnoses are extensive, such presentation upon Doppler echocardiographic investigation, may be suggestive extracardiac causes The management condition remains critical due risk hemorrhage extensive cerebral involvement.