A neonate with left to Right shunt & high cardiac output heart failure. CT Angiography of the neonate is shown. What is the diagnosis?

Correct Answer: Vein of Galen malformation
Description: b. Vein of Galen malformationCT angiography shows enhancing rounded lesion at tentorial apex, extending posteriorly & draining into dilated superior sagittal sinus, through dilated straight sinus, suggestive of vein of Galen malformation.The anomaly is actually due to a cerebral arteriovenous fistula of the median prosencephalic vein (a precursor of the vein of Galen) occurring at 6-11 weeks gestation.
Category: Pediatrics
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