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Correspondence |

Vein of Galen Malformation With Cutaneous Signs

Jamie Zussman, MD; Noriko Salamon, MD; Ki-Young Suh, MD
JAMA Dermatol. 2013;149(2):249-250. doi:10.1001/jamadermatol.2013.859.
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Extract

Cutaneous vascular malformations may be the presenting sign of more serious internal abnormalities. This case of vein of Galen malformation (VGAM) illustrates the importance of obtaining imaging studies in select cases.

Report of a Case. A 7-month-old boy presented for evaluation of prominent blood vessels and swelling above his left eye, first noted at age 3 months but rapidly worsening in the month before presentation. Of note, his pediatrician was monitoring him for concerning increases in his head circumference.

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Figure 1. Images from the subject case. A, Clinical image of our patient at age 7 months, prior to intervention. B, A sagittal T1-weighted magnetic resonance image of the brain demonstrates dilation of the vein in the supravermian region (white arrow) and herniation of the cerebellar tonsils (black arrow).

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Figure 2. Patient shows improvement in cutaneous findings at age 1 year, after 4 embolization procedures.

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