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VOGM is often noticed on a prenatal ultrasound late in pregnancy, and in other cases is diagnosed after birth.
The main imaging technique used to diagnose vein of Galen malformations (VOGMs) is magnetic resonance imaging (MRI).
Other tests may include:
The goal of treating a VOGM is to eliminate or decrease as much of the blood flow through the VOGM as possible, while maximizing the blood supply to the brain.
The most common treatment is endovascular embolization, a minimally invasive procedure. For this procedure, the neurosurgeon inserts a catheter (a thin, flexible tube) into an artery in the child’s groin through a tiny incision. The surgeon guides the catheter up into the brain and injects a special material (such as a type of glue or soft metal coils) into the blood vessels of the VOGM to close off the blood flow.
Most children have no pain or other symptoms with embolization, and most are able to leave the hospital within a few days. Some children will need to spend several days in the ICU for observation.
We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”