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Living with Vein of Galen aneurysmal malformation

A rare blood vessel problem in the brain, often seen before or soon after birth, that can strain the heart.

Understanding Vein of Galen aneurysmal malformation

Vein of Galen aneurysmal malformation is a rare tangle of blood vessels in which a vein at the base of the brain is wider than usual.

Too much blood rushes to the heart, which can lead to heart failure. It is often seen on an ultrasound late in pregnancy or after birth. Other features can include a larger head from extra fluid in the brain, prominent veins on the face and scalp, developmental delay, and headache.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Abnormal blood vessels in the brain
  • Abnormal connections between arteries and veins
  • Widened blood vessels
  • Larger head size from fluid in the brain
  • Prominent veins on face and scalp
  • Developmental delay

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in EPHB4 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    VOGM Support Network may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: VOGM Support Network
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with VOGM Support Network and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How will the heart be monitored?
Could EPHB4 genetic testing be useful for us?
Which specialists should be on my child's team?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
GenesEPHB4

GARD says the exact cause is unknown, but it appears to come from a problem in early development before birth. It lists the EPHB4 gene.

GeneticNeurological

Also known as: aneurysm of the vein of galen; ectasia or varix of the vein of galen; galen vein aneurysm; galenic arteriovenous malformation; median prosencephalic arteriovenous fistula; vein of galen aneurysm

Patient organizations

Source: NIH GARD · Vein of Galen aneurysmal malformationGARD ID 5467 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Vein of Galen aneurysmal malformation.

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