Peculiar intravascular appendages were found in a case of aneurysm of
the vein of Galen. Such appendages consisted of finger-like polypoid g
rowths which protruded within the lumen of ectatic cerebral veins and
arteries. They were solid, relatively large, and non-branching. Histol
ogically, their structure was comparable to that of a vessel wall, but
was concentrically laminated around the longitudinal axis. Some appen
dages were associated with thrombi. It is suggested that appendages of
this kind probably represent secondary vascular malformations, that t
hey are likely to develop in reaction to abnormal hemodynamic strains
upon the vessel walls, and that they might be thrombogenic and, theref
ore, potentially beneficial for patients with arteriovenous shunts.