Recently, there has been increasing interest in the study, characterization
, and management of infantile spasms. With technological advances, it is no
w possible to determine a specific diagnosis on many patients with infantil
e spasms, thus broadening the spectrum of conditions associated with this e
lectroclinical syndrome. We report a child with infantile spasms who also h
ad a vascular malformation of the vein of Galen. Both clinical and electroe
ncephalographic findings improved rapidly after endovascular treatment of t
he vascular anomaly, suggesting a possible association.