Vein of Galen Malformation (VOGM) is a rare congenital arteriovenous malformation affecting pediatric population, characterized by a fistula between the diencephalon and a dilated vein of Galen. The study presents the case of a 6-month-old male infant referred for developmental delays and abnormal head circumference. Clinical examination revealed macrocephaly, dilated scalp veins, and neurological abnormalities. Neuroimaging confirmed a large VOGM with associated hydrocephalus. A multidisciplinary team devised a treatment plan involving endovascular embolization and ventriculoperitoneal shunt placement. Postoperative recovery showed improvement in neurodevelopmental milestones and reduced head circumference. Long-term follow-up revealed successful embolization with decreased arteriovenous shunting. VOGM management requires a comprehensive approach, including early diagnosis, precise imaging, and timely intervention. Endovascular embolization, coupled with other modalities, offers promising outcomes, highlighting the importance of multidisciplinary care and long-term monitoring in optimizing patient prognosis.