scholarly journals Developmental Venous Anomaly with Contralateral Impaired Venous Drainage in a 17-Year-Old Male

2013 ◽  
Vol 19 (1) ◽  
pp. 67-72 ◽  
Author(s):  
Jmn Enslin ◽  
D. Lefeuvre ◽  
A. Taylor
Keyword(s):  
Young Patient ◽  
Right Hemisphere ◽  
Neural Tissue ◽  
Venous Drainage ◽  
Developmental Venous Anomaly ◽  
Venous Anomaly ◽  
Drainage Pattern ◽  
Venous Outflow ◽  
Developmental Venous Anomalies ◽  
The Right

Developmental venous anomalies (DVA) drain normal neural tissue and are mostly discovered incidentally. We describe a young patient with a left hemisphere superficial to deep DVA and right hemisphere venous outflow restriction presenting with a seizure. The right hemisphere drainage variation is not typical of a DVA but represents another drainage pattern on the border of normality.

THROMBOSED BRAINSTEM DEVELOPMENTAL VENOUS ANOMALY CAUSING HYDROCEPHALUS

2015 ◽  
Vol 86 (11) ◽  
pp. e4.99-e4
Author(s):  
Katherine Dodd ◽  
Emily Pegg ◽  
Sachin Mathur ◽  
Chhetri Suresh
Keyword(s):  
Posterior Fossa ◽  
Drainage System ◽  
Venous Drainage ◽  
Cerebellar Hemisphere ◽  
Cerebral Peduncle ◽  
Developmental Venous Anomaly ◽  
Venous Anomaly ◽  
Venous Infarction ◽  
Heparin Infusion ◽  
The Right

Developmental venous anomaly (DVA) is a commonly encountered congenital abnormality of the venous drainage system. Spontaneous thrombosis of DVA is rare. We present a case of thrombosed brainstem DVA leading to venous infarction and oedema within the posterior fossa.A 49 year old, previously fit gentleman presented to the local hospital with a one day history of headache, slurred speech and incoordination. Examination demonstrated GCS of 13/15, cerebellar dysarthria, horizontal nystagmus to the left, mild right sided pyramidal weakness, right sided cerebellar ataxia and bilateral extensor plantars.CT venogram revealed a cerebellar DVA with thrombosis of one of the veins. There was surrounding venous infarction and oedema within the posterior fossa, causing compression of the fourth ventricle and dilatation of the lateral ventricles. MRI demonstrated extensive T2 change in the right cerebellar hemisphere, dorsal pons and right cerebral peduncle. No underlying thrombotic tendency was identified. He was treated successfully with intravenous heparin infusion. He improved over the next 3 weeks, and was discharged on warfarin with mild right sided ataxia and cerebellar dysarthria.Our case demonstrates that DVAs, generally considered as common insignificant anatomical variants, can uncommonly lead to significant complications.

scholarly journals Infantile Dural Arteriovenous Shunt Draining into a Developmental Venous Anomaly

2007 ◽  
Vol 13 (1) ◽  
pp. 67-74 ◽  
Author(s):  
S. Geibprasert ◽  
T. Krings ◽  
V. Pereira ◽  
P. Lasjaunias
Keyword(s):  
Cerebral Hemisphere ◽  
Venous Drainage ◽  
Developmental Venous Anomaly ◽  
Venous Anomaly ◽  
Adult Type ◽  
Sagittal Sinus ◽  
Right Cerebral Hemisphere ◽  
Arteriovenous Shunts ◽  
Dural Arteriovenous Shunts ◽  
The Right

A three-year-old girl with an incidentally discovered infantile type of dural arteriovenous shunts (DAVs) along the superior sagittal sinus during investigation of a minor head trauma is presented. The DAVs drained into a developmental venous anomaly of the right cerebral hemisphere. In addition, there was a small cavernoma within the territory drained by the DVA. The patient underwent multiple transarterial embolizations to decrease the shunt flow and thus the constrained venous drainage of the DVA and right cerebral hemisphere. Pediatric dural arteriovenous shunts are a different entity from the adult type DAVs and should be managed according to the growth and development of the child. DVAs are extreme variations of the venous system with reduced flexibility to increased venous drainage. Regardless of the type of treatment employed, the DVA and its drainage pathway must be preserved.

scholarly journals Teaching NeuroImages: A giant developmental venous anomaly in the absence of a superficial venous drainage system

Neurology ◽  
2010 ◽  
Vol 75 (21) ◽  
pp. e88-e88
Author(s):  
A. M. G. Fuhler ◽  
J. M. C. van Dijk ◽  
K. Koopman ◽  
G. J. Luijckx
Keyword(s):  
Drainage System ◽  
Venous Drainage ◽  
Developmental Venous Anomaly ◽  
Venous Anomaly

Developmental venous anomaly with symptomatic thrombosis of the draining vein

2008 ◽  
Vol 109 (6) ◽  
pp. 1119-1122 ◽  
Author(s):  
Michael Walsh ◽  
Hemant Parmar ◽  
Suresh K. Mukherji ◽  
Alexander Mamourian
Keyword(s):  
Mr Imaging ◽  
Anticoagulant Therapy ◽  
Developmental Venous Anomaly ◽  
Venous Anomaly ◽  
Transient Ischemia ◽  
Spontaneous Thrombosis ◽  
Venous Anomalies ◽  
Developmental Venous Anomalies

Developmental venous anomalies (DVAs) are generally considered a benign and asymptomatic finding on CT and MR imaging. The authors report 2 cases of spontaneous thrombosis of the draining vein of a DVA depicted on CT and MR imaging. One patient presented with a nonhemorrhagic transient ischemia, which was successfully treated with anticoagulant therapy. The second patient presented with ischemia complicated by hemorrhagic conversion.

scholarly journals De novo formation of cerebral cavernous malformation adjacent to existing developmental venous anomaly – an effect of change in venous pressure associated with management of a complex dural arterio-venous fistula

2016 ◽  
Vol 29 (6) ◽  
pp. 458-464 ◽  
Author(s):  
Hariprakash Chakravarthy ◽  
Tzu-Kang Lin ◽  
Yao-Liang Chen ◽  
Yi-Ming Wu ◽  
Chin-Hua Yeh ◽  
...  
Keyword(s):  
Case Report ◽  
Temporal Lobe ◽  
De Novo ◽  
Venous Pressure ◽  
Cerebral Cavernous Malformations ◽  
Developmental Venous Anomaly ◽  
Venous Anomaly ◽  
Cavernous Malformations ◽  
Developmental Venous Anomalies ◽  
Venous Fistula

This is a case report of de novo development of two cerebral cavernous malformations adjacent to existing developmental venous anomalies. The development of cavernomas was noted over a follow-up period of 10 years. These developments happened during the course of staged endovascular management of a complex dural arterio-venous fistula along the right sphenoid wing. The patient presented with a proptosis secondary to lympho-haemangiomatous lesion of the fronto-orbital region and a high-flow right sphenoid wing dural arterio-venous fistula. During the initial period of conservative management of the dural arterio-venous fistula, he developed de novo cavernous malformations in the left mesial temporal lobe adjacent to a developmental venous anomaly in the temporal lobe, and along with this there was engorgement of deep veins related to another existing developmental venous anomaly in the brainstem. Later during the course of endovascular treatment of the dural arterio-venous fistula, a large brainstem cavernoma developed adjacent to the brainstem developmental venous anomaly. This case report discusses the cause-effect relationship of venous pressure changes related to management of dural arterio-venous fistula and de novo formation of cerebral cavernous malformations adjacent to existing developmental venous anomalies.

Spontaneous regression of a symptomatic developmental venous anomaly with capillary stain

2021 ◽  
pp. 159101992110324
Author(s):  
Takeru Hirata ◽  
Satoru Miyawaki ◽  
Satoshi Koizumi ◽  
Yu Teranishi ◽  
Osamu Ishikawa ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Contrast Enhancement ◽  
Spontaneous Regression ◽  
Precentral Gyrus ◽  
Developmental Venous Anomaly ◽  
Venous Anomaly ◽  
Resonance Imaging ◽  
Venous Anomalies ◽  
Developmental Venous Anomalies

Background Developmental venous anomalies are considered benign lesions; however, they can become symptomatic. A capillary stain, which is an atypical angiographical feature of developmental venous anomalies, is reported to be relevant to symptomatic developmental venous anomalies. Case description A 20-year-old man with no pertinent medical history had an epileptic seizure. Magnetic resonance imaging showed severe focal oedema and gadolinium contrast enhancement in the right precentral gyrus and inferior frontal gyrus adjacent to the Sylvian fissure, indicating venous congestion; these presentations had not been observed on magnetic resonance imaging 8 months before. Digital subtraction angiography revealed a developmental venous anomaly with capillary stain. After conservative treatment, the brain oedema resolved spontaneously and contrast enhancement of the lesion reduced significantly. Conclusion We report a rare case of a symptomatic developmental venous anomaly with unique radiological characteristics and its natural and clinical evolution. Despite the presence of a capillary stain, our patient exhibited temporary exacerbations and spontaneous regression, suggesting that the capillary stain was associated with a reversible condition. This is the first report to detail the spatiotemporal changes of a developmental venous anomaly with capillary stain through imaging, suggesting that regular follow-up imaging is warranted in the management of patients with developmental venous anomalies.

A rare combination of a developmental venous anomaly with a varix

2008 ◽  
Vol 1 (2) ◽  
pp. 156-159 ◽  
Author(s):  
Sait Sirin ◽  
Serdar Kahraman ◽  
Selcuk Gocmen ◽  
Ersin Erdogan
Keyword(s):  
Surgical Intervention ◽  
Cavernous Malformation ◽  
Vascular Anomaly ◽  
Venous Drainage ◽  
Magnetic Resonance Images ◽  
Developmental Venous Anomaly ◽  
Venous Anomaly ◽  
Computed Tomography Scans ◽  
The Brain

✓The most common vascular anomaly associated with a developmental venous anomaly (DVA) is a cavernous malformation. A cerebral DVA is a rare vascular malformation of the brain when it is associated with a varix. The authors report on a 13-year-old girl who presented with 2 brief episodes of nonresponsiveness that mimicked absence seizures. The computed tomography scans, magnetic resonance images, and cerebral angiograms showed a left temporal DVA in combination with a sylvian fissure varix. To maintain normal parenchymal venous drainage, no surgical intervention was performed. Radiological and clinical follow-up was planned. This case report expands the present knowledge of the rare association of a cerebral DVA with a varix and emphasizes the need for meticulous neuroimaging to avoid unnecessary surgery.

scholarly journals Paediatric presentation of intracranial haemorrhage due to thrombosis of a developmental venous anomaly

2019 ◽  
Vol 12 (1) ◽  
pp. bcr-2018-227362 ◽  
Author(s):  
Pouya Entezami ◽  
Alan Boulos ◽  
Junichi Yamamoto ◽  
Matthew Adamo
Keyword(s):  
Intracranial Haemorrhage ◽  
Superior Sagittal Sinus ◽  
Venous Drainage ◽  
Cerebral Veins ◽  
Developmental Venous Anomaly ◽  
Radiological Findings ◽  
Antiepileptic Treatment ◽  
Sagittal Sinus ◽  
Developmental Venous Anomalies ◽  
Appropriate Therapy

Developmental venous anomalies (DVAs) are the most commonly encountered cerebral malformations. While generally asymptomatic and discovered as incidental findings, there is a small number that can cause intracranial haemorrhage, usually attributed to associated cavernomas; however, venous thrombosis of the draining vein is a rare cause. A 10-year-old woman presented with seizure episodes. Angiographic evaluation revealed a collection of vessels draining into the superior sagittal sinus via the vein of Trolard, concerning for a DVA. The patient improved clinically with supportive care and antiepileptic treatment. Anatomically, DVAs represent dysplasia of primary capillary beds and smaller cerebral veins, resulting in abnormal venous drainage of the affected parenchyma. Several distinguishing radiological findings can help differentiate a DVA from other pathologies. Early radiological identification can help in the initiation of appropriate therapy and prevent incorrect surgical management leading to further neurological demise.

scholarly journals Paramedian Supracerebellar Infratentorial Approach for Pontine Cavernoma: 2-Dimensional Operative Video

2021 ◽  
Author(s):  
Nickalus R Khan ◽  
Jacques J Morcos
Keyword(s):  
Informed Consent ◽  
Clinical Course ◽  
Cavernous Malformation ◽  
Developmental Venous Anomaly ◽  
Venous Anomaly ◽  
Postoperative Imaging ◽  
Brainstem Cavernoma ◽  
Supracerebellar Infratentorial Approach ◽  
The Right ◽  
Left Hemi

Abstract We describe the case of a 26-yr-old male who presented with headaches, dizziness, and left hemi-hypoesthesia in addition to being COVID-19 positive. The patient was found to have a large hemorrhage in the right dorsolateral pons that was found to be due to a pontine cavernous malformation. The patient underwent a right-sided paramedian supracerebellar infratentorial approach for resection of this lesion with preservation of the developmental venous anomaly. We present the operative video with a specific focus on approach selection, anatomic illustrations, and technical nuances. The literature on the timing of brainstem cavernoma surgery is reviewed.1-4 The patient's postoperative clinical course and postoperative imaging are reviewed. The patient gave informed consent for the procedure and verbal consent for being part of this submission and the publication of their image.

Complex right hemisphere developmental venous anomaly associated with multiple facial hemangiomas

1999 ◽  
Vol 90 (4) ◽  
pp. 766-769 ◽  
Author(s):  
Beverly D. L. Aagaard ◽  
Joon K. Song ◽  
Joseph M. Eskridge ◽  
Marc R. Mayberg
Keyword(s):  
Arteriovenous Malformation ◽  
Right Hemisphere ◽  
Venous Drainage ◽  
Time Frame ◽  
Venous System ◽  
Developmental Venous Anomaly ◽  
Content Type ◽  
Venous Anomalies ◽  
Cerebral Venous Drainage ◽  
Fine Print

✓ Complex developmental venous anomalies (DVAs) represent variations of normal cerebral venous drainage and consist of dilation of the superficial and/or deep venous system. These rare anomalies can occur unilaterally or bilaterally, supratentorially or infratentorially, focally or they can affect the entire hemisphere. Some DVAs are associated with cervicofacial venous malformations or facial lymphatic malformations. Anomalies of this type are generally clinically silent, and cerebral dysfunction is usually absent. Symptoms, when they occur, are most commonly headache or mild seizure disorders. The angiographic findings are striking, with well-formed but enlarged transcerebral medullary and deep and/or superficial cortical veins. Opacification of these venous structures occurs within the same time frame as a normal angiographic venous phase.The authors report the case of a 33-year-old man in whom a large inoperable arteriovenous malformation had been previously diagnosed and who presented with seizures. Repeated magnetic resonance imaging and angiography demonstrated abnormally dilated transcerebral, superficial, and deep venous structures involving the entire right hemisphere with no identifiable nidus. Additionally, multiple bilateral benign facial hemangiomas were present in this patient.It is important to recognize this rare venous appearance as a developmental variant and not mistake it for an arteriovenous malformation or a partially thrombosed vein of Galen malformation. Because these venous anomalies are extreme variants of the normal venous system, hemorrhage rarely, if ever, occurs and the patient can be reassured that no interventional or surgical therapy is necessary or warranted.

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