scholarly journals The association of venous developmental anomalies and cavernous malformations: pathophysiological, diagnostic, and surgical considerations

2006 ◽  
Vol 21 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Paolo Perrini ◽  
Giuseppe Lanzino

✓Developmental venous anomalies (DVAs) are often associated with intracranial cavernous malformations (CMs). The frequency of this association and the observation of de novo CMs located near a known, preexisting DVA raise speculations as to the possible etiopathogenetic relationship between the two. In this article, the authors review the recent literature dealing with the potential etiopathogenetic, prognostic, and therapeutic implications of the association between DVAs and CMs.

2010 ◽  
pp. 189-220
Author(s):  
Philippe Metellus ◽  
Siddharth Kharkar ◽  
Doris Lin ◽  
Sumit Kapoor ◽  
Daniele Rigamonti

2016 ◽  
Vol 29 (6) ◽  
pp. 458-464 ◽  
Author(s):  
Hariprakash Chakravarthy ◽  
Tzu-Kang Lin ◽  
Yao-Liang Chen ◽  
Yi-Ming Wu ◽  
Chin-Hua Yeh ◽  
...  

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.


BMC Neurology ◽  
2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Peifeng Zhang ◽  
Lingtong Liu ◽  
Yong Cao ◽  
Shuo Wang ◽  
Jizong Zhao

2017 ◽  
Vol 33 (9) ◽  
pp. 1539-1543 ◽  
Author(s):  
Waleed Brinjikji ◽  
Ali El-Rida El-Masri ◽  
John T. Wald ◽  
Kelly D. Flemming ◽  
Giuseppe Lanzino

2014 ◽  
Vol 21 (2) ◽  
pp. 175-185
Author(s):  
Hernando Raphael Alvis-Miranda ◽  
Nancy Duarte-Valdivieso ◽  
Gabriel Alcala-Cerra ◽  
Willem Calderon-Miranda ◽  
Marco Zenteno ◽  
...  

Abstract Venous Angiomas or Developmental venous anomalies (DVA) are extreme variations of normal transmedullary veins that are necessary for the drainage of white and gray matter, also are one type of cerebrovascular malformation (CVM), sharing category with capillary telangiectesias, cavernous malformations (CM), and arteriovenous malformations (AVM), each of which may also be associated with a DVA. DVA are the most commonly encountered CVM, accounting for up to 60% of all CVM. We present a review of the literatura


Neurosurgery ◽  
2009 ◽  
Vol 65 (1) ◽  
pp. 20-30 ◽  
Author(s):  
Stylianos K. Rammos ◽  
Raffella Maina ◽  
Giuseppe Lanzino

ABSTRACT DEVELOPMENTAL VENOUS ANOMALIES (DVAs), formerly known as venous angiomas, have become the most frequently diagnosed intracranial vascular malformation. DVAs are currently considered congenital cerebrovascular anomalies with mature venous walls that lack arterial or capillary elements. They are composed of radially arranged medullary veins, which converge in an enlarged transcortical or subependymal collector vein, and have characteristic appearances (caput medusae) on magnetic resonance imaging and angiography. DVAs were once thought to be rare lesions with substantial potential for intracerebral hemorrhage and considerable morbidity. The prevalence of incidental and asymptomatic DVAs has been more apparent since the advent of magnetic resonance imaging; recent cohort studies have challenged the once-held view of isolated DVAs as the cause of major neurological complications. The previously reported high incidence of intracerebral hemorrhage associated with DVAs is currently attributed to coexistent, angiographically occult cavernous malformations. Some patients may still have noteworthy neurological morbidity or die as a result of acute infarction or hemorrhage directly attributed to DVA thrombosis. DVAs can coexist with cavernous malformations and arteriovenous malformations. Such combination or transitional forms of malformations might suggest common pathways in pathogenesis. Recent data support a key role for DVAs in the pathogenesis of mixed vascular malformations.


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