Thrombosed developmental venous anomaly Associated with cerebral venous infarct

Gama, Rômulo Lopes; Nakayama, Mauro; Távora, Daniel Gurgel Fernandes; Bomfim, Rodrigo C.; Carneiro, Trícia C.; Pimentel, Leonardo Halley Carvalho

doi:10.1590/s0004-282x2008000400026

Cited by 13 publications

(10 citation statements)

References 8 publications

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“…Hemorrhagic or ischemic infarction around a DVA may result from acute thrombosis of the collecting vein35–49 (Fig 5), although it may also be observed in rare instances in the presence of a patent venous collector 50, 51. A review of the literature revealed 19 documented cases of symptomatic thrombosed DVAs (Table) presenting with venous ischemic infarction (53%), parenchymal hemorrhage (37%), subarachnoid and intraventricular hemorrhage (5%), and no intraaxial or extraaxial lesions (5%) 35–49. Management was conservative in eight cases (42%), and involved anticoagulation in seven (37%) and decompression surgery for evacuation of a compressive hematoma or mass effect secondary to venous infarction in four (2%).…”

Section: Clinical Presentationmentioning

confidence: 99%

Cerebral developmental venous anomalies: Current concepts

Ruíz¹,

Yılmaz²,

Gailloud³

2009

Annals of Neurology

203

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Cerebral developmental venous anomalies are the most frequently encountered cerebral vascular malformation, and as such, are frequently reported as fortuitous findings in computed tomography (CT) and magnetic resonance imaging (MRI) studies. Developmental venous anomalies (DVAs) are generally considered extreme anatomical variations of the cerebral vasculature, and follow a benign clinical course in the vast majority of cases. Here we review current concepts on DVAs with the aim of helping clinicians understand this complex entity. Morphological characteristics that are necessary to conceptualize DVAs are discussed in depth. Images modalities used in diagnosing DVAs are reviewed, including new MRI or CT techniques. Clinical presentation, association with other vascular malformations and cerebral parenchymal abnormalities, and possible physiopathological processes leading to associated imaging or clinical findings are discussed. Atypical forms of DVAs are also reviewed and their clinical significance discussed. Finally, recommendations as to how to manage asymptomatic or symptomatic patients with a DVA are advanced.

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Section: Clinical Presentationmentioning

confidence: 99%

Cerebral developmental venous anomalies: Current concepts

Ruíz¹,

Yılmaz²,

Gailloud³

2009

Annals of Neurology

203

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“…Drainage vein thrombosis of a DVA is rare, and only 28 patients with 29 cases of symptomatic thrombosed DVAs have been reported in the literature [1,2,3,4,5,6,7,8,9,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28]. These patients had a variety of presentations including venous ischemic infarction (n = 16, 55%), parenchymal hemorrhage (n = 8, 28%), venous congestive edema (n = 3, 10%), or subarachnoid hemorrhage (n = 2, 7%).…”

Section: Discussionmentioning

confidence: 99%

Symptomatic Infratentorial Thrombosed Developmental Venous Anomaly: Case Report and Review of the Literature

Amuluru¹,

Al‐Mufti²,

Stephen³

et al. 2015

Intervent Neurol

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Background: Developmental venous anomalies (DVAs) are variations of normal transmedullary veins draining white and gray matter. In the vast majority of cases, DVAs are diagnosed incidentally and should be considered as benign entities. In extremely rare circumstances, DVAs may become symptomatic due to mechanical or flow-related etiologies. Thrombosis of the collector vein of a DVA is a rare type of a flow-related complication with only 29 cases reported in the literature, the majority of which are supratentorial. Infratentorial thrombosed DVAs are thus extremely rare and the few cases reported have typically caused symptoms due to venous ischemic infarctions. Summary: We report a case of an infratentorial DVA with a thrombosed drainage vein in a patient with nonhemorrhagic, noninfarcted venous congestive edema, which was successfully treated with high-dose glucocorticoids and short-term anticoagulation. We review the pertinent venous anatomy of the posterior fossa as well as the literature of symptomatic infratentorial thrombosed DVAs. Key Message: The presented case of an infratentorial thrombosed DVA with cerebellar and pontine venous congestive edema is extremely rare. A working knowledge of posterior fossa venous anatomy and possible pathomechanisms responsible for the rarely symptomatic lesion will aid in the timely and efficacious treatment of such lesions.

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“…Among those 20, three had cerebellar DVAs [14, 18, 19], and one case presented with only with subarachnoid hemorrhage and no infarction [18]. Two cases had ICH only [8, 12] and f ive cases [7, 9, 15, 16] showed findings of ICH and venous infarction on the initial brain images. Most of them presented only CT, MRI or angiographic images at the initial diagnosis or at certain time points.…”

Section: Discussionmentioning

confidence: 99%

Multimodal Imaging Follow-up of a Thrombosed Developmental Venous Anomaly: CT, CT Angiography and Digital Subtraction Angiography

Cha

Min

2013

Neurointervention

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We report a rare case of thrombosed developmental venous anomaly (DVA) in a 31-year old male with hemorrhagic cerebral venous infarction at the initial clinical presentation. In this case, sequential CT, CT angiography and digital subtraction angiography demonstrated thrombotic obstruction of the venous drainage from DVA, its progressive recanalization and temporal evolution of the affected brain parenchyma. The relevant previous literatures were reviewed and summarized.

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Thrombosed developmental venous anomaly Associated with cerebral venous infarct

Cited by 13 publications

References 8 publications

Cerebral developmental venous anomalies: Current concepts

Cerebral developmental venous anomalies: Current concepts

Symptomatic Infratentorial Thrombosed Developmental Venous Anomaly: Case Report and Review of the Literature

Multimodal Imaging Follow-up of a Thrombosed Developmental Venous Anomaly: CT, CT Angiography and Digital Subtraction Angiography

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