Intracerebral hemorrhage due to ruptured venous aneurysm

Tyson, George W.; Jane, J A; Strachan, W E

doi:10.3171/jns.1978.49.5.0739

Cited by 16 publications

(17 citation statements)

References 14 publications

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“…9 Therefore, surgical exploration is limited except in rare symptomatic cases such as bleeding or mass effect by its expansion. 3,4 The present case is such a rare singular isolated varix manifesting a neurologic symptom.…”

Section: Discussionmentioning

confidence: 71%

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Trigeminal Neuralgia due to an Isolated Cerebral Varix: Case Report

et al. 2014

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Intracranial isolated varix is a very rare entity. Although it is usually asymptomatic, there are reports on symptomatic cases with hemorrhage or mass effect that mostly relate to arteriovenous fistulas or arteriovenous malformations. We present an extremely rare case of trigeminal neuralgia caused by an isolated varix. A 55-year-old woman had been experiencing right trigeminal neuralgia for 3 years. Computed tomography and magnetic resonance imaging revealed an enhanced mass lesion on the root entry zone of the right trigeminal nerve. Angiograms confirmed the mass was a varix arising on the vein connecting the basal vein of Rosenthal and the superior petrosal vein. Preoperative three-dimensional (3D) imaging clearly depicted the anatomical relation of the varix, adjacent vessels, and trigeminal nerve, which helped plan operative procedures. The varix with its parent vein was successfully transposed from the nerve without sacrificing any veins. Her pain disappeared immediately after the surgery and did not recur during a 30-month follow-up period. The 3D image contributed to making an accurate and safer operative plan especially for this rare case.

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Section: Discussionmentioning

confidence: 71%

“…1,2 Although they usually appear without neurologic symptoms, there are a few reports of symptomatic cases with hemorrhage or mass effect. 3,4 To the best of our knowledge, there is no report that an isolated cerebral varix causes trigeminal neuralgia.…”

Section: Introductionmentioning

confidence: 99%

Trigeminal Neuralgia due to an Isolated Cerebral Varix: Case Report

et al. 2014

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“…A case of solitary venous aneurysm left temporo-parietal secondary to head injury has been reported in the past. [3] Interestingly, a solitary venous aneurysm at the CMJ has never been reported.…”

Section: Discussionmentioning

confidence: 99%

Ruptured venous aneurysm of cervicomedullary junction

et al. 2014

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Background:Ruptured venous aneurysm is often seen with arterio-venous malformation (AVM) or developmental venous anomaly (DVA). However, isolated venous aneurysm is unusual.Case Description:We present a case of ruptured venous aneurysm that presented with subarachnoid hemorrhage (SAH) and intraventricular hemorrhage (IVH). Digital substraction angiography (DSA) revealed a saccular contrast filling pouch in the left lateral aspect of cervicomedullary junction (CMJ). Endovascular intervention was not a viable option. During surgery, a saccular pliable structure approx. 1.5 × 1 cm was found in the subarachnoid space that was clipped and excised. There were no arterial feeders, no evidence of surrounding AVM, and no dilated perimedullary vein.Conclusion:This is perhaps the first reported case of ruptured venous aneurysm (without associated AVM) of CMJ, which was successfully managed surgically. The possible etiologies remain an unnoticed head trauma or a congenital vessel wall abnormality. Surgically clipping and excision remains the treatment of choice for such lesion.

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“…Cerebral venous aneurysms are included in the group of venous angiomas and are associated with AVMs, but few cases of single venous aneurysms are reported in the literature. 8,9,12,20 These lesions may be incidental or they may be associated with subarachnoid hemorrhage and seizures. 9,20 It is difficult to propose a harmless intervention in patients with a sinus aneurysm because of lack of evidence.…”

Section: Discussionmentioning

confidence: 99%

“…8,9,12,20 These lesions may be incidental or they may be associated with subarachnoid hemorrhage and seizures. 9,20 It is difficult to propose a harmless intervention in patients with a sinus aneurysm because of lack of evidence. Occlusion of the IJV has been described previously, 6 but it carries a risk of increasing the intracranial pressure and definitively suppresses one of the two brain-draining veins, with very little evidence of clinical benefit.…”

Section: Discussionmentioning

confidence: 99%

Endovascular treatment of a transverse—sigmoid sinus aneurysm presenting as pulsatile tinnitus

Zenteno

Murillo-Bonilla²,

Martínez³

et al. 2004

Journal of Neurosurgery

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The authors report on the case of a 38-year-old woman who had experienced incapacitating pulsatile tinnitus in the left ear for 6 months. Angiographic studies revealed a wide-necked venous aneurysm of the left transverse-sigmoid sinus. Solitary stent placement across the aneurysm neck resulted in a slight modification in the lesion's characteristics. A second session, in which embolization with Guglielmi Detachable Coils was performed, resulted in a 100% occlusion of the aneurysm, with patency of the parent vessel and resolution of the tinnitus.

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Intracerebral hemorrhage due to ruptured venous aneurysm

Cited by 16 publications

References 14 publications

Trigeminal Neuralgia due to an Isolated Cerebral Varix: Case Report

Trigeminal Neuralgia due to an Isolated Cerebral Varix: Case Report

Ruptured venous aneurysm of cervicomedullary junction

Endovascular treatment of a transverse—sigmoid sinus aneurysm presenting as pulsatile tinnitus

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