DOI QR코드

DOI QR Code

Atypical Developmental Venous Anomaly Associated with Single Arteriovenous Fistula and Intracerebral Hemorrhage: a Case Demonstrated by Superselective Angiography

  • Roh, Jae-Eun (Department of Radiology, Chungbuk National University Hospital) ;
  • Cha, Sang-Hoon (Department of Radiology, Chungbuk National University Hospital) ;
  • Lee, Seung-Young (Department of Radiology, Chungbuk National University Hospital) ;
  • Jeon, Min-Hee (Department of Radiology, Chungbuk National University Hospital) ;
  • Cho, Bum-Sang (Department of Radiology, Chungbuk National University Hospital) ;
  • Kang, Min-Ho (Department of Radiology, Chungbuk National University Hospital) ;
  • Min, Kyung-Soo (Department of Neurosurgery, Chungbuk National University Hospital)
  • Published : 2012.02.01

Abstract

We present a case of developmental venous anomaly associated with arteriovenous fistula supplied by a single arterial feeder adjacent to a large acute intracerebral hemorrhage. The arteriovenous fistula was successfully obliterated by superselective embolization while completely preserving the developmental venous anomaly. Two similar cases, including superselective angiographic findings, have been reported in the literature; however, we describe herein superselective angiographic findings in more detail and demonstrate the arteriovenous shunt more clearly than the previous reports. In addition, a literature review was performed to discuss the association of a developmental venous anomaly with vascular lesions.

Keywords

References

  1. Abe T, Singer RJ, Marks MP, Norbash AM, Crowley RS, Steinberg GK. Coexistence of occult vascular malformations and developmental venous anomalies in the central nervous system: MR evaluation. AJNR Am J Neuroradiol 1998;19:51-57
  2. Hussain JZ, Ray A, Hughes DG, Leggate JR. Complex developmental venous anomaly of the brain. Acta Neurochir (Wien) 2002;144:501-504 https://doi.org/10.1007/s007010200073
  3. Mullan S, Mojtahedi S, Johnson DL, Macdonald RL. Cerebral venous malformation-arteriovenous malformation transition forms. J Neurosurg 1996;85:9-13 https://doi.org/10.3171/jns.1996.85.1.0009
  4. Sirin S, Kahraman S, Gocmen S, Erdogan E. A rare combination of a developmental venous anomaly with a varix. Case report. J Neurosurg Pediatr 2008;1:156-159 https://doi.org/10.3171/PED/2008/1/2/156
  5. Aksoy FG, Gomori JM, Tuchner Z. Association of intracerebral venous angioma and true arteriovenous malformation: a rare, distinct entity. Neuroradiology 2000;42:455-457 https://doi.org/10.1007/s002340000307
  6. Lindquist C, Guo WY, Karlsson B, Steiner L. Radiosurgery for venous angiomas. J Neurosurg 1993;78:531-536 https://doi.org/10.3171/jns.1993.78.4.0531
  7. Fierstien SB, Pribram HW, Hieshima G. Angiography and computed tomography in the evaluation of cerebral venous malformations. Neuroradiology 1979;17:137-148
  8. Awad IA, Robinson JR Jr, Mohanty S, Estes ML. Mixed vascular malformations of the brain: clinical and pathogenetic considerations. Neurosurgery 1993;33:179-188; discussion 188 https://doi.org/10.1227/00006123-199308000-00001
  9. Meyer B, Stangl AP, Schramm J. Association of venous and true arteriovenous malformation: a rare entity among mixed vascular malformations of the brain. Case report. J Neurosurg 1995;83:141-144 https://doi.org/10.3171/jns.1995.83.1.0141
  10. Hirata Y, Matsukado Y, Nagahiro S, Kuratsu J. Intracerebral venous angioma with arterial blood supply: a mixed angioma. Surg Neurol 1986;25:227-232 https://doi.org/10.1016/0090-3019(86)90232-6
  11. Fok KF, Holmin S, Alvarez H, Ozanne A, Krings T, Lasjaunias PL. Spontaneous intracerebral hemorrhage caused by an unusual association of developmental venous anomaly and arteriovenous malformation. Interv Neuroradiol 2006;12:113-121 https://doi.org/10.1177/159101990601200205
  12. Oran I, Kiroglu Y, Yurt A, Ozer FD, Acar F, Dalbasti T, et al. Developmental venous anomaly (DVA) with arterial component: a rare cause of intracranial haemorrhage. Neuroradiology 2009;51:25-32
  13. Im SH, Han MH, Kwon BJ, Ahn JY, Jung C, Park SH, et al. Venous-predominant parenchymal arteriovenous malformation: a rare subtype with a venous drainage pattern mimicking developmental venous anomaly. J Neurosurg 2008;108:1142-1147 https://doi.org/10.3171/JNS/2008/108/6/1142
  14. Komiyama M, Yamanaka K, Iwai Y, Yasui T. Venous angiomas with arteriovenous shunts: report of three cases and review of the literature. Neurosurgery 1999;44:1328-1334; discussion 1334-1325
  15. Kurita H, Sasaki T, Tago M, Kaneko Y, Kirino T. Successful radiosurgical treatment of arteriovenous malformation accompanied by venous malformation. AJNR Am J Neuroradiol 1999;20:482-485

Cited by

  1. Multimodal Imaging Follow-up of a Thrombosed Developmental Venous Anomaly: CT, CT Angiography and Digital Subtraction Angiography vol.8, pp.2, 2012, https://doi.org/10.5469/neuroint.2013.8.2.120
  2. Association of Developmental Venous Anomalies with Perfusion Abnormalities on Arterial Spin Labeling and Bolus Perfusion‐Weighted Imaging vol.25, pp.2, 2012, https://doi.org/10.1111/jon.12119
  3. Developmental venous anomaly presenting as a spontaneous intraparenchymal hematoma without thrombosis vol.29, pp.6, 2012, https://doi.org/10.1177/1971400916665387
  4. 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-ve vol.29, pp.6, 2012, https://doi.org/10.1177/1971400916666558
  5. Long-term treatment outcome of venous-predominant arteriovenous malformation vol.124, pp.4, 2012, https://doi.org/10.3171/2015.4.jns142475
  6. De novo formation of a large cavernoma associated with a congenital torcular dural arteriovenous fistula: case report vol.19, pp.5, 2017, https://doi.org/10.3171/2016.12.peds16600
  7. De novo formation of a large cavernoma associated with a congenital torcular dural arteriovenous fistula: case report vol.19, pp.5, 2017, https://doi.org/10.3171/2016.12.peds16600
  8. Cavernous Malformation Associated With Arterialized Developmental Venous Anomaly: A Case Report vol.80, pp.6, 2012, https://doi.org/10.1093/neuros/nyx065
  9. Clinical and Arterial Spin Labeling Brain MRI Features of Transitional Venous Anomalies vol.28, pp.3, 2018, https://doi.org/10.1111/jon.12487
  10. Relationship between Abnormal Hyperintensity on T2-Weighted Images Around Developmental Venous Anomalies and Magnetic Susceptibility of Their Collecting Veins: In-Vivo Quantitative Susceptibility Ma vol.20, pp.4, 2012, https://doi.org/10.3348/kjr.2018.0685
  11. Developmental Venous Anomaly Presenting Intracranial Hemorrhage without Associated Vascular Anomaly vol.27, pp.1, 2012, https://doi.org/10.15746/sms.21.008