A rare combination of a developmental venous anomaly with a varix. Case report.
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.
Sirin
Sait
S
Department of Neurosurgery, Gulhane Military Medical Academy, Ankara, Turkey. drssirin@yahoo.com
Kahraman
Serdar
S
Gocmen
Selcuk
S
Erdogan
Ersin
E
D000293:Adolescent; D002426:Cavernous Sinus / Q000473:pathology; D002533:Cerebral Angiography; D002550:Cerebral Veins / Q000002:abnormalities*; D003287:Contrast Media; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D013702:Temporal Lobe / Q000098:blood supply*; D014057:Tomography, X-Ray Computed; D014648:Varicose Veins / Q000175:diagnosis*
D003287:Contrast Media