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CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(03): 901-903
DOI: 10.4103/ajns.AJNS_128_18
Case Report

A rare case of supratentorial cavernous angioma associated with arterialized developmental venous anomaly

Matteo Martinoni
Division of Neurosurgery, IRCCS Institute of Neurological Science of Bologna, Bellaria Hospital, Bologna
,
Eugenio Pozzati
Division of Neurosurgery, IRCCS Institute of Neurological Science of Bologna, Bellaria Hospital, Bologna
,
Nicola Acciarri
Division of Neurosurgery, IRCCS Institute of Neurological Science of Bologna, Bellaria Hospital, Bologna
,
Antonella Bacci
1   Division of Neuroradiology, IRCCS Institute of Neurological Science of Bologna, Bellaria Hospital, Bologna
,
Andrea Cuoci
Division of Neurosurgery, IRCCS Institute of Neurological Science of Bologna, Bellaria Hospital, Bologna
,
Carmelo Sturiale
Division of Neurosurgery, IRCCS Institute of Neurological Science of Bologna, Bellaria Hospital, Bologna
,
Carlo Bortolotti
Division of Neurosurgery, IRCCS Institute of Neurological Science of Bologna, Bellaria Hospital, Bologna
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The association of cavernous malformations and developmental venous anomalies (DVA) is well known, but the presence of arterial fistulous connection with the main venous collector has been reported in the literature only once. We report the unusual case of a hemorrhagic cavernous angioma associated with DVA characterized by a fine arterial supply to the main venous collector. During surgery, after the excision of the cavernous angioma, few small arterial feeders were found entering the main channel of the venous developmental anomaly. The presence of an arterial fistulous connection with the main venous collector of a DVA may be a possible mechanism involved in a higher bleeding potential of cavernous angioma.

Key-words:

Cavernous malformation - cerebral hemorrhage - developmental venous anomalies - developmental venous anomaly - venous angioma

Financial support and sponsorship

Nil.




Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Nakase K, Motoyama Y, Nakai T, Takeshima Y, Nakagawa I, Park YS, et al. Cavernous malformation associated with arterialized developmental venous anomaly: A case report. Neurosurgery 2017;80:E257-62.
  • 2 Abdulrauf SI, Kaynar MY, Awad IA. A comparison of the clinical profile of cavernous malformations with and without associated venous malformations. Neurosurgery 1999;44:41-6.
  • 3 Fushimi Y, Miki Y, Togashi K, Kikuta K, Hashimoto N, Fukuyama H, et al. A developmental venous anomaly presenting atypical findings on susceptibility-weighted imaging. AJNR Am J Neuroradiol 2008;29:E56.
  • 4 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;108:1142-7.
  • 5 Lekovic GP, Gonzalez LF, Khurana VG, Spetzler RF. Intraoperative rupture of brainstem cavernous malformation. Case report. Neurosurg Focus 2006;21:e14.
  • 6 Mamourian A, Wallace R. When is an atypical DVA an AVM? AJNR Am J Neuroradiol 2009;30:E24.
  • 7 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.
  • 8 Aboian MS, Daniels DJ, Rammos SK, Pozzati E, Lanzino G. The putative role of the venous system in the genesis of vascular malformations. Neurosurg Focus 2009;27:E9.
  • 9 Lawton MT, Jacobowitz R, Spetzler RF. Redefined role of angiogenesis in the pathogenesis of dural arteriovenous malformations. J Neurosurg 1997;87:267-74.
  • 10 Wurm G, Schnizer M, Fellner FA. Cerebral cavernous malformations associated with venous anomalies: Surgical considerations. Neurosurgery 2005;57:42-58.
  • 11 Pozzati E, Acciarri N, Tognetti F, Marliani F, Giangaspero F. Growth, subsequent bleeding, and de novo appearance of cerebral cavernous angiomas. Neurosurgery 1996;38:662-9.