Abstract
This study reviews the neuroradiological findings of 43 patients with a developmental venous anomaly In in order to the clinical significance of this entity. All patients underwent unenhanced and contrast-enhanced computer tomography and magnetic resonance tomography, as well as selective angiography, and were followed for at least 2 years In 40% (17 of 43) of patients a cryptic vascular malformation found In the proximity to the developmentmental venous anomaly. Neurolo gical symptoms were present in 8 of 17 patients (47%) in this group. Patients with an isolated developmental venous anomaly had symptoms in 19% (5 of 26), but none of them had experienced a hemorrhage. Magnetic resonance was the most sensitive method for the diagnose of both types of lesions and alterations of the adjacent parenchyma. These results further support that developmental venous anomalies represent a clinically benign entity. However, patient, with an sociation of a developmental venous anomaly and a cryptic vascular malformation are at risk for hemorage from their angiographically occult vascular malformation. Magnetic resonance proved to be the imaging modality of choice for both entities and is appropriate for diagnosis and follow-up.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Wolf PA, Rosman NP, New PFJ (1967) Multiple small cryptic venous angiomas of the brain mimicking cerebral metastases. A clinical, pathological, and angiography study. Neurology 17: 491–501
Sartor K, Fliedner E, Weber K (1978) Venöse Angiome des Gehirns. Fortschr Röntgenstr 128: 171–176
Fierstein SB, Pribram HW, Hieshima G (1979) Angiography and computed tomography in the evaluation of cerebral venous malformations. Neuroradiology 17: 137–148
Cabanes J, Blasco R, Garcia M, Tamarit L (1979) Cerebral venous angiomas. Surg Neurol 11: 385–389
Senegor M, Dohrmann GJ, Wollmann RL (1983) Venous angiomas of the posterior fossa should be considered as anomalous venous drainage. Surg Neurol 19: 26–32
Toro VE, Geyer CA, Sherman JL, Parisi JE, Brantley MJ (1988) Cerebral venous angiomas: MR findings. J Comput Assist Tomogr 12: 935–940
Russell DS, Rubinstein LJ (1989) Pathology of tumors of the nervous system, 5th edn. Arnold, London Melburne Auckland
Valavanis A, Wellauer J, Yasargil MG (1983) The radiological diagnosis of cerebral venous angioma: cerebral angiography and computed tomography. Neuroradiology 24: 193–199
Goulao A, Alvarez H, Garcia Monaco R, Pruvost P, Lasjaunias P (1990) Venous anomalies and abnormalities of the posterior fossa. Neuroradiology 31: 476–482
Lasjaunias P, Burrows P, Planet C (1986) Developmental venous anomalies (DVA): the so-called venous angioma. Neurosurg Rev 9: 233–244
Rigamonti D, Spetzler RF, Drayer BP, Bojanowski WM, Hodak J, Rigamonti KH, Plenge K, Powers M, Rekate H (1988) Appearance of venous malformations on magnetic resonance imaging. J Neurosurg 69: 535–539
Dross P, Raji MR, Dastur KJ (1987) Cerebral varix associated with venous angioma. AJNR 8: 373–374
Solomon EH, Bonstelle CT, Medic MT, Kaufman B (1980) Angiographic and computed tomography correlation in cerebral venous angiomas. J Comput Assist Tomogr 4: 217–221
Cammarata C, Han JS, Haaga JR, Alfidi RJ, Kaufman B (1985) Cerebral venous angiomas imaged by MR. Radiology 155: 639–643
Augustyn GT, Scott JA, Olson E, Gilmor RL, Edwards MK (1985) Cerebral venous angiomas: MR imaging. Radiology 156: 391–395
Marchal G, Bosmans H, Vanfraenhoven L et al. (1990) Intracranial vascular lesions: optimization and clinical evaluation of three-dimensional time-of-flight MR angiography. Radiology 175: 443–448
Thron A, Peterson D, Voigt K (1982) Neuroradiologie, Klinik und Pathologie der venoesen Angiome. Radiologe 22: 389–399
Saito Y, Kobayashi N (1981) Cerebral venous angiomas. Clinical evaluation and possible etiology. Radiology 139: 87–94
Robinson JR, Awad IA, Little JR (1991) Natural history of the cavernous angioma. J Neurosurg 75: 709–714
Voigt K, Yasargil MG (1976) Cerebral cavernous haemangiomas or cavernomas. Incidence, pathology, localization, diagnosis, clinical features and treatment. Review of the literature and report of an unusual case. Neurochirurgia 19: 59–68
Del Curling O, Kelly DL, Elster AD, Craven TE (1991) An analysis of the natural history of cavernous angiomas. J Neurosurg 75: 702–708
Rigamonti D, Drayer BP, Johnson PC, Hadley MN, Zabramski J, Spetzler RF (1987) The MRI appearance of cavernous malformations (angiomas). J Neurosurg 67: 518–524
Malik GM, Morgan JK, Boulos RS, Ausman JI (1988) Venous angiomas: an underestimated cause of intracranial hemorrhage. Surg Neurol 30: 350–358
McCormick WF, Hardman JM, Boulter TR (1968) Vascular malformations (angiomas) of the brain, with special reference to those occurring in the posterior fossa. J Neurosurg 28: 241–251
Scooti LN, Goldman RL, Rao GR, Heinz ER (1975) Cerebral venous angioma. Neuroradiology 9: 125–128
Pak H, Patel SC, Malik GM, Ausman JI (1981) Successful evacuation of a pontine hematoma secondary to a rupture of a venous angioma. Surg Neurol 15: 164–167
Rothfus WE, Albright AL, Casey KF, Latchaw RE, Roppolo HM (1984) Cerebellar venous angioma: “benign entity”? AJNR 5: 61–66
Ibayashi S, Sadoshima S, Ogata K, Hasuo K, Fujishima M (1986) Cerebral venous angioma of the pons: report of a case with pontine hemorrhage. J Comput Assist Tomogr 10: 377–380
Rigamonti D, Spetzler RF (1988) The association of venous and cavernous malformations. Report of four cases and discussion of the pathophyisological, diagnostic, and therapeutic implications. Acta Neurochir 92: 100–105
Burke L, Berenberg RA, Kim KS (1984) Choreoballismus: a nonhemorrhagic complication of venous angiomas. Surg Neurol 21: 245–248
Garner TB, Del Curling O, Kelly DL, Laster DW (1991) The natural history of intracranial venous angiomas. J Neurosurg 75: 715–722
Wilms G, Demaerel P, Marchal G, Baert AL, Plets C (1991) Gadolinium-enhanced MR imaging of cerebral venous angiomas with emphasis on their drainage. J Comput Assist Tomogr 15: 199–206
Numaguchi Y, Kitamura K, Fukui M et al. (1982) Intracranial venous angiomas. Surg Neurol 18: 193–202
Rapacki TFX, Brantley MJ, Furlow TW, Geyer CA, Toro VE, George ED (1990) Heterogeneity of cerebral cavernous hemangiomas diagnosed by MR imaging. J Comput Assist Tomogr 14: 18–25
Biller J, Toffol GJ, Shea JF, Fine M, Azar-Kia B (1985) Cerebellar venous angiomas. A continuing controversy. Arch Neurol 42: 367–370
Rigamonti D, Spetzler RF, Medina M, Rigamonti K, Geckle DS, Pappas C (1990) Cerebral venous malformations. J Neurosurg 73: 560–564
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Huber, G., Henkes, H., Hermes, M. et al. Regional association of developmental venous anomalies with angiographically occult vascular malformations. Eur. Radiol. 6, 30–37 (1996). https://doi.org/10.1007/BF00619949
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00619949