Management of Symptomatic Hemorrhage From a Developmental Venous Anomaly

Matthew C Findlay; Robert B Kim; Angelica R Putnam; William T Couldwell

doi:10.7759/cureus.58130

Management of Symptomatic Hemorrhage From a Developmental Venous Anomaly

Cureus. 2024 Apr 12;16(4):e58130. doi: 10.7759/cureus.58130. eCollection 2024 Apr.

Authors

Matthew C Findlay¹, Robert B Kim¹, Angelica R Putnam², William T Couldwell³

Affiliations

¹ Department of Neurosurgery, University of Utah, Salt Lake City, USA.
² Department of Pathology, University of Utah, Salt Lake City, USA.
³ Department of Neurosurgery, University of Utah, Huntsman Cancer Institute, Salt Lake City, USA.

Abstract

Developmental venous anomalies (DVAs) are clinically benign, low-flow vascular malformations that classically hemorrhage only when associated with a cerebral cavernous malformation. It is very rare for an isolated DVA to hemorrhage. Resection of the DVA is generally contraindicated because of the high risk of venous infarct. We present the case of a large symptomatic hemorrhage stemming from an isolated DVA. The hematoma was evacuated and the hemorrhagic portion of the DVA was resected. This case demonstrates that in rare circumstances, careful resection can successfully treat hemorrhagic DVAs.

Keywords: case report; developmental venous anomaly; hemorrhage; symptomatic; vascular malformation.

Publication types

Case Reports