Cerebellar developmental venous anomaly with associated cavernoma causing a hemorrhage - a rare occurrence

Omar Marzouk; Sherief Marzouk; Sidath H Liyanage; Iris Q Grunwald

doi:10.1016/j.radcr.2021.03.010

Cerebellar developmental venous anomaly with associated cavernoma causing a hemorrhage - a rare occurrence

Radiol Case Rep. 2021 Apr 13;16(6):1463-1468. doi: 10.1016/j.radcr.2021.03.010. eCollection 2021 Jun.

Authors

Omar Marzouk¹, Sherief Marzouk², Sidath H Liyanage², Iris Q Grunwald²

Affiliations

¹ Department of General Surgical, The Queen Elizabeth The Queen Mother Hospital, Ramsgate Rd, Margate CT9, Kent.
² Department of Radiology, Southend University Hospital NHS Foundation Trust, Southend-on-Sea, UK.

Abstract

Developmental venous anomalies (DVAs) are variations in the transmedullary veins required for drainage of the brain. Normally, when occurring in isolation, DVAs are not clinically significant and are therefore usually a benign diagnosis. Thus, they are most often an incidental finding unless associated with an adjacent pathology. However, intracranial haemorrhage induced by a DVA alone can rarely occur and has been scarcely reported. In this case report we discuss a 58-year-old woman who presented with signs and symptoms of a cerebellar syndrome. Following a non-contrast CT, a CT angiogram and MRI contrast scan of the brain, she was found to have a cerebellar DVA and an intracranial haemorrhage. Subsequent imaging 3 months later with CT and MRI redemonstrated additional evidence of a cavernoma. The patient was managed conservatively.

Keywords: Arteriovenous malformation; Cavernoma; Cerebellar developmental venous anomaly; Infratentorial developmental venous anomaly; Intracranial haemorrhage; Venous angioma.

Publication types

Case Reports