Angiographic detection of cerebral cavernous malformations with C-arm cone beam CT imaging in three patients

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Abstract

Cerebral cavernous malformations (CMs) are typically not seen during conventional digital subtraction angiography (DSA) and are therefore classically referred to as angiographically occult malformations. We present three cases in which DSA with selective intra-arterial contrast injection in the common carotid artery and C-arm cone beam CT imaging was able to demonstrate a CM. In addition, an associated developmental venous anomaly (DVA) was present in all three cases, although detected by MRI in only one of them. In light of this finding, we suspect that the incidence of DVA associated with CM is probably higher than previously reported.

Original languageEnglish (US)
JournalJournal of NeuroInterventional Surgery
Volume6
Issue number2
DOIs
StatePublished - Mar 2014

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Central Nervous System Cavernous Hemangioma
Digital Subtraction Angiography
Cone-Beam Computed Tomography
Intra-Arterial Injections
Common Carotid Artery
Incidence

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

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title = "Angiographic detection of cerebral cavernous malformations with C-arm cone beam CT imaging in three patients",
abstract = "Cerebral cavernous malformations (CMs) are typically not seen during conventional digital subtraction angiography (DSA) and are therefore classically referred to as angiographically occult malformations. We present three cases in which DSA with selective intra-arterial contrast injection in the common carotid artery and C-arm cone beam CT imaging was able to demonstrate a CM. In addition, an associated developmental venous anomaly (DVA) was present in all three cases, although detected by MRI in only one of them. In light of this finding, we suspect that the incidence of DVA associated with CM is probably higher than previously reported.",
author = "Radvany, {Martin G.} and Daniele Rigamonti and Philippe Gailloud",
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language = "English (US)",
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AU - Rigamonti, Daniele

AU - Gailloud, Philippe

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N2 - Cerebral cavernous malformations (CMs) are typically not seen during conventional digital subtraction angiography (DSA) and are therefore classically referred to as angiographically occult malformations. We present three cases in which DSA with selective intra-arterial contrast injection in the common carotid artery and C-arm cone beam CT imaging was able to demonstrate a CM. In addition, an associated developmental venous anomaly (DVA) was present in all three cases, although detected by MRI in only one of them. In light of this finding, we suspect that the incidence of DVA associated with CM is probably higher than previously reported.

AB - Cerebral cavernous malformations (CMs) are typically not seen during conventional digital subtraction angiography (DSA) and are therefore classically referred to as angiographically occult malformations. We present three cases in which DSA with selective intra-arterial contrast injection in the common carotid artery and C-arm cone beam CT imaging was able to demonstrate a CM. In addition, an associated developmental venous anomaly (DVA) was present in all three cases, although detected by MRI in only one of them. In light of this finding, we suspect that the incidence of DVA associated with CM is probably higher than previously reported.

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