Cerebral venous malformations

Daniele Rigamonti, R. F. Spetzler, M. Medina, K. Rigamonti, D. S. Geckle, C. Pappas

Research output: Contribution to journalArticle

Abstract

Although cerebral venous malformations have been reported to cause epilepsy, progressive neurological deficits, and hemorrhage, their clinical significance remains controversial. In an attempt to clarify the natural history of the lesion and suggest an appropriate management strategy, the authors review their experience with 30 patients. In four patients with cerebellar venous angioma, an acute episode of ataxia was documented. The coexistence of a cavernous malformation was pathologically confirmed in the two patients who underwent surgery for bleeding presumed caused by the venous angioma. Infarction was shown in two patients and a tumor in two others. Follow-up periods ranged between 18 and 104 months, with only five patients symptomatic at the time of this report. Rebleeding had not occurred, nor had acute episodes of neurological dysfunction been documented. This clinical experience suggests that a venous malformation is frequently associated with other, more symptomatic conditions and is often erroneously identified as the source of the symptoms. Because the nature of the relationship between the venous malformation and the allied conditions remains ambiguous, it is recommended that patients harboring a 'symptomatic' venous malformation undergo high-field magnetic resonance imaging to rule out underlying pathology, and that any such pathology be treated independently of the venous malformation.

Original languageEnglish (US)
Pages (from-to)560-564
Number of pages5
JournalJournal of Neurosurgery
Volume73
Issue number4
StatePublished - 1990
Externally publishedYes

Fingerprint

Hemangioma
Pathology
Hemorrhage
Ataxia
Natural History
Infarction
Epilepsy
Magnetic Resonance Imaging
Neoplasms

Keywords

  • angioma
  • cavernous angioma
  • hemorrhage
  • natural history
  • venous malformation

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Rigamonti, D., Spetzler, R. F., Medina, M., Rigamonti, K., Geckle, D. S., & Pappas, C. (1990). Cerebral venous malformations. Journal of Neurosurgery, 73(4), 560-564.

Cerebral venous malformations. / Rigamonti, Daniele; Spetzler, R. F.; Medina, M.; Rigamonti, K.; Geckle, D. S.; Pappas, C.

In: Journal of Neurosurgery, Vol. 73, No. 4, 1990, p. 560-564.

Research output: Contribution to journalArticle

Rigamonti, D, Spetzler, RF, Medina, M, Rigamonti, K, Geckle, DS & Pappas, C 1990, 'Cerebral venous malformations', Journal of Neurosurgery, vol. 73, no. 4, pp. 560-564.
Rigamonti D, Spetzler RF, Medina M, Rigamonti K, Geckle DS, Pappas C. Cerebral venous malformations. Journal of Neurosurgery. 1990;73(4):560-564.
Rigamonti, Daniele ; Spetzler, R. F. ; Medina, M. ; Rigamonti, K. ; Geckle, D. S. ; Pappas, C. / Cerebral venous malformations. In: Journal of Neurosurgery. 1990 ; Vol. 73, No. 4. pp. 560-564.
@article{27a8cda461d64ed9a6efadd10018c6a0,
title = "Cerebral venous malformations",
abstract = "Although cerebral venous malformations have been reported to cause epilepsy, progressive neurological deficits, and hemorrhage, their clinical significance remains controversial. In an attempt to clarify the natural history of the lesion and suggest an appropriate management strategy, the authors review their experience with 30 patients. In four patients with cerebellar venous angioma, an acute episode of ataxia was documented. The coexistence of a cavernous malformation was pathologically confirmed in the two patients who underwent surgery for bleeding presumed caused by the venous angioma. Infarction was shown in two patients and a tumor in two others. Follow-up periods ranged between 18 and 104 months, with only five patients symptomatic at the time of this report. Rebleeding had not occurred, nor had acute episodes of neurological dysfunction been documented. This clinical experience suggests that a venous malformation is frequently associated with other, more symptomatic conditions and is often erroneously identified as the source of the symptoms. Because the nature of the relationship between the venous malformation and the allied conditions remains ambiguous, it is recommended that patients harboring a 'symptomatic' venous malformation undergo high-field magnetic resonance imaging to rule out underlying pathology, and that any such pathology be treated independently of the venous malformation.",
keywords = "angioma, cavernous angioma, hemorrhage, natural history, venous malformation",
author = "Daniele Rigamonti and Spetzler, {R. F.} and M. Medina and K. Rigamonti and Geckle, {D. S.} and C. Pappas",
year = "1990",
language = "English (US)",
volume = "73",
pages = "560--564",
journal = "Journal of Neurosurgery",
issn = "0022-3085",
publisher = "American Association of Neurological Surgeons",
number = "4",

}

TY - JOUR

T1 - Cerebral venous malformations

AU - Rigamonti, Daniele

AU - Spetzler, R. F.

AU - Medina, M.

AU - Rigamonti, K.

AU - Geckle, D. S.

AU - Pappas, C.

PY - 1990

Y1 - 1990

N2 - Although cerebral venous malformations have been reported to cause epilepsy, progressive neurological deficits, and hemorrhage, their clinical significance remains controversial. In an attempt to clarify the natural history of the lesion and suggest an appropriate management strategy, the authors review their experience with 30 patients. In four patients with cerebellar venous angioma, an acute episode of ataxia was documented. The coexistence of a cavernous malformation was pathologically confirmed in the two patients who underwent surgery for bleeding presumed caused by the venous angioma. Infarction was shown in two patients and a tumor in two others. Follow-up periods ranged between 18 and 104 months, with only five patients symptomatic at the time of this report. Rebleeding had not occurred, nor had acute episodes of neurological dysfunction been documented. This clinical experience suggests that a venous malformation is frequently associated with other, more symptomatic conditions and is often erroneously identified as the source of the symptoms. Because the nature of the relationship between the venous malformation and the allied conditions remains ambiguous, it is recommended that patients harboring a 'symptomatic' venous malformation undergo high-field magnetic resonance imaging to rule out underlying pathology, and that any such pathology be treated independently of the venous malformation.

AB - Although cerebral venous malformations have been reported to cause epilepsy, progressive neurological deficits, and hemorrhage, their clinical significance remains controversial. In an attempt to clarify the natural history of the lesion and suggest an appropriate management strategy, the authors review their experience with 30 patients. In four patients with cerebellar venous angioma, an acute episode of ataxia was documented. The coexistence of a cavernous malformation was pathologically confirmed in the two patients who underwent surgery for bleeding presumed caused by the venous angioma. Infarction was shown in two patients and a tumor in two others. Follow-up periods ranged between 18 and 104 months, with only five patients symptomatic at the time of this report. Rebleeding had not occurred, nor had acute episodes of neurological dysfunction been documented. This clinical experience suggests that a venous malformation is frequently associated with other, more symptomatic conditions and is often erroneously identified as the source of the symptoms. Because the nature of the relationship between the venous malformation and the allied conditions remains ambiguous, it is recommended that patients harboring a 'symptomatic' venous malformation undergo high-field magnetic resonance imaging to rule out underlying pathology, and that any such pathology be treated independently of the venous malformation.

KW - angioma

KW - cavernous angioma

KW - hemorrhage

KW - natural history

KW - venous malformation

UR - http://www.scopus.com/inward/record.url?scp=0025102068&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025102068&partnerID=8YFLogxK

M3 - Article

C2 - 2398388

AN - SCOPUS:0025102068

VL - 73

SP - 560

EP - 564

JO - Journal of Neurosurgery

JF - Journal of Neurosurgery

SN - 0022-3085

IS - 4

ER -