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Published in: Clinical Neuroradiology 2/2014

01-06-2014 | Original Article

Magnetic Resonance Imaging Findings of Developmental Venous Anomalies

Authors: Assist. Prof. E. Gökçe, Assist. Prof. B. Acu, M. Beyhan, MD, Assist. Prof. F. Çelikyay, Assist. Prof. R. Çelikyay

Published in: Clinical Neuroradiology | Issue 2/2014

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Abstract

Purpose

This study evaluated morphological features of developmental venous anomalies (DVAs) based on magnetic resonance imaging (MRI) findings. The study also evaluated the factors affecting the visibility of DVAs on MRI.

Methods

We reviewed contrast-enhanced MRIs of 75 patients with DVA. The images were selected from 1,165 consecutive cranial MRIs. The images were examined for the DVA location, the number of collecting veins, the collecting vein diameter, drainage veins and sinuses, any accompanying parenchymal abnormalities or lesions, and the DVA visibility on MRI.

Results

DVAs prevalence was determined as 6.4 %. A total of 88 DVAs were observed. Single DVAs were observed in 65 patients, two were observed in 7 patients and three were observed in 3 patients. The DVA caputs had deep localization most frequently in 54.5 % of patients. A total of 98 collecting veins were identified, with a single vein identified in 80 DVAs. A statistically significant difference (p = 0.000) was found in the diameter of the collecting veins between DVAs that were the visible and nonvisible on noncontrast MRI.

Conclusions

Most frequently, a single DVA was observed in the patients. A DVA caput could be located in the deep, subcortical, juxtacortical or deep + subcortical and juxtacortical + subcortical regions. Increasing collecting vein diameter increased visibility on noncontrast MRI, and small DVAs could be overlooked, even with contrast-enhanced MRI series if the images were not examined carefully.
Literature
1.
go back to reference Ruiz DS, Yιlmaz H, Gailloud P. Cerebral developmental venous anomalies: current concepts. Ann Neurol. 2009;66:271–83.PubMedCrossRef Ruiz DS, Yιlmaz H, Gailloud P. Cerebral developmental venous anomalies: current concepts. Ann Neurol. 2009;66:271–83.PubMedCrossRef
2.
go back to reference Ruiz DS, Gailloud P. Cerebral developmental venous anomalies. Child Nerv Syst. 2010;26:1395–406.CrossRef Ruiz DS, Gailloud P. Cerebral developmental venous anomalies. Child Nerv Syst. 2010;26:1395–406.CrossRef
3.
go back to reference Sarwar M, McCormick WF. Intracerebral venous anjioma. Case report and review. Arch Neurol. 1978;35:323–5.PubMedCrossRef Sarwar M, McCormick WF. Intracerebral venous anjioma. Case report and review. Arch Neurol. 1978;35:323–5.PubMedCrossRef
4.
go back to reference Lasjaunias P, Burrows P, Planet C. Developmental venous anomalies (DVA): the so-called venous anjioma. Neurosurg Rev. 1986;9:233–42.PubMedCrossRef Lasjaunias P, Burrows P, Planet C. Developmental venous anomalies (DVA): the so-called venous anjioma. Neurosurg Rev. 1986;9:233–42.PubMedCrossRef
6.
go back to reference Saito Y, Kobayashi N. Cerebral venous angiomas: clinical evaluation and possible etiology. Radiology. 1981;139:87–94.PubMed Saito Y, Kobayashi N. Cerebral venous angiomas: clinical evaluation and possible etiology. Radiology. 1981;139:87–94.PubMed
7.
go back to reference Lee C, Pennington MA, Kenney CM 3rd. MR evaluation of developmental venous anomalies: medullary venous anatomy of venous angiomas. AJNR Am J Neuroradiol. 1996;17:61–70.PubMed Lee C, Pennington MA, Kenney CM 3rd. MR evaluation of developmental venous anomalies: medullary venous anatomy of venous angiomas. AJNR Am J Neuroradiol. 1996;17:61–70.PubMed
8.
go back to reference Huang YP, Patel SC, Robbins A, Chaudhary M. Cerebral venous malformation and a new classification of cerebral vascular malformations. In: Kapp JP, Schmidek HH, editors. The cerebral venous system and its disorders. Orlando:Grune & Stratton; 1984. pp 373–474. Huang YP, Patel SC, Robbins A, Chaudhary M. Cerebral venous malformation and a new classification of cerebral vascular malformations. In: Kapp JP, Schmidek HH, editors. The cerebral venous system and its disorders. Orlando:Grune & Stratton; 1984. pp 373–474.
9.
go back to reference Garner TB, Curling OD, Kelly DL, Laster DW. The natural history of intracranial venous angiomas. J Neurosurg. 1991;75:715–22.PubMedCrossRef Garner TB, Curling OD, Kelly DL, Laster DW. The natural history of intracranial venous angiomas. J Neurosurg. 1991;75:715–22.PubMedCrossRef
10.
go back to reference Wilms G, Demaerel P, Marchal G, Baert AL, Plets C. Gadolinium enhanced MR imaging of cerebral venous angiomas with emphasis on their drainage. J Comput Assist Tomogr. 1991;15:199–206.PubMedCrossRef Wilms G, Demaerel P, Marchal G, Baert AL, Plets C. Gadolinium enhanced MR imaging of cerebral venous angiomas with emphasis on their drainage. J Comput Assist Tomogr. 1991;15:199–206.PubMedCrossRef
11.
go back to reference Valavanis A, Wellauer J, Yasargil MG. The radiological diagnosis of cerebral venous angioma: cerebral angiography and computed tomography. Neuroradiology. 1983;24:193–99.PubMedCrossRef Valavanis A, Wellauer J, Yasargil MG. The radiological diagnosis of cerebral venous angioma: cerebral angiography and computed tomography. Neuroradiology. 1983;24:193–99.PubMedCrossRef
12.
go back to reference Ostertun B, Solymosi L. Magnetic resonance angiography of cerebral developmental venous anomalies: its role in differential diagnosis. Neuroradiology. 1993;35:97–104.PubMedCrossRef Ostertun B, Solymosi L. Magnetic resonance angiography of cerebral developmental venous anomalies: its role in differential diagnosis. Neuroradiology. 1993;35:97–104.PubMedCrossRef
13.
go back to reference Ruiz DS, Delavelle J, Yιlmaz H, Gailloud P, Piovan E, Bertramello A, et al. Parenchymal abnormalities associated with developmental venous anomalies. Neuroradiology. 2007;49:987–95.CrossRef Ruiz DS, Delavelle J, Yιlmaz H, Gailloud P, Piovan E, Bertramello A, et al. Parenchymal abnormalities associated with developmental venous anomalies. Neuroradiology. 2007;49:987–95.CrossRef
14.
go back to reference Uchino A, Hasuo K, Matsumoto S, Masuda K. Double cerebral venous angiomas: MRI. Neuroradiology. 1995;37:25–8.PubMedCrossRef Uchino A, Hasuo K, Matsumoto S, Masuda K. Double cerebral venous angiomas: MRI. Neuroradiology. 1995;37:25–8.PubMedCrossRef
15.
go back to reference Huber G, Henkes H, Hermes M, Felber S, Terstegge K, Piepgras U. Regional association of developmental venous anomalies with angiographically occult vascular malformations. Eur Radiol. 1995;6:30–7.CrossRef Huber G, Henkes H, Hermes M, Felber S, Terstegge K, Piepgras U. Regional association of developmental venous anomalies with angiographically occult vascular malformations. Eur Radiol. 1995;6:30–7.CrossRef
16.
go back to reference Santucci GM, Leach JL, Ying J, Leach SD, Tomsick TA. Brain parenchymal signal abnormalities associated with developmental venous anomalies: detailed MR imaging assessment. AJNR Am J Neuroradiol. 2008;29:1317–23.PubMedCrossRef Santucci GM, Leach JL, Ying J, Leach SD, Tomsick TA. Brain parenchymal signal abnormalities associated with developmental venous anomalies: detailed MR imaging assessment. AJNR Am J Neuroradiol. 2008;29:1317–23.PubMedCrossRef
17.
go back to reference Abe T, Singer RJ, Marks MP, Norbash AM, Crowley RS, Steinberg GK. Coexistence of occult vascular malformations and developmental venous anomalies in the central nervous system: MR evaluation. AJNR Am J Neuroradiol. 1998;19:51–7.PubMed Abe T, Singer RJ, Marks MP, Norbash AM, Crowley RS, Steinberg GK. Coexistence of occult vascular malformations and developmental venous anomalies in the central nervous system: MR evaluation. AJNR Am J Neuroradiol. 1998;19:51–7.PubMed
18.
go back to reference Tsui YK, Tsai FY, Hasso AN, Greensite F, Nguyen BV. Susceptibility-weighted imaging for differential diagnosis of cerebral vascular pathology: a pictorial review. J Neurol Sci. 2009;287:7–16.PubMedCrossRef Tsui YK, Tsai FY, Hasso AN, Greensite F, Nguyen BV. Susceptibility-weighted imaging for differential diagnosis of cerebral vascular pathology: a pictorial review. J Neurol Sci. 2009;287:7–16.PubMedCrossRef
19.
go back to reference de Souza JM, Domingues RC, Cruz LC Jr., Domingues FS, Iasbeck T, Gasparetto EL. Susceptibility-weighted imaging for the evaluation of patients with familial cerebral cavernous malformations: a comparison with T2-weighted fast spin-echo and gradient-echo sequences. AJNR Am J Neuroradiol. 2008;29:154–8.PubMedCrossRef de Souza JM, Domingues RC, Cruz LC Jr., Domingues FS, Iasbeck T, Gasparetto EL. Susceptibility-weighted imaging for the evaluation of patients with familial cerebral cavernous malformations: a comparison with T2-weighted fast spin-echo and gradient-echo sequences. AJNR Am J Neuroradiol. 2008;29:154–8.PubMedCrossRef
20.
go back to reference Dammann P, Barth M, Zhu Y, Maderwald S, Schlamann M, Ladd ME, et al. Susceptibility-weighted magnetic resonance imaging of cerebral cavernous malformations: prospects, drawbacks, and first experience at ultra-high field strength (7-Tesla) magnetic resonance imaging. Neurosurg Focus. 2010;29(3):E5.PubMedCrossRef Dammann P, Barth M, Zhu Y, Maderwald S, Schlamann M, Ladd ME, et al. Susceptibility-weighted magnetic resonance imaging of cerebral cavernous malformations: prospects, drawbacks, and first experience at ultra-high field strength (7-Tesla) magnetic resonance imaging. Neurosurg Focus. 2010;29(3):E5.PubMedCrossRef
21.
go back to reference Oran I, Kiroglu Y, Yurt A, Ozer FD, Acar F, Dalbasti T, et al. Developmental venous anomaly (DVA) with arterial component: a rare cause of intracranial hemorrhage. Neuroradiology. 2009;51:25–32.PubMedCrossRef Oran I, Kiroglu Y, Yurt A, Ozer FD, Acar F, Dalbasti T, et al. Developmental venous anomaly (DVA) with arterial component: a rare cause of intracranial hemorrhage. Neuroradiology. 2009;51:25–32.PubMedCrossRef
22.
go back to reference Hanson EH, Roach CJ, Ringdahl EN, Wynn BL, DeChancie SM, Mann ND, et al. Developmental venous anomalies: appearance on whole-brain CT digital subtraction angiography and CT perfusion. Neuroradiology. 2011;53:331–41.PubMedCentralPubMedCrossRef Hanson EH, Roach CJ, Ringdahl EN, Wynn BL, DeChancie SM, Mann ND, et al. Developmental venous anomalies: appearance on whole-brain CT digital subtraction angiography and CT perfusion. Neuroradiology. 2011;53:331–41.PubMedCentralPubMedCrossRef
23.
go back to reference Dorn F, Brinker G, Blau T, Kabbasch C, Reiner M, Liebig T. Spontaneous thrombosis of a DVA with subsequent intracranial hemorrhage. Clin Neuroradiol. 2012; doi:10.1007/s00062-012-0190-x Dorn F, Brinker G, Blau T, Kabbasch C, Reiner M, Liebig T. Spontaneous thrombosis of a DVA with subsequent intracranial hemorrhage. Clin Neuroradiol. 2012; doi:10.1007/s00062-012-0190-x
24.
go back to reference Burke L, Berenberg RA, Kim KS. Choreoballismus: a nonhemorrhagic complication of venous angiomas. Surg Neurol. 1984;21:245–8.PubMedCrossRef Burke L, Berenberg RA, Kim KS. Choreoballismus: a nonhemorrhagic complication of venous angiomas. Surg Neurol. 1984;21:245–8.PubMedCrossRef
25.
go back to reference Yagmurlu B, Fitoz S, Atasoy C, Erden I, Deda G, Unal O. An unusual cause of hydrocephalus: aqueductal developmental venous anomaly. Eur Radiol. 2005;15:1159–62.PubMedCrossRef Yagmurlu B, Fitoz S, Atasoy C, Erden I, Deda G, Unal O. An unusual cause of hydrocephalus: aqueductal developmental venous anomaly. Eur Radiol. 2005;15:1159–62.PubMedCrossRef
26.
go back to reference Berbel-Garcia A, Martinez-Salio A, Porta-Etessam J, Saiz-Diaz R, Gonzalez-León P, Ramos A, et al. Venous angioma associated with atypical ophthalmoplegic migraine. Headache. 2004;44:440–2.PubMedCrossRef Berbel-Garcia A, Martinez-Salio A, Porta-Etessam J, Saiz-Diaz R, Gonzalez-León P, Ramos A, et al. Venous angioma associated with atypical ophthalmoplegic migraine. Headache. 2004;44:440–2.PubMedCrossRef
27.
go back to reference Malinvaud D, Lecanu JB, Halimi P, Avan P, Bonfils P. Tinnitus and cerebellar developmental venous anomaly. Arch Otolaryngol Head Neck Surg. 2006;132:550–3.PubMedCrossRef Malinvaud D, Lecanu JB, Halimi P, Avan P, Bonfils P. Tinnitus and cerebellar developmental venous anomaly. Arch Otolaryngol Head Neck Surg. 2006;132:550–3.PubMedCrossRef
28.
go back to reference Ferreira D, Mendes V, Vide A, Costa JD. Developmental venous anomaly of the internal auditory canal in a child with unilateral sensorineural hearing loss—a rare association. Pediatr Radiol. 2012;42:1021–3.PubMedCrossRef Ferreira D, Mendes V, Vide A, Costa JD. Developmental venous anomaly of the internal auditory canal in a child with unilateral sensorineural hearing loss—a rare association. Pediatr Radiol. 2012;42:1021–3.PubMedCrossRef
29.
go back to reference Peterson AM, Williams RL, Fukui MB, Meltzer CC. Venous angioma adjacent to the root entry zone of the trigeminal nerve: implications for management of trigeminal neuralgia. Neuroradiology. 2002;44:342–6.PubMedCrossRef Peterson AM, Williams RL, Fukui MB, Meltzer CC. Venous angioma adjacent to the root entry zone of the trigeminal nerve: implications for management of trigeminal neuralgia. Neuroradiology. 2002;44:342–6.PubMedCrossRef
Metadata
Title
Magnetic Resonance Imaging Findings of Developmental Venous Anomalies
Authors
Assist. Prof. E. Gökçe
Assist. Prof. B. Acu
M. Beyhan, MD
Assist. Prof. F. Çelikyay
Assist. Prof. R. Çelikyay
Publication date
01-06-2014
Publisher
Springer Berlin Heidelberg
Published in
Clinical Neuroradiology / Issue 2/2014
Print ISSN: 1869-1439
Electronic ISSN: 1869-1447
DOI
https://doi.org/10.1007/s00062-013-0235-9

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