Angiographic analysis of venous drainage and a variant basal vein of Rosenthal in spontaneous idiopathic subarachnoid hemorrhage

2010 ◽  
Vol 17 (11) ◽  
pp. 1386-1390 ◽  
Author(s):  
Ji Hye Song ◽  
Je Young Yeon ◽  
Kun Ha Kim ◽  
Pyung Jeon ◽  
Jong Soo Kim ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Venous Drainage ◽  
Basal Vein Of Rosenthal

Conus Perimedullary Arteriovenous Fistula with Intracranial Drainage: Case Report

Neurosurgery ◽  
2001 ◽  
Vol 49 (2) ◽  
pp. 457-462 ◽  
Author(s):  
G. Edward Vates ◽  
Alfredo Quiñones-Hinojosa ◽  
Van V. Halbach ◽  
Michael T. Lawton
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Artery Aneurysm ◽  
Venous Drainage ◽  
Sudden Onset ◽  
Clinical Findings ◽  
Left Middle Cerebral Artery ◽  
Lower Extremity Weakness ◽  
Posterior Laminectomy ◽  
Cerebral Artery Aneurysm ◽  
Left Middle

Abstract OBJECTIVE AND IMPORTANCE Perimedullary arteriovenous fistulae (AVFs) do not commonly present with subarachnoid hemorrhage or intracranial venous drainage causing neurological symptoms. We present a case with both of these features. The patient was inadvertently treated for an unruptured intracranial aneurysm before his true problem was recognized. CLINICAL PRESENTATION A 65-year-old man presented with sudden-onset lower-extremity weakness, diplopia, nausea, and dysarthria on the day of admission. A lumbar puncture documented subarachnoid hemorrhage, and imaging studies revealed a left middle cerebral artery aneurysm. It was noted during surgery that this aneurysm was unruptured, and the patient did not exhibit improvement after surgery. INTERVENTION Spinal angiography demonstrated a spinal perimedullary AVF feeding from the left T12 radicular artery; venous drainage extended rostrally into the posterior fossa venous system. The AVF was surgically occluded via a posterior laminectomy at the level of the AVF. After surgery, the patient's symptoms began to abate. CONCLUSION Conus perimedullary AVFs can have venous drainage that extends as far as intracranial veins, which can lead to confusing clinical findings because the symptoms may suggest an intracranial process, although the lesion is in the spine. Surgeons must be aware of this confusing presentation.

Anatomical variants of the basal vein of Rosenthal: prevalence in idiopathic subarachnoid hemorrhage

2013 ◽  
Vol 156 (1) ◽  
pp. 45-51 ◽  
Author(s):  
G. Sabatino ◽  
Giuseppe Maria Della Pepa ◽  
A. Scerrati ◽  
G. Maira ◽  
M. Rollo ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Anatomical Variants ◽  
Basal Vein Of Rosenthal

Angiographic assessment of variants of basal vein of Rosenthal in idiopathic subarachnoid hemorrhage

2015 ◽  
Vol 49 (4) ◽  
pp. 207-211 ◽  
Author(s):  
Ayse Karatas ◽  
Volkan Cakir ◽  
Ertan Sevin ◽  
Omur Balli ◽  
Hamit Feran
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Basal Vein Of Rosenthal

scholarly journals Spontaneous subarachnoid hemorrhage as the primary manifestation of carotid cavernous fistulas: case report

2001 ◽  
Vol 59 (3A) ◽  
pp. 593-595 ◽  
Author(s):  
Clement Hamani ◽  
Almir Ferreira Andrade ◽  
Eberval Gadelha Figueiredo ◽  
Orildo Ciquini Jr. ◽  
Raul Marino Jr.
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Giant Aneurysm ◽  
Venous Drainage ◽  
Complete Evaluation ◽  
Vehicle Accident ◽  
Headache Episode ◽  
Carotid Cavernous Fistulas ◽  
Spontaneous Subarachnoid Hemorrhage

We report the case of a 19-year old male patient initially admitted to our service after a motor vehicle accident with a normal neurologic evaluation and a CT scan that revealed no abnormalities. Nineteen months later, he was readmitted after a subtle headache episode, followed by a brief loss of consciousness. He was submitted to a complete evaluation, which revealed no abnormalities (even in the neurologic and ophthalmologic exams). A CT was performed revealing a diffuse subarachnoid hemorrhage. Contrast enhancement displayed a right paraselar lesion, which was first interpreted as a giant aneurysm. The patient underwent a cerebral angiography which showed a right carotid-cavernous fistula with retrograde venous drainage through the superior and inferior petrosal sinuses. Filling of various cortical vessels was observed. The patient was treated with endovascular technique and a control angiographic study assured the complete closure of the fistula. He had an excellent clinical recovery, being discharged in good conditions.

IDIOPATHIC SUBARACHNOID HEMORRHAGE AND VENOUS DRAINAGE

Neurosurgery ◽  
2008 ◽  
Vol 63 (6) ◽  
pp. 1106-1112 ◽  
Author(s):  
José F. Alén ◽  
Alfonso Lagares ◽  
Jorge Campollo ◽  
Federico Ballenilla ◽  
Ariel Kaen ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Venous Drainage

Endovascular remodeling technique for vein of Galen aneurysmal malformations––angiographic confirmation of a connection between the median prosencephalic vein and the deep venous system

2008 ◽  
Vol 1 (1) ◽  
pp. 75-78 ◽  
Author(s):  
Yuo Iizuka ◽  
Takanori Kakihara ◽  
Mitimasa Suzuki ◽  
Shinji Komura ◽  
Hiroyuki Azusawa
Keyword(s):  
Venous Drainage ◽  
Venous System ◽  
Cerebral Vein ◽  
Digital Subtraction ◽  
Vein Of Galen ◽  
Endovascular Management ◽  
Deep Venous System ◽  
Basal Vein Of Rosenthal ◽  
Glue Embolization

✓ It is commonly believed that in vein of Galen aneurysmal malformations (VGAMs) venous structures normally constituting the deep or Galenic venous system, such as the internal cerebral vein (ICV) and the basal vein of Rosenthal, are not connected to the vein of Galen. In this report, the authors describe 2 cases of successfully treated VGAM in which drainage of an ICV into the vein of Galen was confirmed by follow-up angiography. Two mural types of VGAM were treated using transarterial glue embolization when 1 child was 5 months and the other was 6 months old. The postoperative outcomes for these babies were complete cures. Follow-up digital subtraction angiography obtained after 12 months (Case 1) and 6 months (Case 2) confirmed that the shrunken median prosencephalic vein connects with the deep venous system. The possibility of normal deep Galenic venous drainage must be considered in endovascular management of VGAM. The goal of endovascular intervention is to close only the ventral component of the dilated median prosencephalic vein.

Venous drainage patterns in perimesencephalic nonaneurysmal subarachnoid hemorrhage

2008 ◽  
Vol 110 (6) ◽  
pp. 587-591 ◽  
Author(s):  
Haruki Yamakawa ◽  
Naoyuki Ohe ◽  
Hirohito Yano ◽  
Shinichi Yoshimura ◽  
Toru Iwama
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Venous Drainage ◽  
Drainage Patterns ◽  
Nonaneurysmal Subarachnoid Hemorrhage

scholarly journals Transarterial Embolization of a Cervical Dural Arteriovenous Fistula

2006 ◽  
Vol 12 (4) ◽  
pp. 313-318 ◽  
Author(s):  
S.A. Ansari ◽  
J.P. Lassig ◽  
E. Nicol ◽  
B.G. Thompson ◽  
J.J. Gemmete ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Transarterial Embolization ◽  
Venous Drainage ◽  
Acute Onset ◽  
Drainage Patterns ◽  
The Right ◽  
Glue Embolization

We describe a case of a 75-year-old man who presented with acute onset of headache and subarachnoid hemorrhage and initial cerebral angiography was deemed “negative”. In retrospect, a faint contrast collection was present adjacent to the right vertebral artery at the C1 level suspicious for a small dural arteriovenous fistula (dAVF). Follow-up angiography with selective micro-catheter injections of the right vertebral artery and C1 radicular artery confirmed a complex dAVF with characteristically specific venous drainage patterns associated with a subarachnoid hemorrhage presentation. Subsequently, the cervical dAVF was treated with superselective glue embolization resulting in complete occlusion. Cervical dAVFs are extremely rare vascular causes of subarachnoid hemorrhage. Both diagnostic angiography and endovascular treatment of these lesions can be challenging, especially in an emergent setting, requiring selective evaluation of bilateral vertebral arteries and careful attention to their cervical segments. Although only a single prior case of a cervical dAVF presenting with subarachnoid hemorrhage has been successfully treated with embolization, modern selective transarterial techniques may allow easier detection and treatment of subtle pathologic arteriovenous connections.

Angioarchitecture Predicting Hemorrhage in Cerebral Arteriovenous Malformations

1999 ◽  
Vol 5 (1_suppl) ◽  
pp. 157-160 ◽  
Author(s):  
S. Hirai ◽  
S. Mine ◽  
E. Kobayashi ◽  
I. Yamakami ◽  
A. Yamaura
Keyword(s):  
Retrospective Study ◽  
Subarachnoid Hemorrhage ◽  
Conservative Treatment ◽  
Arteriovenous Malformations ◽  
Spontaneous Regression ◽  
Venous Drainage ◽  
Cerebral Arteriovenous Malformations ◽  
Aneurysmal Dilatation ◽  
Treatment Comparison ◽  
Hemorrhagic Events

To find out lesions responsible for hemorrhage in arteriovenous malformations (AVMs), a retrospective study of angioarchitecture around the nidus was conducted in 27 patients who underwent conservative treatment. Comparison of angiograms revealed disappearance of an intranidal aneurysmal dilatation after the hemorrhagic events in two cases. The hematomas were adjacent to the dilatation, and no subarachnoid hemorrhage was evident. Obstruction of venous drainage, noticed in a case of spontaneous regression of AVM, was not demonstrated in the cases of hemorrhage. The intranidal aneurysmal dilatation is likely to have caused the hemorrhage in our cases. Careful endavascular embolization using proper materials should be indicated for an intranidal aneurysmal dilatation to prevent subsequent hemorrhage.

scholarly journals Transvenous embolization for craniocervical junction epidural arteriovenous fistula with a pial feeder aneurysm

2019 ◽  
Vol 26 (2) ◽  
pp. 170-177
Author(s):  
Keisuke Yoshida ◽  
Shinsuke Sato ◽  
Tatsuya Inoue ◽  
Bikei Ryu ◽  
Shogo Shima ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Arteriovenous Fistula ◽  
Vascular Malformations ◽  
Transarterial Embolization ◽  
Venous Drainage ◽  
Craniocervical Junction ◽  
Transvenous Embolization ◽  
Arteriovenous Fistulas ◽  
Complete Obliteration ◽  
Transvenous Approach

Arteriovenous fistulas at the craniocervical junction are rare vascular malformations with frequent hemorrhagic presentations, which may have a concurrent pial feeder aneurysm. A 65-year-old man presented with subarachnoid hemorrhage and angiography showed an epidural arteriovenous fistula at the C-2 level with an anterior spinal feeder aneurysm without perimedullary venous drainage. Transarterial coil embolization of the ruptured aneurysm and partial Onyx embolization of the shunt led to thrombosis of the aneurysm. However, three years later angiography showed an increased shunt flow and recurrence of the aneurysm. Transvenous embolization of the shunt using coils and Onyx yielded complete obliteration of the shunt, thus leading to occlusion of the aneurysm. This case demonstrates that partial transarterial embolization of arteriovenous fistula leaves a risk of rebleeding, whereas complete obliteration of the shunt with a transvenous approach can lead to disappearance of the flow-related aneurysm without embolization of the aneurysm itself.

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