Outflow-Restricted Developmental Venous Anomaly Masquerading as a Tumefactive Lesion on Imaging

World Neurosurg. 2020 Sep:141:261-266. doi: 10.1016/j.wneu.2020.05.165. Epub 2020 May 24.

Abstract

Background: Developmental venous anomalies (DVA) are rarely symptomatic. We report an unusual case of outflow-restricted DVA presenting with seizures.

Case description: Expansile signal changes due to a hemorrhagic venous infarction in the draining territory of collector vein of DVA simulated a neoplasm. Follow-up imaging showed regression of mass effect and asymptomatic thrombosis of another distant vein. Investigation for prothrombotic conditions returned negative.

Conclusions: Atypical imaging findings in the draining territory of DVA ought to raise the possibility of outflow restriction.

Keywords: Developmental venous anomaly; Outflow; Restriction; Tumefactive.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anticoagulants / pharmacology*
  • Brain / diagnostic imaging
  • Cerebral Veins / abnormalities
  • Cerebral Veins / drug effects
  • Cerebral Veins / surgery*
  • Humans
  • Magnetic Resonance Imaging / methods
  • Male
  • Thrombosis / drug therapy*
  • Thrombosis / pathology*
  • Tomography, X-Ray Computed / methods

Substances

  • Anticoagulants