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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Localized congestive venous encephalopathy associated with cavernous dural arteriovenous malformation
R V Phadke1, A Parihar, S Behari
1Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
AJNR. American Journal of Neuroradiology
|June 16, 2006
Summary
This case report details venous congestive encephalopathy linked to a cavernous sinus dural arteriovenous malformation. Brain imaging revealed persistent T2-weighted hyperintensities that eventually led to venous infarction.
Area of Science:
- Neurology
- Radiology
- Vascular Surgery
Background:
- Dural arteriovenous malformations (DAVMs) are abnormal connections between dural arteries and veins.
- Cavernous sinus DAVMs can cause various neurological symptoms due to venous congestion.
Observation:
- A rare case of venous congestive encephalopathy was observed.
- This was associated with a specific type of dural arteriovenous malformation in the cavernous sinus.
Findings:
- Magnetic resonance imaging (MRI) showed distinct T2-weighted hyperintensities in the temporal and posterior frontal regions.
- These parenchymal changes, affecting the cortex and white matter, exhibited mass effect and persisted for two years.
- The condition ultimately evolved into a venous infarction.
Implications:
- This case highlights the potential for delayed venous infarction in venous congestive encephalopathy secondary to dural arteriovenous malformations.
- Understanding these imaging findings is crucial for accurate diagnosis and management of complex cerebrovascular disorders.
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