Large deep venous anomaly presenting as a left frontal lesion

Area of Science:

• Neurology
• Radiology
• Vascular Malformations

Background:

• Deep vein anomalies (DVAs), also known as venous angiomas, are recognized brain vascular malformations.
• DVAs are frequently discovered as incidental findings during neuroimaging studies like CT and MRI.

Purpose of the Study:

• To describe the radiological findings of a large deep vein anomaly.
• To highlight the importance of early recognition of DVAs to avoid unnecessary interventions.

Main Methods:

• Case report of a 26-year-old male with recurrent neurological symptoms.
• Radiological assessment including CT, MRI, MRA, and cerebral angiography.

Main Results:

• Cerebral angiography revealed enlarged medullary veins forming a 'caput medusa' sign, draining into the superior sagittal sinus.
• The large DVA mimicked other intracranial lesions requiring surgical consideration.

Conclusions:

• Large DVAs can present radiologically as significant brain lesions.
• Early identification of DVAs is crucial to prevent unnecessary or harmful surgical interventions for this benign pathology.