Spontaneous isolated non-haemorrhagic thrombosis in a child with development venous anomaly: case report and review of the literature

Santos, Angelina V; Saraiva, Paulo

doi:10.1007/s00381-006-0159-7

Cited by 22 publications

(16 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…53,54 Early recanalization of the venous collector will presumably prevent this complication. 55 Consequently, anticoagulation was suggested as the first-line treatment in symptomatic DVAs even in the presence of hemorrhage, similar to the treatment of sinus or venous thrombosis. 53,56 Functional obstruction of the venous drainage is present in associated venous hypertension after an arteriovenous shunt.…”

Section: Restriction Of Outflowmentioning

confidence: 99%

Pathomechanisms of Symptomatic Developmental Venous Anomalies

Pereira

Geibprasert

Krings

et al. 2008

Stroke

180

182

View full text Add to dashboard Cite

Background and Purpose-Although it is generally accepted that developmental venous anomalies (DVAs) are benign vascular malformations, over the past years, we have seen patients with symptomatic DVAs. Therefore, we performed a retrospective study and a literature study to review how, when, and why DVAs can become clinically significant. Methods-Charts and angiographic films of 17 patients with DVAs whose 18 vascular symptoms could be attributed to a DVA were selected from a neurovascular databank of our hospital. MRI had to be available to rule out any other associated disease. In the literature, 51 cases of well-documented symptomatic DVAs were found. Pathomechanisms were divided into mechanical and flow-related causes. Results-Mechanical (obstructive or compressive) pathomechanisms accounted for 14 of 69 symptomatic patients resulting in hydrocephalus or nerve compression syndromes. Flow-related pathomechanisms (49 of 69 patients) could be subdivided into complications resulting from an increase of flow into the DVA (owing to an arteriovenous shunt using the DVA as the drainage route; nϭ19) or a decrease of outflow (nϭ26) or a remote shunt with increased venous pressure (nϭ4) leading to symptoms of venous congestion. In 6 cases, no specific pathomechanisms were detected. Conclusions-Although DVAs should be considered benign, under rare circumstances, they can be symptomatic. DVAs, as extreme variations of normal venous drainage, may represent a more fragile venous drainage system that can be more easily affected by in-and outflow alterations. The integrity of the DVA needs to be preserved irrespective of the treatment that should be tailored to the specific pathomechanism. (Stroke. 2008;39:3201-3215.)

show abstract

Section: Restriction Of Outflowmentioning

confidence: 99%

Pathomechanisms of Symptomatic Developmental Venous Anomalies

Pereira

Geibprasert

Krings

et al. 2008

Stroke

180

182

View full text Add to dashboard Cite

show abstract

“…1,2 Spontaneous thrombosis of the central vein of a DVA can rarely occur, and lead to symptomatic nonhemorrhagic venous infarction. [2][3][4][5][6][7] Most reported cases of DVA thrombosis demonstrate no underlying predisposition. [2][3][4][5][6] One report of nonhemorrhagic venous infarction attributes thrombosis to hypercoagulability induced by puerperium, oral contraceptive use, and smoking.…”

mentioning

confidence: 99%

“…[2][3][4][5][6][7] Most reported cases of DVA thrombosis demonstrate no underlying predisposition. [2][3][4][5][6] One report of nonhemorrhagic venous infarction attributes thrombosis to hypercoagulability induced by puerperium, oral contraceptive use, and smoking. 7 We report a case of DVA thrombosis occurring in a postpartum patient on hormonal contraception.…”

mentioning

confidence: 99%

Postpartum Thrombosis of a Developmental Venous Anomaly

Prasad¹,

Hurst²,

Kasner³

2009

Neurology

View full text Add to dashboard Cite

“…Drainage vein thrombosis of a DVA is rare, and only 28 patients with 29 cases of symptomatic thrombosed DVAs have been reported in the literature [1,2,3,4,5,6,7,8,9,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28]. These patients had a variety of presentations including venous ischemic infarction (n = 16, 55%), parenchymal hemorrhage (n = 8, 28%), venous congestive edema (n = 3, 10%), or subarachnoid hemorrhage (n = 2, 7%).…”

Section: Discussionmentioning

confidence: 99%

Symptomatic Infratentorial Thrombosed Developmental Venous Anomaly: Case Report and Review of the Literature

Amuluru¹,

Al‐Mufti²,

Stephen³

et al. 2015

Intervent Neurol

View full text Add to dashboard Cite

Background: Developmental venous anomalies (DVAs) are variations of normal transmedullary veins draining white and gray matter. In the vast majority of cases, DVAs are diagnosed incidentally and should be considered as benign entities. In extremely rare circumstances, DVAs may become symptomatic due to mechanical or flow-related etiologies. Thrombosis of the collector vein of a DVA is a rare type of a flow-related complication with only 29 cases reported in the literature, the majority of which are supratentorial. Infratentorial thrombosed DVAs are thus extremely rare and the few cases reported have typically caused symptoms due to venous ischemic infarctions. Summary: We report a case of an infratentorial DVA with a thrombosed drainage vein in a patient with nonhemorrhagic, noninfarcted venous congestive edema, which was successfully treated with high-dose glucocorticoids and short-term anticoagulation. We review the pertinent venous anatomy of the posterior fossa as well as the literature of symptomatic infratentorial thrombosed DVAs. Key Message: The presented case of an infratentorial thrombosed DVA with cerebellar and pontine venous congestive edema is extremely rare. A working knowledge of posterior fossa venous anatomy and possible pathomechanisms responsible for the rarely symptomatic lesion will aid in the timely and efficacious treatment of such lesions.

show abstract

Spontaneous isolated non-haemorrhagic thrombosis in a child with development venous anomaly: case report and review of the literature

Abstract: Considering the therapeutic options, early diagnosis is mandatory.

Cited by 22 publications

References 10 publications

Pathomechanisms of Symptomatic Developmental Venous Anomalies

Pathomechanisms of Symptomatic Developmental Venous Anomalies

Postpartum Thrombosis of a Developmental Venous Anomaly

Symptomatic Infratentorial Thrombosed Developmental Venous Anomaly: Case Report and Review of the Literature

Contact Info

Product

Resources

About