Coexistence of occult vascular malformations and developmental venous anomalies in the central nervous system: MR evaluation.

Abe, T and Singer, RJ and Marks, MP and Norbash, AM and Crowley, Rebecca S and Steinberg, GK (1998) Coexistence of occult vascular malformations and developmental venous anomalies in the central nervous system: MR evaluation. AJNR. American journal of neuroradiology, 19 (1). 51 - 57. ISSN 0195-6108

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Abstract

PURPOSE: We sought to determine the prevalence of coexistent occult vascular malformations (OVMs) and developmental venous anomalies (DVAs) and to investigate the relationship between them. METHODS: One hundred two patients with OVMs were examined with precontrast and postcontrast T1-weighted MR imaging and with noncontrast T2-weighted MR imaging. Seventy-two patients had surgery, with subsequent pathologic confirmation of the final diagnosis. RESULTS: Coexistent DVAs and OVMs were present in 23 (23%) of 102 patients. Seventy-nine patients had OVMs without DVAs, and in this population, multiple OVMs (from two to 10 or more) were seen in 13 patients (16%). In contrast, multiple OVMs were seen in 10 (43%) of 23 patients with coexisting OVMs and DVAs. Twenty-five (83%) of 30 OVMs coexisting with DVAs were infratentorial. In 72 patients with surgically resected OVMs, 49 (68%) had pathologically confirmed cavernous malformations. Among the patients with coexistent DVAs, seven (46%) had cavernous malformations, four (27%) had thrombosed arteriovenous malformations, and four (27%) had vascular malformations that were not classifiable. CONCLUSION: Our study revealed a high prevalence of OVMs with coexistent DVAs, and a high percentage of these were in the posterior fossa. Contrast-enhanced MR imaging may increase the probability of finding these lesions, and therefore should be considered part of the preoperative evaluation, since the finding of unexpected coexistent lesions may affect surgical management.

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Details

Item Type:	Article
Status:	Published
Creators/Authors:	Creators Email Pitt Username ORCID Abe, T Singer, RJ Marks, MP Norbash, AM Crowley, Rebecca S Steinberg, GK
Date:	January 1998
Date Type:	Publication
Journal or Publication Title:	AJNR. American journal of neuroradiology
Volume:	19
Number:	1
Page Range:	51 - 57
Schools and Programs:	School of Medicine > Biomedical Informatics
Refereed:	Yes
ISSN:	0195-6108
Official URL:	http://www.ajnr.org/content/19/1/51.abstract
Article Type:	Research Article
MeSH Headings:	Adolescent; Adult; Aged; Cavernous Sinus--abnormalities; Cerebral Arteries--abnormalities; Cerebral Arteries--surgery; Cerebral Veins--abnormalities; Cerebral Veins--surgery; Child; Child, Preschool; Female; Humans; Intracranial Arteriovenous Malformations--diagnosis; Intracranial Embolism and Thrombosis--complications; Magnetic Resonance Imaging; Male; Middle Aged
PubMed ID:	9432157
Date Deposited:	29 Aug 2012 15:33
Last Modified:	01 Nov 2017 14:03
URI:	http://d-scholarship.pitt.edu/id/eprint/13765

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