Unusual Giant Cerebral Venous Varix Associated With Brain Abscess: Variant of Hereditary Hemorrhagic Telangiectasia Case Report
A 35-year-old man suffered secondary generalized tonic-clonic convulsions due to a large brain abscess. Neuroimaging incidentally revealed another tumor-like lesion. Cerebral angiography confirmed that the lesion was an unusual giant venous varix associated with a high-flow pial arteriovenous fistul...
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Published in: | Neurologia medico-chirurgica Vol. 47; no. 2; pp. 74 - 78 |
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Abstract | A 35-year-old man suffered secondary generalized tonic-clonic convulsions due to a large brain abscess. Neuroimaging incidentally revealed another tumor-like lesion. Cerebral angiography confirmed that the lesion was an unusual giant venous varix associated with a high-flow pial arteriovenous fistula (AVF) and showed one more small arteriovenous malformation (AVM). Pulmonary AVF, which can cause brain abscess, was also detected. Surgical ligation of the AVF and removal of the small AVM via individual craniotomies resulted in successful extirpation of the cerebrovascular malformations. Although the typical mucocutaneous symptoms were absent in this patient, the combination of arteriovenous anomalies was highly suggestive of hereditary hemorrhagic telangiectasia. |
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AbstractList | A 35-year-old man suffered secondary generalized tonic-clonic convulsions due to a large brain abscess. Neuroimaging incidentally revealed another tumor-like lesion. Cerebral angiography confirmed that the lesion was an unusual giant venous varix associated with a high-flow pial arteriovenous fistula (AVF) and showed one more small arteriovenous malformation (AVM). Pulmonary AVF, which can cause brain abscess, was also detected. Surgical ligation of the AVF and removal of the small AVM via individual craniotomies resulted in successful extirpation of the cerebrovascular malformations. Although the typical mucocutaneous symptoms were absent in this patient, the combination of arteriovenous anomalies was highly suggestive of hereditary hemorrhagic telangiectasia. |
Author | OISHI, Makoto NAKAZATO, Shinji SUZUKI, Kenji KOIKE, Tetsuo TAKAO, Tetsuro SASAKI, Osamu KITAZAWA, Keiko |
Author_xml | – sequence: 1 fullname: OISHI, Makoto organization: Department of Neurosurgery, Niigata City Hospital – sequence: 2 fullname: SASAKI, Osamu organization: Department of Neurosurgery, Niigata City Hospital – sequence: 3 fullname: NAKAZATO, Shinji organization: Department of Neurosurgery, Niigata City Hospital – sequence: 4 fullname: SUZUKI, Kenji organization: Department of Neurosurgery, Niigata City Hospital – sequence: 5 fullname: KITAZAWA, Keiko organization: Department of Neurosurgery, Niigata City Hospital – sequence: 6 fullname: TAKAO, Tetsuro organization: Department of Neurosurgery, Niigata City Hospital – sequence: 7 fullname: KOIKE, Tetsuo organization: Department of Neurosurgery, Niigata City Hospital |
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Cites_doi | 10.3171/jns.1993.79.1.0016 10.1007/BF01405180 10.3171/jns.2000.92.5.0779 10.2176/nmc.30.272 10.1016/S0140-6736(03)14696-X 10.1007/BF00588522 10.1016/0090-3019(94)90030-2 10.1001/archinte.1996.00440070028004 10.1136/jnnp.30.6.563 10.1016/0090-3019(94)90269-0 10.1007/s00234-005-1390-8 10.1056/NEJM199510053331407 10.1227/00006123-198705000-00013 10.1016/0002-9343(84)90441-8 10.1080/02688699943664 10.1016/0002-9343(87)90162-8 10.1002/(SICI)1096-8628(20000306)91:1<66::AID-AJMG12>3.0.CO;2-P 10.1542/peds.109.1.12 10.1016/j.surneu.2003.05.001 10.1002/ana.410040207 10.1007/s00701-004-0341-1 |
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start-page: 714 issn: 0003-9926 year: 1996 ident: 9 publication-title: Arch Intern Med doi: 10.1001/archinte.1996.00440070028004 contributor: fullname: Haitjema T, Westermann CJ, Overtoom TT, Timmer R, Disch F, Mauser H, Lammers JWJ – volume: 30 start-page: 563 issn: 0022-3050 year: 1967 ident: 4 publication-title: J Neurol Neurosurg Psychiatry doi: 10.1136/jnnp.30.6.563 contributor: fullname: Dyer NH – volume: 42 start-page: 234 issn: 0090-3019 year: 1994 ident: 11 publication-title: Surg Neurol doi: 10.1016/0090-3019(94)90269-0 contributor: fullname: Kadoya C, Monota Y, Ikegami Y, Urasaki E, Wada S, Yokota A – volume: 47 start-page: 711 issn: 0028-3940 year: 2005 ident: 14 publication-title: Neuroradiology doi: 10.1007/s00234-005-1390-8 contributor: fullname: Krings T, Ozanne A, Chng M, Alvarez H, Rodesch G, Lasjaunias PL – volume: 19 start-page: 477 issn: 0195-6108 year: 1998 ident: 6 publication-title: AJNR Am J Neuroradiol contributor: fullname: Fulbright RK, Chaloupka JC, Putman 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Snippet | A 35-year-old man suffered secondary generalized tonic-clonic convulsions due to a large brain abscess. Neuroimaging incidentally revealed another tumor-like... |
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SubjectTerms | Adult arteriovenous fistula arteriovenous malformation Brain - blood supply brain abscess Brain Abscess - complications Central Nervous System Vascular Malformations - etiology cerebral venous varix hereditary hemorrhagic telangiectasia Humans Intracranial Arteriovenous Malformations - etiology Male Telangiectasia, Hereditary Hemorrhagic - complications Varicose Veins - etiology |
Subtitle | Case Report |
Title | Unusual Giant Cerebral Venous Varix Associated With Brain Abscess: Variant of Hereditary Hemorrhagic Telangiectasia |
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