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
Main Authors: OISHI, Makoto, SASAKI, Osamu, NAKAZATO, Shinji, SUZUKI, Kenji, KITAZAWA, Keiko, TAKAO, Tetsuro, KOIKE, Tetsuo
Format: Journal Article
Language:English
Published: Japan The Japan Neurosurgical Society 2007
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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.
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
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  fullname: KOIKE, Tetsuo
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/17317945$$D View this record in MEDLINE/PubMed
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  doi: 10.1007/s00701-004-0341-1
  contributor:
    fullname: Weon YC, Yoshida Y, Sachet M, Mahadevan J, Alvarez H, Rodesch G, Lasjaunias P
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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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StartPage 74
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
URI https://www.jstage.jst.go.jp/article/nmc/47/2/47_2_74/_article/-char/en
https://www.ncbi.nlm.nih.gov/pubmed/17317945
https://search.proquest.com/docview/69036064
Volume 47
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ispartofPNX Neurologia medico-chirurgica, 2007, Vol.47(2), pp.74-78
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