Summary
The authors report a series of 16 patients with venous anomalies or abnormalities of the posterior fossa studied by angiography, CT and/or MRI. We believe that so-called venous angiomas are extreme anatomic variants that drain normal territories, and we prefer to call them developmental venous anomalies (DVAs). Posterior fossa DVAs, like the supratentorial ones are classified according to their drainage into deep and superficial types. They are exclusively located in the cerebellum or tectum. In 4 cases DNA was an incidental finding; in 3 an associated cerebral venous malformation (CVM) was found and felt to be the cause of the symptoms; and only in one (with trigeminal pain) was a link between both suspected. Cavernous venous malformations (CVMs) were found in frequent association with DVA (27%). Four cases were single and 2 multiple. Five CVMs were located in the brain stem and 3 in the cerebellum. The clinical and radiological files were reviewed and a direct relationship between symptoms and localization was found in all patients with CVM. In 2 cases venous dysplasia was found: 1 Sturge-Weber and 1 first branchial arch syndrome. Both posterior fossa venous abnormalities were incidental findings.
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Ahmadi J, Miller CA, Segall HD, Park SH, Zee CS, Bekker RL (1985) CT patterns in histopathologically complex cavernous hemangiomas. AJNR 6: 389–393
Augustyn GT, Scott JA, Olson E, Gilmor RL, Ewards MK (1985) Cerebral venous angiomas: MR imaging. Radiology 156: 391–385
Beers GJ, Carter AP, Ordic JI, Shapiro M (1984) Sinus péricranii with dural venous lakes. AJNR 5: 629–631
Bitoh S, Hasegawa H, Fujiwara M, Sakurai M (1982) Angiographically occult vascular malformations causing intracranial hemorrhage. Surg Neurol 17: 35–42
Bouchacourt E, Carpena JP, Bories J, Koussa A, Chiras J (1986) Accident ischémique par thrombose d'un angiome veineux. A propos d'un cas. J Radiol 67: 631–635
Brown J, Woldenberg L, Velasco ME (1987) Recurent sinus pericranii in a 14 years old boy. Child Nerv Syst 3: 185–187
Burke K, Berenberg RA, Kim KS (1984) Choreoballismus: a nonhemorrhagic complication of venous angioma. Surg Neurol 21: 245–248
El Gohary ME, Tomita T, Gutierrez FA, Mc Lone DG (1987) Angiographically occult vascular malformations in childhood. Neurosurgery 20: 759–765
Gomori JM, Grossman RI, Golberg HI, Hackerly DB, Zimmermann RA, Bilianuk LT (1986) Occult cerebral vascular malformations: high-field MR imaging. Radiology 158: 707–713
Handa HJ, Suda K, Sato M (1984) Cerebral venous angioma associated with varix. Surg Neurol 21: 436–440
Hirata Y, Matsukado Y, Nagahiro S, Kuratsu J (1986) Intracerebral venous angioma with arterial blood supply: a mixed angioma. Surg Neurol 25: 227–232
Kousa A, Chiras J, Poirier B, Carpena JP, Bories J (1985) Aspect tomodensitométrique et angiographique des angiomes veineux du cerveau. Neurochirurgie 31: 161–168
Kutscher ML, Shinnar S, Levan AM, Llena J, Shapira K (1987) Venous malformation mimicking a posterior fossa tumor in a young child. Pediatr Neurosci 13: 27–31
Lasjaunias P, Berenstein A (1987) Endovascular treatment of cranio-facial lesions. Surgical neuroangiography, vol II. Springer, Berlin Heidelberg New York
Lasjaunias P, Burrows P, Planet C (1986) Developmental venous anomalies (DVA): the so-called venous angioma. Neurosurg Rev 9: 233–244
Lasjaunias P, Terbrugge K, Rodesch G, Willinsky R, Burrows P, Pruvost Ph, Piske R (1989) Vraies et fausses lésions veineuses cérébro-médullaires (Pseudoangiomes veineux et hémangiomes caverneux). Neurochirurgie 35: 132–139
Lemme-Plaghos L, Kucharczyk W, Brant-Zawadzki M, Uske A, Edwards M, Normal D, Newton TH (1986) MR imaging of angiographically occult vascular malformations. AJNR 7: 217–222
Meyer JD, Baghai P, Latchaw RE (1983) Cerebral varix and probable venous angioma: an unusual isolated anomaly. AJNR 4: 85–87
Nakayama T, Matsukado Y (1975) Sinus pericranii with aneurysmal malformation of internal cerebral vein. Surg Neurol 3: 133–137
New PFY, Ojemann RG, Davis KR, Rosen BR, Heros R, Kjellberg RN, Adams RD, Richardson EP (1986) MT and CT of occult vascular malformation of the brain. AJNR 7: 771–779
Numaguchi Y, Kitamura K, Fukmi M, Ikeda J, Hasuao K, Kishikawa TI, Odudera T, Vemura K, Matsura K (1982) Intracranial venous angioma. Surg Neurol 18: 193–202
Olson E, Gilmor RL, Richmond B (1984) Cerebral venous angioma. Radiology 151: 97–104
Pelz DM, Vinuela F, Fox AJ (1984) Unusual radiologic and clinical presentation of posterior fossa venous angioma. AJNR 5: 61–66
Rothfus WE, Albright AL, Casey KF, Latchaw RE, Roppolo HMN (1984) Cerebellar venous angioma: “benign entity”? AJNR 5: 61–66
Saito Y, Kobayashi N (1981) Cerebral venous angioma: clinical evaluation and possible etiology. Radiology 139: 87–94
Scott JA, Augustyn GT, Gilmor RL, Mealey JR, Olson EW (1985) Magnetic resonance imaging of a venous angioma. AJNR 6: 284–286
Senegor M, Dorhmann GJ, Wolmann RL (1983) Venous angiomas of the posterior fossa should be considered as anomalous venous drainage. Surg Neurol 19: 26–32
Sheray RG, Walker ML, Olds MV (1984) Sinus pericranii and venous angiomas in the Blue-Rubber nevus syndrome. AJNR 5: 832–834
Simard JM, Garcia-Bengochea F, Ballinger WE, Mickle JP, Quishing RG (1986) Cavernous angioma: a review of 126 collected and 12 new clinical cases. Neurosurgery 18: 162–172
Steiger HJ, Markwalder TM, Aculen HJ (1987) Clinicopathological relations of cerebral cavernous angioma. Observations in eleven cases. Neurosurgery 21: 879–883
Gayuero J, Sola RG, Martinez R (1983) Lateral sinus pericranii. J Neurosurg 58: 139–140
Valavanis A, Wellaner J, Yasargil MG (1983) The radiological diagnosis of cerebral venous angioma: cerebral angiography and computed tomography. Neuroradiology 24: 193–199
Yasagil GM (1988) AVM of the brain, clinical considerations, general and specific operative techniques, surgical results, nonoperated cases, cavernous and venous angiomas, neuroanesthesia. Microneurosurgery, vol IIIb. Thieme, Stuttgart, p 408
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Goulao, A., Alvarez, H., Monaco, R.G. et al. Venous anomalies and abnormalities of the posterior fossa. Neuroradiology 31, 476–482 (1990). https://doi.org/10.1007/BF00340125
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DOI: https://doi.org/10.1007/BF00340125