Developmental venous anomaly

Case contributed by Safwat Mohammad Almoghazy
Diagnosis certain

Presentation

Stage IIIb adenocarcinoma of the lung on CT.

Patient Data

Age: 65 years
Gender: Male
  • there is a venous angioma noted in the left frontal lobe with multiple small vessels adjacent to the frontal horn of the lateral ventricle draining into a larger vein which in turn drains into the superior sagittal sinus
  • no radiographic evidence of brain metastasis
  • lytic lesions in the right temporal and posterior parietal bones likely representing metastases; for bone scan correlation

Case Discussion

Incidental finding of developmental venous anomaly/venous angioma in the left frontal lobe.

A DVA is characterized by the caput medusae sign of veins draining into a single larger collecting vein, which in turn drains into either a dural sinus or into a deep ependymal vein. Its appearance has also been likened to a palm tree.

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