Developmental venous anomaly (DVA)

Case contributed by Hendrik Reyneke Van den Berg
Diagnosis almost certain

Presentation

Routine head CT due to first ever seizure.

Patient Data

Age: 40 years
Gender: Male

Noncontrast brain CT is normal.

Postcontrast CT reveals a large left frontal medullary vein with a characteristic "Medusa head" appearance origin draining cortically.

Case Discussion

A developmental venous anomaly (DVA) is a congenital malformation of veins that drain the normal brain. It is characterized by the caput medusae sign of veins draining into a single larger collecting vein.

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