, Volume 35, Issue 2, pp 97–104 | Cite as

Magnetic resonance angiography of cerebral developmental venous anomalies: its role in differential diagnosis

  • B. Ostertun
  • L. Solymosi
Diagnostic Neuroradiology


CT, MRI and contrast angiography of 20 patients with 21 developmental venous anomalies (DVAs), so-called venous angiomas, were compared with magnetic resonance angiography employing a two-dimensional time-of-flight technique (2D-MRA). MRA was diagnostic in 17 DVAs, when both the primary 2D slices and the maximum-intensity-projection images were read. Contrast angiography still provides the best visualization of both DVA components: dilated medullary veins and transcerebral draining vein; however, it is an invasive procedure and delivers no information about brain parenchyma. We regard MRI as necessary in cases with a suspected DVA because of the high rate of association with cavernomas: 33% in this study. Acute neurological symptoms were caused by haemorrhage from an associated cavernoma and not from the DVA in 4 such cases. Thus MRA combined with MRI obviates angiography in most cases and offers a noninvasive diagnostic strategy adequate for DVAs.

Key words

Venous angioma Magnetic resonance angiography Developmental venous anomaly Cavernoma Cerebral angiography Angioma 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Sarwar M, McCormick WF (1978) Intracerebral venous angioma. Case report and review. Arch Neurol 35:323–325Google Scholar
  2. 2.
    McCormick WF, Hardman JM, Boulter TR (1968) Vascular malformations (angiomas) of the brain with special reference to their occurring in the posterior fossa. J Neurosurg 28:241–251Google Scholar
  3. 3.
    Lasjaunias P, Burrows P, Planet C (1986) Developmental venous anomalies (DVA): the so-called venous angioma. Neurosurg Rev 9:233–244Google Scholar
  4. 4.
    Huang YP, Patel SC, Robbins A, Chaudhary M (1984) Cerebral venous malformations and a new classification of cerebral vascular malformations. In: Kapp JP, Schmidek HH (eds) The cerebral venous system and its disorders. Grune and Stratton, New York, pp 373–474Google Scholar
  5. 5.
    Valavanis A, Schefer S, Wichmann W (1990) Cavernomas and venous angiomas of the brain. Riv Neuroradiol 3 [Suppl 2]: 89–93Google Scholar
  6. 6.
    Saito Y, Kobayashi N (1981) Cerebral venous angiomas; clinical evaluation and possible etiology. Radiology 139:87–94Google Scholar
  7. 7.
    Thron A, Petersen D, Voigt K (1982) Neuroradiologie, Klinik und Pathologie der zerebralen venösen Angiome. Radiologe 22: 389–399Google Scholar
  8. 8.
    Lasjaunias P, Piske R, Alvarez H (1991) The venous system; from the anomaly to the malformation. In; Lasjaunias P, Leonardi M (eds) 1st Refresher Course of the ESNR. Edizioni del Centauro, Udine, pp 7–20Google Scholar
  9. 9.
    Valavanis A, Wellauer J, Yasargil MG (1983) The radiological diagnosis of cerebral venous angioma: cerebral angiography and CT. Neuroradiology 24:193–199Google Scholar
  10. 10.
    Lasjaunias P, Berenstein A (1990) Surgical neuroangiography, vol III. Springer, Berlin Heidelberg New York, pp 223–308Google Scholar
  11. 11.
    McCormick WF (1966) The pathology of vascular (“arteriovenous”) malformations. J Neurosurg 24:807–816Google Scholar
  12. 12.
    Yasargil MG (1988) Microneurosurgery III B. Thieme, Stuttgart, pp 405–439Google Scholar
  13. 13.
    Pak H, Patel SC, Malik GM, Ausman JI (1981) Successful evacuation of a pontine hematoma secondary to rupture of a venous angioma. Surg Neurol 15:164–167Google Scholar
  14. 14.
    Bouchacourt E, Carpena JP, Bories J (1986) Accident ischémique par thrombose d'un angiome veineux. A propos d'un cas. J Radiol 67:631–635Google Scholar
  15. 15.
    Abe M, Asfora W, DeSalles A, Kjellberg R (1990) Cerebellar venous angioma associated with angiographically occult brain stem malformation; report of 2 cases. Surg Neurol 33:400Google Scholar
  16. 16.
    Rigamonti D, Spetzler RF (1988) The association of venous and cavernous malformations. Report of 4 cases and discussion of the pathophysiological, diagnostic and therapeutic implications. Acta Neurochir (Wien) 92:100Google Scholar
  17. 17.
    Schefer S, Valavanis A, Wichmann W (1991) MRT-Morphologie und Klassifikation der zerebralen Kavernome. Radiologe 31:283–288Google Scholar
  18. 18.
    Huang YP, Wolf BS (1964) Veins of the white matter of the cerebral hemispheres (the medullary veins): diagnostic importance in carotid angiography. Am J Roentgenol 92:739–755Google Scholar
  19. 19.
    Solymosi L, Wappenschmidt J (1985) Die intracraniellen venösen Angiome. Fortschr Röntgenstr 142:63–67Google Scholar
  20. 20.
    Wendling LR, Moore JS, Kieffer SA, Goldberg HI, Latchaw RE (1976) Intracerebral venous angioma. Radiology 119:141–147Google Scholar
  21. 21.
    Ostertun B, Moskopp D, Solymosi L, Gieseke J, Reiser M (1991) Venous angiomas in cerebral MRI and MRA. Abstracts of the 9th European Congress on Neurosurgery, Moscow, p 113Google Scholar
  22. 22.
    Ostertun B, Gieseke J, Solymosi L, Van Dijk P, Träber F, Reiser M (1990) Malformations of brain and neck vessels: diagnostic value of MR-angiography. Abstracts of the 9th Annual Meeting of the Society of Magnetic Resonance in Medicine, New York, p335Google Scholar
  23. 23.
    Ostertun B, Gieseke J, Träber F, Steudel A, Van Dijk P, Silver M, Solymosi L, Reiser M (1991) Clinical application of MR-angiography (MRA) with 2D and 3D inflow techniques. Medica Mundi 36:75–96Google Scholar
  24. 24.
    Marchall G, Bosmans H, Van Fraeyenhoven L, Wilms G, Hecke P van, Plets C, Baert AL (1990) Intracranial vascular lesions: optimization and clinical evaluation of three-dimensional time-offlight MR-angiography. Radiology 175:443–448Google Scholar
  25. 25.
    Rigamonti D, Spetzler RF, Drayer BP, Bojanowski WM, Hodak J, Rigamonti KH, Plenge K, Powers M, Rekate H (1988) Appearance of venous malformations on magnetic resonance imaging. J Neurosurg 69:535–539Google Scholar
  26. 26.
    Biller J, Toffol GJ, Shea JF, Fine M, Azar-Kia B (1985) Cerebral venous angiomas: a continuing controversy. Arch Neurol 42:367–370Google Scholar
  27. 27.
    Rothfus WE, Albright AL, Casey KF, Latchaw RE, Roppolo HM (1984) Cerebellar venous angioma: “benign” entity? AJNR 5:61–66Google Scholar
  28. 28.
    Huber G, Piepgras U, Henkes H, Faubert C (1991) Venenanomalien des Gehirns; zur klinischen Bedeutung des sogenannten venösen Angiomas. Radiologe 31:274–282Google Scholar
  29. 29.
    Wilms G, Marchal G, Van Hecke P, Van Fracyenhoven L, Decrop E, Baert AL (1990) Cerebral venous angiomas; MR imaging at 1.5T. Neuroradiology 32:81–85Google Scholar
  30. 30.
    Rigamonti D, Spetzler RF, Medina M, Rigamonti K, Geckle DS, Pappas C (1990) Cerebral venous malformations. J Neurosurg 73:560–564Google Scholar

Copyright information

© Springer-Verlag 1993

Authors and Affiliations

  • B. Ostertun
    • 1
  • L. Solymosi
    • 2
  1. 1.Clinic for EpileptologyUniversity HospitalBonnFederal Republic of Germany
  2. 2.Department of RadiologyUniversity HospitalBonnFederal Republic of Germany

Personalised recommendations