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Neuroradiology

, 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

Summary

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 

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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

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