A rare case of brain hemorrhage secondary to venous angioma in the right parietal lobe: case report and literature review
Abstract Background Venous angiomas, also known as developmental venous anomalies (DVAs), are congenital vascular malformations that typically do not cause neurological symptoms. However, in rare cases, they can present with headaches, seizures, and even hemorrhages. This report highlights a rare ca...
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SpringerOpen
2025-02-01
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| Series: | Egyptian Journal of Neurosurgery |
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| Online Access: | https://doi.org/10.1186/s41984-025-00360-6 |
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| author | Juan Manuel Altamirano Karla Salinas-Barboza Eduardo Lopez-Ortiz Luis Miguel Alfonso Fernandez-Gutiérrez |
| author_facet | Juan Manuel Altamirano Karla Salinas-Barboza Eduardo Lopez-Ortiz Luis Miguel Alfonso Fernandez-Gutiérrez |
| author_sort | Juan Manuel Altamirano |
| collection | DOAJ |
| description | Abstract Background Venous angiomas, also known as developmental venous anomalies (DVAs), are congenital vascular malformations that typically do not cause neurological symptoms. However, in rare cases, they can present with headaches, seizures, and even hemorrhages. This report highlights a rare case of a brain hemorrhage secondary to a venous angioma in the right parietal lobe without the common association with a cavernoma. Case presentation A 41-year-old woman experienced a sudden and severe headache, dizziness, left-sided hemihypoesthesia followed by seizures. Initial brain CT scans and MRI revealed a right parietal lobe bleed with a nodular hyperintense lesion on T1 and T2 sequences with lobulated borders and a hemosiderin halo on gradient echo sequences, initially suspected to be a cavernoma. Subsequently, the lesion was surgically resected using neuronavigation. The neuropathologic evaluation confirmed a venous angioma. Postoperatively, the patient was managed with antiepileptic medication and remained with left-sided hemihypoesthesia. Follow-up imaging showed stable residual gliosis and no active vascular anomalies. Conclusions This case underscores the importance of thorough pathological assessment and advanced imaging in accurately diagnosing DVAs. While typically benign, DVAs can present significant clinical challenges when symptomatic. This case is particularly notable for the absence of an associated cavernoma, which is more commonly seen and often responsible for hemorrhagic presentations. |
| format | Article |
| id | doaj-art-363399e9affd4ebb8f895402f066ccb4 |
| institution | Kabale University |
| issn | 2520-8225 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | SpringerOpen |
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| series | Egyptian Journal of Neurosurgery |
| spelling | doaj-art-363399e9affd4ebb8f895402f066ccb42025-02-09T12:25:02ZengSpringerOpenEgyptian Journal of Neurosurgery2520-82252025-02-014011510.1186/s41984-025-00360-6A rare case of brain hemorrhage secondary to venous angioma in the right parietal lobe: case report and literature reviewJuan Manuel Altamirano0Karla Salinas-Barboza1Eduardo Lopez-Ortiz2Luis Miguel Alfonso Fernandez-Gutiérrez3Neurosurgery Department, Hospital Angeles Clínica LondresNeurology Department, Hospital Angeles Clínica LondresDepartment of Family Medicine, UNAMEducation, Anahuac QueretaroAbstract Background Venous angiomas, also known as developmental venous anomalies (DVAs), are congenital vascular malformations that typically do not cause neurological symptoms. However, in rare cases, they can present with headaches, seizures, and even hemorrhages. This report highlights a rare case of a brain hemorrhage secondary to a venous angioma in the right parietal lobe without the common association with a cavernoma. Case presentation A 41-year-old woman experienced a sudden and severe headache, dizziness, left-sided hemihypoesthesia followed by seizures. Initial brain CT scans and MRI revealed a right parietal lobe bleed with a nodular hyperintense lesion on T1 and T2 sequences with lobulated borders and a hemosiderin halo on gradient echo sequences, initially suspected to be a cavernoma. Subsequently, the lesion was surgically resected using neuronavigation. The neuropathologic evaluation confirmed a venous angioma. Postoperatively, the patient was managed with antiepileptic medication and remained with left-sided hemihypoesthesia. Follow-up imaging showed stable residual gliosis and no active vascular anomalies. Conclusions This case underscores the importance of thorough pathological assessment and advanced imaging in accurately diagnosing DVAs. While typically benign, DVAs can present significant clinical challenges when symptomatic. This case is particularly notable for the absence of an associated cavernoma, which is more commonly seen and often responsible for hemorrhagic presentations.https://doi.org/10.1186/s41984-025-00360-6Venous angiomaDevelopmental venous anomalyCavernoma |
| spellingShingle | Juan Manuel Altamirano Karla Salinas-Barboza Eduardo Lopez-Ortiz Luis Miguel Alfonso Fernandez-Gutiérrez A rare case of brain hemorrhage secondary to venous angioma in the right parietal lobe: case report and literature review Egyptian Journal of Neurosurgery Venous angioma Developmental venous anomaly Cavernoma |
| title | A rare case of brain hemorrhage secondary to venous angioma in the right parietal lobe: case report and literature review |
| title_full | A rare case of brain hemorrhage secondary to venous angioma in the right parietal lobe: case report and literature review |
| title_fullStr | A rare case of brain hemorrhage secondary to venous angioma in the right parietal lobe: case report and literature review |
| title_full_unstemmed | A rare case of brain hemorrhage secondary to venous angioma in the right parietal lobe: case report and literature review |
| title_short | A rare case of brain hemorrhage secondary to venous angioma in the right parietal lobe: case report and literature review |
| title_sort | rare case of brain hemorrhage secondary to venous angioma in the right parietal lobe case report and literature review |
| topic | Venous angioma Developmental venous anomaly Cavernoma |
| url | https://doi.org/10.1186/s41984-025-00360-6 |
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