Bernini F P, Cioffi F A, D'Avanzo R, Muras I
Department of Neuroradiology, First Medical School, University of Naples.
Acta Neurol (Napoli). 1992 Aug-Dec;14(4-6):503-11.
12 cases of cerebral "venous angioma" are reported; pathological, clinical and radiological features of the lesion are reviewed. "Venous angioma" should be regarded as a developmental anatomic variation of the venous drainage system of the white matter. Its clinical significance is controversial, although it has been reported to cause hemorrhage, seizures, progressive neurological deficits, headaches. The clinical presentation of our patients was variable and, in some of them, dependent also on associated lesions. An hematoma was found in three patients, infarction in one and tumor in one. Angiography, CT and MRI demonstrated the typical appearance of the anomaly. Surgery was performed in one patient harboring a significant cerebellar hematoma and the coexistence of a cavernoma was pathologically confirmed. Venous developmental anomalies are often identified as the source of symptoms due to other conditions, that should be treated independently sparing the anomaly.
报告了12例脑“静脉血管瘤”；回顾了该病变的病理、临床和放射学特征。“静脉血管瘤”应被视为白质静脉引流系统的一种发育解剖变异。尽管有报道称其可导致出血、癫痫发作、进行性神经功能缺损、头痛，但其临床意义仍存在争议。我们患者的临床表现各不相同，其中一些还取决于相关病变。3例患者发现血肿，1例梗死，1例肿瘤。血管造影、CT和MRI显示了该异常的典型表现。1例患有大量小脑血肿的患者接受了手术，病理证实同时存在海绵状血管瘤。静脉发育异常常被确定为其他疾病所致症状的来源，应独立治疗这些疾病而保留该异常。
