Rasulić Lukas, Vitošević Filip, Rotim Krešimir, Milošević Medenica Svetlana, Nestorović Dragoslav
School of Medicine, University of Belgrade, Belgrade, Serbia
Clinical Department of Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
Acta Clin Croat. 2017 Mar;56(1):172-178. doi: 10.20471/acc.2017.56.01.24.
Developmental venous anomalies are cerebral vascular malformations that present normal venous drainage of cerebral tissue. With increased and accessible usage of modern diagnostic tools, they are now one of the most commonly diagnosed cerebral vascular malformations. Although developmental venous anomalies are considered to be benign lesions, association with arteriovenous malformation renders malignant potential to this combined pathology. In the case presented, these malformations were clinically silent and diagnosed accidentally, so they were not treated either with surgery, endovascular surgery or radiosurgery, considering the possible complications such as venous infarction of the brain, and because there was no obvious neurologic deficit related to this pathology. The patient presents for regular neurosurgical follow up examinations and has been free from symptoms that were present on admission.
发育性静脉异常是一种脑血管畸形,其表现为脑组织的静脉引流正常。随着现代诊断工具的使用增加且更容易获得,它们现在是最常被诊断出的脑血管畸形之一。尽管发育性静脉异常被认为是良性病变,但与动静脉畸形相关会使这种合并病变具有恶性潜能。在本病例中,这些畸形在临床上没有症状,是偶然被诊断出来的,因此考虑到可能的并发症,如脑静脉梗死,且由于没有与该病变相关的明显神经功能缺损,所以未对其进行手术、血管内手术或放射外科治疗。该患者前来进行定期的神经外科随访检查,且已没有入院时出现的症状。