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Di Micco P, Orlando L, Cataldo D, Imbalzano E. Case report: Successful thromboprophylaxis with enoxaparin in a pregnant woman with internal jugular vein agenesis. Front Med (Lausanne) 2022; 9:1011206. [PMID: 36482908 PMCID: PMC9722950 DOI: 10.3389/fmed.2022.1011206] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Accepted: 10/31/2022] [Indexed: 09/25/2023] Open
Abstract
Internal jugular agenesis is a vascular malformation that is often associated with a history of recurrent headache. Due to the resulting abnormalities in intracranial venous drainage, it may be complicated by neurological dysfunction, such as intracranial hypertension, intracranial micro-thromboses, and neurodegenerative diseases such as multiple sclerosis. The simultaneous presence of jugular vein agenesis and thrombosis is possible in cases of acute illness, hormonal treatment, pregnancy, hypomobility, or venous drainage abnormalities (VDA) (e.g., May-Thurner syndrome). In particular, the literature still lacks data on thromboprophylaxis in pregnant women with jugular vein agenesis. Here, we report a positive experience with prophylaxis using enoxaparin during pregnancy in a patient with internal jugular agenesis.
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Affiliation(s)
- Pierpaolo Di Micco
- Unità Operativa Complessa Medicina, PO Rizzoli, ASL Napoli 2 Nord, Naples, Italy
| | - Luana Orlando
- Department of Clinical and Experimental Medicine, Polyclinic University of Messina, Messina, Italy
| | - Donato Cataldo
- Unità Operativa Complessa Medicina, Frangipane Hospital, Ariano Irpino, Italy
| | - Egidio Imbalzano
- Department of Clinical and Experimental Medicine, Polyclinic University of Messina, Messina, Italy
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Serva S, Brones A, Boylan A, Wilkinson C. Peri-Sylvian Fissure Developmental Venous Anomaly. Pediatr Neurosurg 2022; 57:222-224. [PMID: 35500562 DOI: 10.1159/000524800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Accepted: 04/20/2022] [Indexed: 11/19/2022]
Affiliation(s)
- Stephanie Serva
- University of Colorado School of Medicine, Aurora, Colorado, USA
| | - Ash Brones
- Department of Neurosurgery, Children's Hospital Colorado, Aurora, Colorado, USA
| | - Arianne Boylan
- Hartford HealthCare Network Medical Group, Bridgeport, Connecticut, USA
| | - Corbett Wilkinson
- Department of Neurosurgery, Children's Hospital Colorado, Aurora, Colorado, USA.,Department of Neurosurgery, University of Colorado School of Medicine, Aurora, Colorado, USA
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Ebrahimzadeh K, Tavassol HH, Mousavinejad SA, Ansari M, Kazemi R, Bahrami-Motlagh H, Jalili Khoshnoud R, Sharifi G, Samadian M, Rezaei O. The Sensorineural Hearing Loss Related to a Rare Infratentorial Developmental Venous Angioma: A Case Report and Review of Literature. J Neurol Surg A Cent Eur Neurosurg 2021; 84:288-294. [PMID: 34126638 DOI: 10.1055/s-0041-1725960] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND Developmental venous anomaly (DVA) is a benign venous abnormality draining normal brain parenchyma. It is mostly asymptomatic; however, rare complications such as hemorrhage may lead to symptomatic conditions. Headache and seizure are the most common symptoms. Hearing loss is an extremely rare presentation of DVA. To our knowledge, only five cases of DVA, presenting with hearing loss, had been reported so far. CASE PRESENTATION We report the case of a 27-year-old woman who presented with a sensorineural hearing loss followed by facial paresis. Magnetic resonance imaging (MRI) and computed tomography (CT) angiography revealed hematoma with adjacent converging veins showing a typical "caput medusa" sign in the left middle cerebellar peduncle, in favor of DVA. Due to the compression effect of hematoma, she underwent surgery. Hearing loss and facial paresis improved significantly during the postoperative follow-up. CONCLUSION Although DVA is mostly benign and asymptomatic, complications such as hemorrhage rarely occur. Hearing loss is an extremely rare presentation that can be attributable to the compression effect on the cranial nerve VII to VIII complex. In the case of compression effect or progression of symptoms, surgical intervention is necessary. A good clinical outcome could be expected postoperatively.
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Affiliation(s)
- Kaveh Ebrahimzadeh
- Department of Neurosurgery, Skull Base Research Center, Shahid Beheshti University of Medical Sciences, Loghman Hakim Hospital, Tehran, Iran
| | - Hesameddin Hoseini Tavassol
- Department of Neurosurgery, Skull Base Research Center, Shahid Beheshti University of Medical Sciences, Loghman Hakim Hospital, Tehran, Iran
| | - Seyed Ali Mousavinejad
- Department of Neurosurgery, Skull Base Research Center, Shahid Beheshti University of Medical Sciences, Loghman Hakim Hospital, Tehran, Iran
| | - Mohammad Ansari
- Department of Neurosurgery, Skull Base Research Center, Shahid Beheshti University of Medical Sciences, Loghman Hakim Hospital, Tehran, Iran
| | - Reyhaneh Kazemi
- Medical Researcher, Skull Base Research Center, Shahid Beheshti University of Medical Sciences, Loghman Hakim Hospital, Tehran, Iran
| | - Hooman Bahrami-Motlagh
- Department of Radiology, Shahid Beheshti University of Medical Sciences, Loghman Hakim Hospital, Tehran, Iran
| | - Reza Jalili Khoshnoud
- Department of Neurosurgery, Functional Neurosurgery Research Center, Shahid Beheshti University of Medical Sciences, Shohada-e-Tajrish Hospital, Tehran, Iran
| | - Guive Sharifi
- Department of Neurosurgery, Skull Base Research Center, Shahid Beheshti University of Medical Sciences, Loghman Hakim Hospital, Tehran, Iran
| | - Mohammad Samadian
- Department of Neurosurgery, Skull Base Research Center, Shahid Beheshti University of Medical Sciences, Loghman Hakim Hospital, Tehran, Iran
| | - Omidvar Rezaei
- Department of Neurosurgery, Skull Base Research Center, Shahid Beheshti University of Medical Sciences, Loghman Hakim Hospital, Tehran, Iran
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Nonaka Y, Yasuda S, Kumagai N, Kakino Y, Nakagawa J, Takenaka K. Successful Cesarean Section Deliveries in a Patient with a History of Developmental Venous Anomaly-Induced Hemorrhage. J Stroke Cerebrovasc Dis 2019; 28:104461. [PMID: 31662240 DOI: 10.1016/j.jstrokecerebrovasdis.2019.104461] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2019] [Revised: 09/21/2019] [Accepted: 10/02/2019] [Indexed: 11/24/2022] Open
Abstract
While hemorrhage can occur because of developmental venous anomalies (DVAs), there is no established opinion concerning their association with pregnancy and childbirth. In the present report, we discuss the case of a now 39-year-old woman with DVA in whom pregnancy and childbirth were successful. When she was 28, she experienced disturbance of consciousness and paralysis on the left side of the body, and brain computed tomography revealed cerebral hemorrhage coupled with subarachnoid hemorrhage. Cerebral angiography revealed a DVA with an arteriovenous shunt, with superficial drainage surrounding the hematoma. No associated cavernous hemangiomas were observed, and the patient was diagnosed with DVA-induced hemorrhage and treated via conservative therapy. Later, at the ages of 32 and 35, she gave birth via Caesarean section under general anesthesia. At the age of 37, she experienced sudden headache and nausea, following which she was again diagnosed with DVA-induced hemorrhage. Fortunately, she experienced no exacerbation of symptoms such as paralysis. However, she currently has mild, residual paralysis on the left side of the body, and she regularly walks to the hospital using a cane for follow-up examinations.
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Affiliation(s)
- Yuko Nonaka
- Department of Neurosurgery, Japanese Red Cross Takayama Hospital, Takayama, Gifu, Japan.
| | - Shoji Yasuda
- Department of Neurosurgery, Japanese Red Cross Takayama Hospital, Takayama, Gifu, Japan
| | - Nobutoshi Kumagai
- Department of Neurosurgery, Japanese Red Cross Takayama Hospital, Takayama, Gifu, Japan
| | - Yoshinori Kakino
- Department of Emergency Medicine, Japanese Red Cross Takayama Hospital, Takayama, Gifu, Japan
| | - Jiro Nakagawa
- Department of Neurosurgery, Japanese Red Cross Takayama Hospital, Takayama, Gifu, Japan
| | - Katsunobu Takenaka
- Department of Neurosurgery, Japanese Red Cross Takayama Hospital, Takayama, Gifu, Japan
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