A case of venous angioma complicated by unruptured aneurysm with TIA as the initial manifestation

Venous angioma is a relatively rare vascular malformation of the brain. It is usually asymptomatic and may be an incidental finding at autopsy or on cerebral angiography. We report a very rare case in which TIA-like attack occurred as the initial manifestation. A 59-year-old woman was hospitalized b...

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Bibliographic Details
Published inNo To Shinkei Vol. 46; no. 6; p. 584
Main Authors Asamoto, S, Iwasa, H, Kasai, K, Yamada, N
Format Journal Article
LanguageJapanese
Published Japan 01.06.1994
Subjects
Brain Neoplasms - complications
Brain Neoplasms - surgery
Cerebral Hemorrhage - complications
Female
Hemangioma - complications
Hemangioma - surgery
Humans
Intracranial Aneurysm - complications
Intracranial Aneurysm - surgery
Ischemic Attack, Transient - etiology
Middle Aged
Putamen
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Summary:Venous angioma is a relatively rare vascular malformation of the brain. It is usually asymptomatic and may be an incidental finding at autopsy or on cerebral angiography. We report a very rare case in which TIA-like attack occurred as the initial manifestation. A 59-year-old woman was hospitalized because of a TIA-like attack about 5 months after left putaminal bleeding. Detailed examination allowed us to make a diagnosis of subcortical venous angioma of the left parietal lobe and multiple cerebral aneurysms. The cerebral aneurysms were treated surgically. Since the angioma was localized in an eloquent area, radiotherapy was chosen first. Angioma giving rise to TIAs is very rare. The ischemia may have been caused by transient venous thrombosis or a steal phenomenon due to a decrease in blood circulation in the left cerebrum caused by the putaminal bleeding.
ISSN:0006-8969