Format

Send to

Choose Destination
See comment in PubMed Commons below
Surg Neurol Int. 2014 Jan 14;5:2. doi: 10.4103/2152-7806.124977. eCollection 2014.

Ruptured venous aneurysm of cervicomedullary junction.

Author information

1
Department of Neurosurgery, PGIMER, Chandigarh, India.
2
Department of Radiodiagnosis, PGIMER, Chandigarh, India.
3
Department of Pathology, PGIMER, Chandigarh, India.

Abstract

BACKGROUND:

Ruptured venous aneurysm is often seen with arterio-venous malformation (AVM) or developmental venous anomaly (DVA). However, isolated venous aneurysm is unusual.

CASE DESCRIPTION:

We present a case of ruptured venous aneurysm that presented with subarachnoid hemorrhage (SAH) and intraventricular hemorrhage (IVH). Digital substraction angiography (DSA) revealed a saccular contrast filling pouch in the left lateral aspect of cervicomedullary junction (CMJ). Endovascular intervention was not a viable option. During surgery, a saccular pliable structure approx. 1.5 × 1 cm was found in the subarachnoid space that was clipped and excised. There were no arterial feeders, no evidence of surrounding AVM, and no dilated perimedullary vein.

CONCLUSION:

This is perhaps the first reported case of ruptured venous aneurysm (without associated AVM) of CMJ, which was successfully managed surgically. The possible etiologies remain an unnoticed head trauma or a congenital vessel wall abnormality. Surgically clipping and excision remains the treatment of choice for such lesion.

KEYWORDS:

Arterio-venous malformation; cervico medullary junction; venous aneurysm

PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Medknow Publications and Media Pvt Ltd Icon for PubMed Central
    Loading ...
    Support Center