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Research ArticleHead & Neck

Facial Venous Malformations Are Associated with Cerebral Developmental Venous Anomalies

W. Brinjikji, C.A. Hilditch, A.C. Tsang, P.J. Nicholson, T. Krings and R. Agid
American Journal of Neuroradiology November 2018, 39 (11) 2103-2107; DOI: https://doi.org/10.3174/ajnr.A5811
W. Brinjikji
aFrom the Departments of Radiology (W.B.)
bNeurosurgery (W.B.), Mayo Clinic, Rochester, Minnesota
cJoint Department of Medical Imaging (W.B., C.A.H., A.C.T., P.J.N., T.K., R.A.), Toronto Western Hospital, Toronto, Ontario, Canada.
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C.A. Hilditch
cJoint Department of Medical Imaging (W.B., C.A.H., A.C.T., P.J.N., T.K., R.A.), Toronto Western Hospital, Toronto, Ontario, Canada.
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A.C. Tsang
cJoint Department of Medical Imaging (W.B., C.A.H., A.C.T., P.J.N., T.K., R.A.), Toronto Western Hospital, Toronto, Ontario, Canada.
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P.J. Nicholson
cJoint Department of Medical Imaging (W.B., C.A.H., A.C.T., P.J.N., T.K., R.A.), Toronto Western Hospital, Toronto, Ontario, Canada.
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T. Krings
cJoint Department of Medical Imaging (W.B., C.A.H., A.C.T., P.J.N., T.K., R.A.), Toronto Western Hospital, Toronto, Ontario, Canada.
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R. Agid
cJoint Department of Medical Imaging (W.B., C.A.H., A.C.T., P.J.N., T.K., R.A.), Toronto Western Hospital, Toronto, Ontario, Canada.
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    Fig 1.

    A 49-year-old woman with VMs and DVAs. VMs are in the left temporal region, orbit, zygomaticofacial region, and mandible (A and B). The patient underwent bleomycin sclerotherapy for treatment of the VMs with good results (C). She also had an extensive DVA of the left temporal lobe, basal ganglia, and left cerebellar hemisphere (D and E). Findings would be consistent with CVMS 1–3.

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    Fig 2.

    A 30-year-old man with facial VMs and left supratentorial DVAs. A–C, Postcontrast T1-weighted MRIs show DVAs in the bilateral cerebellar hemispheres, left parietal lobe, and left temporal lobe. D and E, T2-weighted MR imaging shows extensive VMs of the left zygomaticotemporal region and masticator spaces.

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    Fig 3.

    A 22-year-old woman with a left facial DVA, bilateral VMs, and a de novo cavernoma. A, Coronal T2-weighted MR imaging demonstrates a vascular malformation involving the soft tissues overlying the left zygomatico-orbital region with extension to the left maxillary region. B, Axial SWI MR imaging of the brain demonstrates extensive DVAs of the bilateral cerebellar hemispheres and a cavernoma of the left medulla. C, Postcontrast MR imaging demonstrates venous radicles of 2 DVAs involving the bilateral basal ganglia. D, T2-weighted MR imaging 2 years later demonstrates a large cavernoma that developed in one of the venous radicles of the left basal ganglia DVA.

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American Journal of Neuroradiology: 39 (11)
American Journal of Neuroradiology
Vol. 39, Issue 11
1 Nov 2018
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Cite this article
W. Brinjikji, C.A. Hilditch, A.C. Tsang, P.J. Nicholson, T. Krings, R. Agid
Facial Venous Malformations Are Associated with Cerebral Developmental Venous Anomalies
American Journal of Neuroradiology Nov 2018, 39 (11) 2103-2107; DOI: 10.3174/ajnr.A5811

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Facial Venous Malformations Are Associated with Cerebral Developmental Venous Anomalies
W. Brinjikji, C.A. Hilditch, A.C. Tsang, P.J. Nicholson, T. Krings, R. Agid
American Journal of Neuroradiology Nov 2018, 39 (11) 2103-2107; DOI: 10.3174/ajnr.A5811
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