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Pediatric Radiology

, Volume 40, Issue 3, pp 374–374 | Cite as

Developmental venous anomaly found by cranial US in a neonate

  • Chaw-Liang Chang
  • Nan-Chang ChiuEmail author
Clinical Image

Keywords

Frontal Lobe Lateral Ventricle Color Flow Vascular Malformation Routine Screening 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
A healthy female neonate received a cranial US as part of a routine screening program. The coronal view demonstrated a long hyperechoic area (arrow) in the right frontal lobe (Fig. 1). A central blood flow toward the lateral ventricle was found on sagittal color flow Doppler sonogram. CT and MRI confirmed the diagnosis of developmental venous anomaly (DVA), also known as venous angioma. The contrast-enhanced CT demonstrated the caput medusae appearance and MRI venogram showed a transcerebral vein (arrowhead) (Fig. 2).
Fig. 1

Coronal cranial US

Fig. 2

MRI venogram

The incidence of DVA is 2.5% at autopsies [1]. It is the most common incidental brain vascular malformation detected in adults [2], but rarely found by US in neonates. This is the only one in our series of more than 5,000 healthy neonatal cranial ultrasonograms. The rarity of the DVA in neonates may be due to its slow “development,” which makes most of them undetectable early or, perhaps due to lack of proper recognition or imaging sensitivity, when present at this young age.

References

  1. 1.
    Sarwar M, McCormick WF (1978) Intracerebral venous angioma: case report and review. Arch Neurol 35:323–325PubMedGoogle Scholar
  2. 2.
    Truwit CL (1992) Venous angioma of the brain: history, significance, and imaging findings. AJR 159:1299–1307PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  1. 1.Department of PediatricsCathay General Hospital HsinchuHsinchuTaiwan
  2. 2.Department of PediatricsMackay Memorial HospitalTaipeiTaiwan

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