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Vascular Malformations Smith 12-12-2012 - Inova Health System

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2/8/20<strong>12</strong><br />

Developmental Venous Anomaly (DVA)<br />

• May represent anatomic<br />

variant<br />

– Seen in up to 3% of<br />

autopsies<br />

• Enlarged medullary<br />

veins<br />

• Drain into dural sinus or<br />

deep ependymal vein<br />

• Usually solitary<br />

• “Medusa head” or “palm<br />

tree”<br />

Developmental Venous Anomaly<br />

• Isolated or associated with cavernous<br />

angioma<br />

• Hemorrhage unusual<br />

T1+Gd<br />

DVA Imaging: CT<br />

• Calcification & ischemia may occur in the region<br />

drained most likely due to chronic venous<br />

obstructive disease<br />

–Rare<br />

NECT CECT CECT<br />

19

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