Journal of vascular and interventional neurology · 2015
Exercise Induced Transient Neurological Deficit in a Patient with Cerebellar Developmental Venous Anomaly.
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Saeed Omar, Khan Asif A, Herial Nabeel A, Qureshi Adnan I
Аннотация
BACKGROUND: The association of venous angiomas or developmental venous anomalies (DVA) with transient neurological deficit is rare. We present a rare case of a cerebellar developmental venous anomaly resulting in transient neurological deficits.
CASE DESCRIPTION: A 58-year-old man with recurrent left sided facial dysesthesia, hemiparesis, and mild difficulty ambulating after exercise. A similar episode was experienced six months earlier under the same circumstances. Computed tomographic (CT) scan demonstrated an ill-defined hyperdensity in the right cerebellar hemisphere. Cerebral angiography demonstrated a venous angioma that dilated with valsalva maneuver.
CONCLUSION: We report the first case of a cerebellar venous angioma causing exercise induced transient neurologically deficits. Limiting strenuous exercise may be needed to avoid symptom recurrence. Further research is warranted on the hemodynamic effects of intracranial DVA's.
CASE DESCRIPTION: A 58-year-old man with recurrent left sided facial dysesthesia, hemiparesis, and mild difficulty ambulating after exercise. A similar episode was experienced six months earlier under the same circumstances. Computed tomographic (CT) scan demonstrated an ill-defined hyperdensity in the right cerebellar hemisphere. Cerebral angiography demonstrated a venous angioma that dilated with valsalva maneuver.
CONCLUSION: We report the first case of a cerebellar venous angioma causing exercise induced transient neurologically deficits. Limiting strenuous exercise may be needed to avoid symptom recurrence. Further research is warranted on the hemodynamic effects of intracranial DVA's.