Developmental delay in a patient with single cerebral varix

Quratulain Tariq, Mishaal Ather, Ahmer Nasir Baig, Amman Bari, Ehsan Bari

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Cerebral varices are intracranial venous anomalies that are characterized as thin-walled vessels, with a single layer of endothelium lining it and a thin lamina or fibrous connective tissue surrounding it. These varices are usually associated with vascular abnormalities such as arteriovenous malformations or developmental venous anomalies, but may rarely be found as isolated lesions as well. Diagnosis of these isolated lesions on imaging is a challenge, because it is a rare entity and can mimic a space occupying lesion in the brain. The patients with isolated cerebral varix can present with neurological symptoms; however, majority are asymptomatic with the diagnosis made incidentally. Case Description: The aim of this study is to report a case of a 21-month-old boy who was diagnosed with an isolated cerebral varix and had presented with delayed milestones in addition to seizures. His MRI scans showed a solid-cum-cystic lesion with contrast enhancing walls that was excised through craniotomy. Postoperatively, he regained his milestones. Conclusion: The patients with isolated cerebral varix can present with neurological symptoms; however, majority are asymptomatic with the diagnosis made incidentally. These patients have a low risk of bleeding and are treated conservatively, with surgical intervention indicated only in symptomatic patients.

Original languageEnglish
Article numberA59
JournalSurgical Neurology International
Volume13
DOIs
Publication statusPublished - 2022

Keywords

  • AV malformations
  • Cerebral varix
  • Delayed milestones
  • Developmental venous anomalies

Fingerprint

Dive into the research topics of 'Developmental delay in a patient with single cerebral varix'. Together they form a unique fingerprint.

Cite this