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Vol. 24. Issue 2.
Pages 88-92 (March - April 2013)
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Vol. 24. Issue 2.
Pages 88-92 (March - April 2013)
Caso clínico
Angioma venoso asociado a hemorragia cerebelosa. Presentación de un caso
Venous angioma with associated cerebellar haemorrhage
Yanire Sánchez Medina
Corresponding author
yanire.sm@hotmail.com

Autor para correspondencia.
, Pedro Antonio Pérez Del Rosario, Jaime Domínguez, Ana Millán
Servicio de Neurocirugía, Hospital Nuestra Señora de Candelaria, Tenerife, España
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Resumen

Los angiomas venosos se consideran una anomalía del desarrollo caracterizada por persistencia en la edad adulta de un drenaje venoso embrionario. Suelen ser asintomáticos y de curso benigno, aunque pueden ocasionar convulsiones y menos frecuentemente hemorragias, normalmente por malformación cavernosa asociada. En la mayoría de los casos no es preciso tratamiento alguno, salvo circunstancias como sangrado, clínica intensa atribuible a la lesión y localización de buen acceso quirúrgico.

Se presenta el caso de un varón de 11 años con un cuadro brusco de disminución del nivel de consciencia, objetivándose en estudios de imagen hematoma en hemisferio cerebeloso derecho, así como estructuras tubulares radiales compatibles con anomalía venosa del desarrollo. Se practicó una intervención quirúrgica con evacuación de hematoma, sin objetivarse otras causas que justifiquen el sangrado.

Palabras clave:
Angioma venoso
Hemorragia
Anomalía venosa del desarrollo
Malformación arteriovenosa
Cavernoma
Cerebelo
Abstract

Venous angiomas are a developmental anomaly in which embryonic venous drainage is still present into adulthood. They are usually asymptomatic and benign course but they can cause seizures and less commonly bleeding, usually associated to cavernous malformation. Normally, treatment is not necessary although bleeding, severe clinical and lesions in which it is possible a favourable approach, we can consider treatment.

We show a case of a 11 years old boy with acute decrease level of consciousness. We observed hematoma in the right cerebellar hemisphere with radial tubular structures consistent with developmental venous anomaly. The hematoma was evacuated without a demonstrable other reason justifying the bleeding.

Keywords:
Venous angioma
Hemorrhage
Developmental venous anomaly
Arteriovenous malformation
Cavernoma
Cerebellum

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