A case of spontaneous thrombosis and infarction leading to death as co
mplications of a cerebral venous malformation in a 13-year-old boy is
reported. This is the first published report of this type of complicat
ion occurring in a case of venous angioma. While the biologic behavior
of cerebral venous malformations has suggested that they are benign i
n nature, and the results of surgical management have encouraged a con
servative approach, the present case illustrates a potential complicat
ion and argues against the assumption that these malformations are com
pletely benign in nature.