Cerebral venous infarction following thrombosis of the draining vein of a venous angioma (developmental abnormality)

We report two cases of cerebral venous angioma presenting as venous infarct ion, one in the left parietal lobe, the other in the left frontal robe. Cer ebral imaging demonstrated thrombotic occlusion of the draining vein of the venous angioma associated in the latter case with thrombosis of the anteri or part of the superior longitudinal sinus. Both patients were free of coag ulopathy. They were treated with anticoagulant therapy. One completely reco vered, while the other was left with slight residual disability. Thrombosis of the draining vein has been reported in only 6 previous cases, of whom o nly 2 received anticoagulant therapy. Discovery of a venous angioma in the diagnostic workup of a patient with recent neurological disorders should ra ise the question of a possible occlusion of the draining vein and lead to a n appropriate therapy. Copyright (C) 2000 S. Karger AG. Basel.