AI Article Synopsis
- A rare condition involving venous varices in veins draining arteriovenous malformations (AVMs) can lead to symptoms like compression, and its treatment options and long-term effects are not well established.
- A patient with progressive right-sided hemiparesis and aphasia underwent targeted transarterial embolization to manage a thrombosed venous varix, resulting in significant symptom relief.
- This study suggests that targeted transarterial embolization can be a viable palliative treatment, potentially leading to improved long-term recovery outcomes for patients experiencing similar complications.
Article Abstract
Background: Venous varices in the draining vein of arteriovenous malformations (AVMs) can result in compression symptoms. This condition is extremely rare, and its treatments and long-term outcomes are unresolved.
Methods: Herein, we describe the treatment of a thrombosed venous varix in a draining vein and review the relevant literature.
Results: The patient presented with progressive right-sided hemiparesis and aphasia. Magnetic resonance imaging revealed flow void accumulation from the corpus callosum to the left ventricle and a 30-mm mass in the left putamen. The patient underwent targeted transarterial embolization to reduce the blood flow to the venous varix and relieve the neurologic symptoms. The patient had recovered completely from the right hemiparesis and aphasia 4 years after treatment, with a modified Rankin scale score of 0.
Conclusion: Targeted transarterial embolization for symptomatic venous varix is a palliative treatment that may improve long-term functional outcomes.
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| http://dx.doi.org/10.1055/a-2344-8555 | DOI Listing |
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