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Neverland Vein

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In a woman presenting with small centrum semiovale hemorrhage, arterial DSA with rotational angiography revealed no evidence of aneurysm or AVM. Rather, it showed a large developmental venous anomaly and, for better visualization, a venous 3D DSA was also obtained. The 2 subtracted volumes were then fused to show concomitant representation of the arteries and veins. Developmental venous anomaly is an embryologically arrested veins that refuses to grow up into adult veins and one of the most frequently encountered vascular malformations.

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Idea No. 789

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