Vol 61, No 1 (2002)
Case report
Submitted: 2012-02-06
Published online: 2001-11-19
Neurological symptoms as the result of enlarged dimensions and non-typical course of inferior superficial temporal vein
Ryszard Maciejewski, Andrzej Drop
Folia Morphol 2002;61(1):57-60.
Vol 61, No 1 (2002)
CASE REPORTS
Submitted: 2012-02-06
Published online: 2001-11-19
Abstract
Neurological symptoms as the result of non-typical course of superficial cerebral
veins are described in available literature very rarely. The case described below
indicates that in some circumstances the compression symptoms derived from the
cerebral cortex may be incredibly more serious than their anatomical reasons.
In our observation a young woman was described complaining of paroxysmal numbness
of the left upper limb with paraesthesiae of the left side of the face, the left
eye and left half of the tongue. The patient said that in childhood she used to
have paroxysmal itching of the left hand. She also said that CT of the head made
a few years ago after a car accident was without pathological changes. Neurological
examination, x-ray of the skull and EEG test performed during first visit proved
normal. After one year of the disease, Jackson-type epilepsy, combined with loss
of sensation of the left half of the face for the first time, was present. Neurological
and ophthalmological examination of the bottom of the eye proved normal. Skull
x-ray was normal. Then disturbances of the vision in the left half of the field
appeared. EEG was still in norm. The MRI test showed the asymmetry in the course
and dilated superficial vein between the basis of the right temporal lobe and
the tentorium of the cerebellum. The diameter of this vein was 2.5 mm, but there
were no vascular malformations. Bottom of the eye was normal, but in the field
of vision the white and red colours were dominated.
Abstract
Neurological symptoms as the result of non-typical course of superficial cerebral
veins are described in available literature very rarely. The case described below
indicates that in some circumstances the compression symptoms derived from the
cerebral cortex may be incredibly more serious than their anatomical reasons.
In our observation a young woman was described complaining of paroxysmal numbness
of the left upper limb with paraesthesiae of the left side of the face, the left
eye and left half of the tongue. The patient said that in childhood she used to
have paroxysmal itching of the left hand. She also said that CT of the head made
a few years ago after a car accident was without pathological changes. Neurological
examination, x-ray of the skull and EEG test performed during first visit proved
normal. After one year of the disease, Jackson-type epilepsy, combined with loss
of sensation of the left half of the face for the first time, was present. Neurological
and ophthalmological examination of the bottom of the eye proved normal. Skull
x-ray was normal. Then disturbances of the vision in the left half of the field
appeared. EEG was still in norm. The MRI test showed the asymmetry in the course
and dilated superficial vein between the basis of the right temporal lobe and
the tentorium of the cerebellum. The diameter of this vein was 2.5 mm, but there
were no vascular malformations. Bottom of the eye was normal, but in the field
of vision the white and red colours were dominated.
Keywords
superficial temporal vein; cerebral venous anomalies; neurological manifestations
Title
Neurological symptoms as the result of enlarged dimensions and non-typical course of inferior superficial temporal vein
Journal
Folia Morphologica
Issue
Vol 61, No 1 (2002)
Article type
Case report
Pages
57-60
Published online
2001-11-19
Page views
448
Article views/downloads
1161
Bibliographic record
Folia Morphol 2002;61(1):57-60.
Keywords
superficial temporal vein
cerebral venous anomalies
neurological manifestations
Authors
Ryszard Maciejewski
Andrzej Drop
About this article