open access

Vol 61, No 1 (2002)
CASE REPORTS
Published online: 2001-11-19
Submitted: 2012-02-06
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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.

open access

Vol 61, No 1 (2002)
CASE REPORTS
Published online: 2001-11-19
Submitted: 2012-02-06

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.
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Keywords

superficial temporal vein; cerebral venous anomalies; neurological manifestations

About this article
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)

Pages

57-60

Published online

2001-11-19

Bibliographic record

Folia Morphol 2002;61(1):57-60.

Keywords

superficial temporal vein
cerebral venous anomalies
neurological manifestations

Authors

Ryszard Maciejewski
Andrzej Drop

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