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Abstract Details

A Unique Case of Cavum Veli Interpositum Hemorrhage in an Adult
Cerebrovascular Disease and Interventional Neurology
P5 - Poster Session 5 (5:30 PM-6:30 PM)
3-044
To present a unique case of post traumatic delayed intracerebral hemorrhage in Cavum Veli Interpositum (CVI) in an adult male on antithrombotics.

It has been previously shown that delayed traumatic intraventricular hemorrhage in the evolution of injury has a relatively high occurrence and is associated with increased mortality. But is has never been described in a potential space called CVI in adults. Very few cases have been reported about the pathologies like empyema and cyst in CVI in pediatric population.

The CVI along with the cavum vergae (CV) and cavum septum  pellucidum (CSP) is a persistence of the embryological fluid-filled space between the leaflets of the septum pellucidum and is a common anatomical variant. The CVI is the posterior extension of the CSP, lying anterior to the splenium of the corpus callosum, but it may exist independently. The CV, CVI and CSP usually close in the 6th week in utero but may persist in 30% of term infants and 15% of adults. 

An 80 year old ambidextrous male was admitted after an unwitnessed fall under the influence of alcohol who sustained multiple facial fractures. He was on aspirin and apixaban. Urgent non-contrast Ct head was without any hemorrhage. On day four, he had sudden onset of confusion, memory loss, limb shaking with intention, diplopia and truncal instability. The symptoms lasted for an hour with self-resolution. Repeat non-contrast CT head showed hemorrhage in the CVI.  
MRI brain with and without contrast on day four showed collection of intraventricular hemorrhage just anterior to the splenium of the corpus callosum which demonstrated a triangular configuration. Intraventricular blood products seemed to be confined within the potential space of the CVI.
We are reporting a unique case of isolated CVI hemorrhage in an adult patient, who briefly worsened but ultimately had a good functional outcome.
Authors/Disclosures
Kavneet Kaur, MD
PRESENTER
Dr. Kaur has nothing to disclose.
Vaibhav Goswami, MD (Tower Health) Dr. Goswami has nothing to disclose.
Rafia Shafqat, MD (OhioHealth Physician Group) No disclosure on file
Hussein Alshammari, MD (Wmc) Dr. Alshammari has nothing to disclose.
Stephen J. Marks, MD No disclosure on file