Multiple cerebral cavernomas

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Recent headaches.

Patient Data

Age: 60 years
Gender: Female
mri
This study is a stack
Axial
T1
This study is a stack
Axial
T2
This study is a stack
Axial
FLAIR
This study is a stack
Axial
DWI
This study is a stack
Axial
ADC
This study is a stack
Sagittal
T2
This study is a stack
Coronal
T2
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Info

Multiple scattered T2 centrally hyperintense lesions with thin T2 hypointense rim in the right cerebral hemisphere, left occipital lobe and right cerebellar hemisphere with no perilesional gliosis and edema.

The majority of the lesions also show focal intralesional T1 hyperintense signal in keeping with a more recent bleeding cavernomas.

No mass effect or midline shift. 

Case Discussion

Cavernous malformations are usually isolated. Where multiple cavernous malformations are present, familial multiple cavernous malformation syndrome must be considered. This condition typically presents with seizures. The inheritance pattern is autosomal dominant, with variable penetrance.

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