Cavernoma - mesial temporal lobe

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Partial epilepsy

Patient Data

Age: 40 years
Gender: Female

There is a rounded well-defined intra-axial lesion of the right mesial temporal lobe adjacent to the cavernous sinus, protruding into the prepontine cistern. It displays a low signal on T1WI, FLAIR, and T2WI with a prominent blooming effect on gradient echo sequence. No surrounding edema or enhancement on the postcontrast sequence.

Case Discussion

MRI features of a cavernoma of the mesial temporal lobe. By its MRI appearance and its location adjacent to the right posterior communicating artery, it should not be mistaken for a cerebral aneurysm.

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