Cavernoma - temporal lobe

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Temporal epilepsy.

Patient Data

Age: 60 years
Gender: Female
mri

Well-defined right temporal lesion (measuring 22 x 18 x 15 mm) of mixed signal intensity centrally on both T1 and T2 with hypointense peripheral rim, and signal loss (blooming effect) on GE sequence. Mild enhancement on the post-contrast sequence. No surrounding edema or mass effect is noted.

Case Discussion

MRI features of a temporal cavernoma type II according to Zabramski classification of cerebral cavernous malformations.

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