Cavernoma - temporal operculum

Case contributed by Dr Bruno Di Muzio

Presentation

Dizziness and headache. Previous right temporal lobe stroke two years ago.

Patient Data

Age: 72-year-old
Gender: Female

MRI Brain (selected images)

Modality: MRI

Selected images of MRI brain demonstrate a nodular well-defined lesion in the left temporal operculum measuring 15 mm in its longest axial axis, showing low T1 signal, high T2/FLAIR signal with a rim of dropped signal on T2, and blooming artefact on SWI. No surrounding oedema is noted. No restricted diffusion. 

Partially contemplated gliosis on the right temporal lobe as a sequelae of the previous known stroke. 

Case Discussion

The imaging features of the left temporal operculum are suggestive of a cerebral cavernous venous malformation

As an isolated and medium lesion, the differential diagnosis for such lesion is really short, and maybe done between a haemorrhagic cerebral metastasis or a haemorrhagic primary brain tumour (such as GBM), however, in both we would expect mass effect and surrounding oedema, which are not features of the present nodule. 

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Case Information

rID: 42811
Case created: 9th Feb 2016
Last edited: 9th Feb 2016
Inclusion in quiz mode: Included

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