Cavernous haemangioma

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

Seizures.

Patient Data

Age: 8-year-old
Gender: Male
MRI

MRI Brain

An intra-axial cortical and subcortical right posterior parietal focal lesion is present. It shows mixed intensities with a T2 hypointense rim of hemosiderin giving reticulated "popcorn pattern" and shows a peripheral T1 hyperintense component matching with subacute bleeding surrounded by mild perifocal oedema with slight effacement of the adjacent cortical sulci. In the susceptibility weighted sequence (SWI) the lesion show positive blooming confirming its haemorrhagic nature.

Case Discussion

Right posterior parietal cavernoma with signs of associated subacute bleeding and mild mass effect. It is considered Zabramski type I as it reflects subacute hemorrhage with hyperintensity in T1 and T2.

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Case information

rID: 42367
Case created: 18th Jan 2016
Last edited: 19th Jun 2017
Inclusion in quiz mode: Included

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