Cavernous haemangioma and meningioma

Case contributed by Dr Nikola Todorovic

Presentation

Occasional headaches

Patient Data

Age: 70
Gender: Female

There is an extra-axial lesion inferobasal on the left, of some 9 x 7 x 8 mm in size, which is slightly hyperintense in T2 and especially on FLAIR, with strong, homogeneous signal intensity enhancement after contrast administration. It demonstrates a characteristic "dural tail sign" (best seen on sagittal projection), which is consistent with a meningioma.

There is also another lesion, demonstrating a characteristic “popcorn” or "berry" appearance with a rim of signal loss due to hemosiderin, with some patchy signal intensity enhancement after contrast administration, which is suggestive of a cavernous haemangioma.

 

Case Discussion

The patient complained of the occasional headaches for several months.

Neurologic examination was unremarkable.

Cavernomas are usually asymptomatic, so the meningioma could be responsible for her headaches, but since she is on antihypertensive therapy for a long time, and also has a few punctiform ischemic lesions, we can not be certain about the cause of her problems.

 

 

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Case information

rID: 52306
Case created: 2nd Apr 2017
Last edited: 4th Apr 2017
Inclusion in quiz mode: Included

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