Cavernous malformation: midbrain

Case contributed by A.Prof Frank Gaillard

Presentation

Diplopia.

Patient Data

Age: Young adult
Gender: Male

Centered in the superior midbrain is a rounded lesion with peripheral signal drop-out (best seen on gradient echo sequence - GRE) consistent with hemosiderin. Centrally the lesion is markedly heterogeneous in signal with regions of high signal on both T1 and T2 weighted images. There is no peripheral edema and no evidence of hydrocephalus. 

Features are characteristic of a midbrain cavernous malformation.

Case Discussion

cerebral cavernous hemangioma is a common type of cerebral vascular malformation. MRI is the modality of choice, demonstrating a characteristic “popcorn” or "berry" appearance with a rim of signal loss due to hemosiderin

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Case information

rID: 9972
Published: 3rd Jun 2010
Last edited: 5th Aug 2018
Inclusion in quiz mode: Included

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