Cerebral cavernous malformation

Case contributed by Dr Ahmed Abd Rabou

Presentation

Gradual decline in cognitive and memory function.

Patient Data

Age: 65 years
Gender: Male
Modality: MRI

An incidental left parietal lobe paramedian intra axial space occupying lesion that displays mixed signal intensity on T1 and T2 with hypointense T2 rim consistent with hemosiderin deposition. T2 GRE shows typical blooming artefact and SWI is the sequence in choice now to detect capillary telangectasia. No surrounding edema or mass effect.

Case Discussion

Cavernomas are a low flow vascular malformation that are usually asymptomatic unless haemorrhage occurs or being in a vital / eloquent location e.g. medial temporal lobe or brainstem.

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Case Information

rID: 39046
Case created: 17th Aug 2015
Last edited: 14th Dec 2015
Inclusion in quiz mode: Included

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