Cerebral cavernous malformation

Case contributed by A.Prof Frank Gaillard

Presentation

Seizure

Patient Data

Age: 30 years
Gender: Female
MRI

A peripherally hemosiderin stained lesion with central high T1 and T2 signal and a small fluid level is demonstrated. There is no surrounding edema or superficial hemosiderin staining.

A 2nd region of hemosiderin staining inferior to the head of caudate on the left is also noted without surrounding edema. 

Four punctate regions of susceptibility induced signal loss scattered throughout both hemispheres and brainstem are additionally noted. 

The remainder of the brain is unremarkable in appearance. Intracranial circulation is within normal limits

Conclusion:

Features are those of multiple cavernous malformations.

Case Discussion

Typical appearances of multiple cavernous malformations, which are often autosomal dominant in inheritance (multiple cavernoma syndrome). 

PlayAdd to Share

Case information

rID: 35579
Published: 21st Jul 2016
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.