Cerebral cavernous venous malformation

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Two attacks of generalized tonic-clonic convulsions.

Patient Data

Age: 25 years
Gender: Male

A posterior parietal intra-axial lesion with heterogeneous texture shows high signal areas on T1, T2 and FLAIR with a hypointense rim on T2 and FLAIR. The lesion shows blooming on T2*. No perifocal edema.

Case Discussion

Typical appearances of a cavernous malformation (Zabramski type 2) with a mixed signal intensity on T1 and T2 giving popcorn appearance due to subacute internal hemorrhage and a low signal intensity rim on T2 due to hemosiderin.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.