Cerebral cavernous venous malformation

Case contributed by Anwar ul Haq Zadran
Diagnosis almost certain

Presentation

Headache and fits for a few months.

Patient Data

Age: 55 years
Gender: Female
This study is a stack
Axial
T2
This study is a stack
Axial
T1
This study is a stack
Axial
FLAIR
This study is a stack
Coronal
T2
This study is a stack
Axial
T1 C+
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Info

A popcorn-like, altered signal intensity lesion involving the left medial frontoparietal regions adjacent to the flax cerebri is noted. The returning signals are hyperintense T2 and FLAIR, and the post-contrast images show no significant enhancement. No perilesional edema is seen. The area is surrounded by a T2 and FLAIR hypointense ring, suggesting a rim of hemosiderin.

Case Discussion

MRI features are of a vascular lesion involving the left frontoparietal region, most likely suggestive of cavernous hemangioma (cavernoma).

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