Corpus callosum cavernoma

Case contributed by Henry Knipe
Diagnosis almost certain

Presentation

Headache

Patient Data

Age: 40 years
Gender: Male
mri

There is a lesion centered on the right aspect of the rostrum of the corpus callosum with marked susceptibility artifact and heterogeneous T2 signal. Central contrast enhancement. No surrounding T2/FLAIR hyperintensity to suggest an acute bleed. 

No surrounding edema to suggest acute bleed. A few T2/FLAIR deep white matter hyperintensities are scattered bilaterally within the frontal lobe. No abnormal diffusion restriction is identified.

Case Discussion

Findings are in keeping with cerebral cavernoma. The central enhancement is not typical but is a known feature. 

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