Medullary cavenous haemangioma

Case contributed by Dr Chris O'Donnell

Presentation

Presented with vomitting and collapse. Now intubated due to respiratory depression

Patient Data

Age: 75
Gender: Female
CT

CT brain

Hyperdense mass in the medulla ? haemorrhage or haemorrhagic lesion including aneurysm

MRI

MRI: 2 days later

Minimal T1 hyperintensity therefore no substantial methaemoglobion excludes acute haematoma.  On T1 almost has "mulberry"-like appearance.   Considerable magnetic susceptibity on SWI consistent with haemosiderin but has T2 hyperintense rim suggestive of oedema.   Acute clinical presentation is presumably due to this swelling and oedema.  Note no abnormality on the MRA to indicate vertebral artery aneurysm.

Case Discussion

Related article: cavernous malformation

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Case information

rID: 20251
Case created: 8th Nov 2012
Last edited: 5th Jul 2017
Inclusion in quiz mode: Included

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