Medullary cavenous haemangioma

Case contributed by Dr Chris O'Donnell


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

Patient Data

Age: 75
Gender: Female

CT brain

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


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

PlayAdd to Share

Case information

rID: 20251
Published: 8th Nov 2012
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

Updating… Please wait.

Alert accept

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

Alert accept Thank you for updating your details.