Medullary cavenous hemangioma

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 ? hemorrhage or hemorrhagic lesion including aneurysm

MRI

MRI: 2 days later

Minimal T1 hyperintensity therefore no substantial methaemoglobion excludes acute hematoma.  On T1 almost has "mulberry"-like appearance.   Considerable magnetic susceptibity on SWI consistent with hemosiderin but has T2 hyperintense rim suggestive of edema.   Acute clinical presentation is presumably due to this swelling and edema.  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
Published: 8th Nov 2012
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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