Midbrain cavernoma

Case contributed by Abdallah Alqudah
Diagnosis almost certain

Presentation

Patient presents with headache.

Patient Data

Age: 45 year old
Gender: Female
mri

There is small well-defined right midbrain lesion demonstrating heterogeneous signal intensity on T2 and FLAIR images with a rim of T2 signal void, and blooming artifact on GRE images. 

Case Discussion

This appearance of a central "popcorn" lesion with a rim of T2 signal void and susceptibility artifact is highly suggestive of a cavernoma, though the site is atypical. 

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