Multiple cerebral cavernomas

Discussion:

The features in this case are consistent with multiple cerebral cavernomas.

Cerebral cavernoma is a vascular malformation seen in brain and spinal cord. Most of the lesions are asymptomatic. These lesions are associated with epilepsy. Hemorrhage can be a presenting feature. It can be solitary or multiple.

Multiple lesions (>5 in number with a positive family history) can be seen in familial cerebral cavernous malformation. 

It can be associated with developmental venous anomalies (DVA). Hence, it is important to rule out the presence of a DVA in the setting of cerebral cavernoma.

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