Giant cerebral cavernous venous malformation

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Headaches.

Patient Data

Age: 13 years
Gender: Female

There is a 50 x 55 x 60 mm large area of abnormal signal mass lesion along with left frontal precentral gyrus stared from the level lateral ventricle trigone and body to the level of the cerebral cortex.

The mentioned mass demonstrates a characteristic “popcorn” appearance with a rim of signal loss due to hemosiderin. 

No evidence of water restriction is depicted on DWI images.

Case Discussion

Typical appearance of cavernous malformation, with popcorn appearance, due to different stages of hemorrhage within the lesion. A complete ring of hemosiderosis is usually noted around the lesion, with some flaring of dark signal into the adjacent white matter tracts. 

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