Cavernoma - temporal lobe

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Epilepsy.

Patient Data

Age: 35 years
Gender: Male

Brain

mri

There is a well-defined lobulated lesion in the left temporal lobe of low signal onT1WI with foci of high signal, high signal on T2WI with hypointense peripheral rim, and signal loss (blooming effect) on susceptibility-weighted imaging (SWI). The postcontrast sequence shows a mild enhancement. No surrounding edema or mass effect was seen.

Case Discussion

MRI appearance of a temporal cavernoma type II according to Zabramski classification of cerebral cavernous malformations.

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