Cavernoma - thalamus

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Epilepsy.

Patient Data

Age: 15 years
Gender: Male
mri

A rounded well-defined lesion within the left thalamus of inhomogeneous high signal intensity on T1WI, low signal intensity on FLAIR, T2WI, with signal loss on GE and high signal on DWI with low ADC. Minimal perilesional edema is noted. No enhancement seen on postcontrast sequences. 

Case Discussion

MRI appearance characteristic of a cerebral cavernous venous malformation (cavernoma).

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