Cerebral cavernous hemangioma

Case contributed by Ali Abougazia
Diagnosis almost certain

Presentation

Headache and seizures.

Patient Data

Age: 40 years
Gender: Male
mri

A left frontal pop-corn like 2.5 x 2 cm mass lesion is hyperintense on T1 and T2 sequences. This is compatible with methaemaglobin. There is a thick hypointense coat on all pulse sequences, more apparent on T2. Blooming on the gradient echo sequences is compatible with haemosidrin.

No perilesional edema or significant mass effect.

Case Discussion

Typical appearances of a large left frontal cavernous hemangioma. 

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