Cerebral cavernous venous malformations

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Epilepsy

Patient Data

Age: 15 years
Gender: Female

There are multiple supratentorial lesions (at least 5), ranging from 5 to 20 mm of heterogeneous signal intensity on both T1WI, and T2WI with central areas of high signal and peripheral drop-out (hemosiderin) well-visualized on gradient echo. The lesion located in the left temporal region shows a mulberry-like appearance with moderate heterogeneous enhancement on postcontrast sequences. No peripheral edema is seen.

 

Case Discussion

Features are characteristic of cerebral cavernous venous malformations, commonly known as cavernous hemangioma or cavernoma.

 

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