Cavernoma of the medial temporal lobe

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Chronic headaches

Patient Data

Age: 65 years
Gender: Female

There is a small rounded well-defined intra-axial lesion in the right medial temporal lobe. It elicits an isosignal to the cortical grey matter on T1/FLAIR and high signal on T2 with a peripheral hypointense rim and prominent blooming artifact on gradient echo sequence. No surrounding edema or enhancement on the postcontrast sequence.

 

Case Discussion

MRI features of a cavernoma (or cavernous hemangioma) of the medial temporal lobe.

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