Presentation
Epilepsy.
Patient Data
Small well-defined broad-based extra-axial right temporal lesion (15 mm). It elicits an isosignal to the normal brain on T1, slight high signal on T2 and FLAIR with vivid homogeneous enhancement. Surrounding vasogenic edema with a mass effect on the temporal horn.
Small intra-axial right cerebellar lesion (7 mm) of peripheral location, eliciting an iso-to low signal on T1, low signal on T2 and FLAIR with blooming artefact on T2*. No surrounding edema or enhancement on postcontrast sequences.
Case Discussion
MRI features most consistent with temporal meningioma with small cerebellar cavernoma (incidental finding), type III according to Zabramski classification.