EURORAD ESR

Case 13113

First episode of seizure in young adult :cerebral caverous malformation

Author(s)
Jitender Singh , Kavish Kumar Chaurasia , Mohd Khalid , Shaista siddiqui , Pankaj Kumar Gupta , Nani lampung

Jawarlal Nehru Medical College, Aligarh Muslim University; Aligarh Road 202001 Aligarh, India; Email:introductory2008@gmail.com
 
Patient
male, 25 year(s)
 
 
  • Figure 1
    NCCT HEAD
     

    NCCT cut at the level of body of lateral ventricle shows predominately hyperdense lesion with dystrophic calcification tracking from the subcortical white matter of frontal lobe (1b), upto the periventricular region...

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: eLearning; Special Focus: Calcifications / Calculi;

    NCCT cut at the level of body of lateral ventricle shows hypodense lesion with dystrophic calcification tracking from the subcortical white matter of frontal lobe (fig 1b) up to the periventricular region (fig 1a).

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: eLearning; Special Focus: Blood;
     
     
  • Figure 2
    NCCT HEAD
     

    In the same patient, T1W shows central hyperintense areas with focal areas signal drop (popcorn appearances).

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: eLearning; Special Focus: Blood;

    MRI brain shows admixed signal intensity lesion in T2 and FLAIR which surrounding area of signal drop due hemosiderin rim surrounding the lesion (2b, 2C).

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: eLearning; Special Focus: Blood;

    MRI brain shows admixed signal intensity lesion in T2 and FLAIR which surrounding area of signal drop due hemosiderin rim surrounding the lesion (2b, 2C).

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: eLearning; Special Focus: Blood;

    On SWI sequences shows intense blooming due hemosiderin and calcification surrounding the lesion

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: eLearning; Special Focus: Blood;

    On post contrast sequences shows central enhancing vessels within the area of hypointensity in LT frontal lobe (atypical finding).

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: eLearning; Special Focus: Blood;
     
     
NCCT cut at the level of body of lateral ventricle shows predominately hyperdense lesion with dystrophic calcification tracking from the subcortical white matter of frontal lobe (1b), upto the periventricular region (1a).
 
NCCT cut at the level of body of lateral ventricle shows hypodense lesion with dystrophic calcification tracking from the subcortical white matter of frontal lobe (fig 1b) up to the periventricular region (fig 1a).
 
In the same patient, T1W shows central hyperintense areas with focal areas signal drop (popcorn appearances).
 
MRI brain shows admixed signal intensity lesion in T2 and FLAIR which surrounding area of signal drop due hemosiderin rim surrounding the lesion (2b, 2C).
 
MRI brain shows admixed signal intensity lesion in T2 and FLAIR which surrounding area of signal drop due hemosiderin rim surrounding the lesion (2b, 2C).
 
On SWI sequences shows intense blooming due hemosiderin and calcification surrounding the lesion
 
On post contrast sequences shows central enhancing vessels within the area of hypointensity in LT frontal lobe (atypical finding).
 
 
 
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