File:Cavernoma with bleed - midbrain (Radiopaedia 54546-60774 Axial T1 44).png

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Description	Radiopaedia case ID: 54546 Image ID: 31454915 Image stack position: 44/51 Plane projection: Axial Aux modality: T1 Modality: MRI System: Central Nervous System Findings: Hemorrhagic quadrigeminal plate lesion with associated intraventricular hemorrhage. The lesion most likely represents a cavernous venous malformation (cavernoma), although the low T2 rim typically seen is not as conspicuous as is often the case. In the setting of connective tissue disease (SLE) the possibility of this representing a hemorrhage related to cerebral vasculitis should be entertained, although in the absence of other lesions and a normal MRA, this is less likely. Another occult underlying hemorrhagic lesion (e.g. small AVM, hemorrhagic metastasis or primary tumor) are also considerations, although less likely. Careful follow-up, including eventually a contrast enhanced study are required. CT / CTA / angiography are unlikely to significantly contribute in this setting.
Date	Published: 23rd Jun 2018
Source	https://radiopaedia.org/cases/cavernoma-with-bleed-midbrain
Author	Frank Gaillard
Permission (Permission-reusing-text)	http://creativecommons.org/licenses/by-nc-sa/3.0/

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current	00:44, 8 July 2021		512 × 512 (46 KB)	Fæ (talk \| contribs)	Radiopaedia project rID:54546 (batch #6345-106 C44)

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