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Washington University Experience | VASCULAR | Cavernous Angioma | 17A0 Case 17 History
Case 17 History ---- The patient is a 16 year old boy with a history of multiple cavernomas complicated by seizures and hemorrhage, who is status post left occipital cavernoma resection in 2011. An MRI on March 2016 shows multiple scattered supratentorial and infratentorial cavernomas. The largest, centered within the right anterior centrum semiovale, primarily T1 and T2 hyperintense with associated hypointensity on susceptibility weighted sequences (representing late subacute blood products) has shown interval growth, now measuring 4.9 x 4.5 x 4.2 cm, associated with surrounding vasogenic edema, approximately 15 mm of right-to-left midline shift, subfalcine herniation, and new effacement of the right lateral ventricle. Another large cavernoma, in the right basal ganglia, has also increased in size, now measuring ~3 x 2.7 x 2.3 cm. Another larger cavernoma in the right cerebellar hemisphere had minimally increased in size. Operative procedure: Right frontal craniotomy for resection of right frontal cavernous hemangioma
