Feb 02
Patient ID :87072980
HX:disable to walk
Findings:
Large lobulated mass in brainstem with mass effect upon
the 4th ventricle & causing obstructing hydrocephalus.
The lesion composed of multiple cysts with numerous fluid
–fluid levels .Most cysts have a complete hemosiderin rim.
This lesion shows various signal intensities consistent with
blood of various stages.
On SWI the lesion is very low signal suggesting blood
products ( susceptibility effect)
DX: Giant cavernous malformation
Discussion :
Large cavernous malformation ( popcorn ball) number 2
cause of spontaneous ICH in children after AVM.
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