Hyperintense Perilesional Edema on T1-Weighted Imaging in Cavernoma: A Case Report

Cureus. 2024 Jan 1;16(1):e51454. doi: 10.7759/cureus.51454. eCollection 2024 Jan.

Abstract

Cavernoma, also called a cavernous malformation, is a vascular malformation that happens during development. It tends to look like a berry-shaped lesion. In cerebral hemorrhagic cavernous malformations (cavernoma), T1-weighted imaging that shows hyperintense perilesional edema in brain masses is an unusual radiological finding. This sign's association with cavernoma is gaining prominence. We present the case of a 35-year-old female patient without significant medical history who reported a seven-day history of left-side weakness that began in the upper limb, progressed to the lower limb, and was associated with nausea. The non-contrast T1- T1-weighted images displayed a gradient of hyperintense content of the lesion with surrounding relatively hyperintense perilesional edema. The patient consequently underwent surgery to evacuate the hematoma and excise the lesion, which went uneventfully.

Keywords: cerebral cavernoma; mri findings; neuro radiology; perilesional edema; vascular anomaly.

Publication types

  • Case Reports