Alturki Ibrahim A, Alluhidan Tareq A, Alturki Abdulrahman A, Alzahrani Faisal S, Alluwaymi Nawaf A
Radiology Department, King Khalid University Hospital, Riyadh, SAU.
General Practice, The Ministry of Health, Riyadh, SAU.
Cureus. 2024 Jan 1;16(1):e51454. doi: 10.7759/cureus.51454. eCollection 2024 Jan.
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.
海绵状血管瘤，也称为海绵状血管畸形，是一种在发育过程中出现的血管畸形。它通常看起来像一个浆果状病变。在脑内出血性海绵状血管瘤中，T1加权成像显示脑肿块周围有高信号的病灶周围水肿是一种不寻常的影像学表现。这种征象与海绵状血管瘤的关联正日益受到关注。我们报告一例35岁女性患者，既往无重大病史，自述有7天左侧肢体无力病史，起于上肢，进展至下肢，并伴有恶心。非增强T1加权图像显示病变内高信号内容物呈梯度变化，周围有相对高信号的病灶周围水肿。该患者随后接受了手术以清除血肿并切除病变，手术过程顺利。
