• Internal medicine · Jan 2015

    Case Reports

    Medullary hemorrhage that preceded the onset of multiple cavernous angiomas.

    • Tameto Naoi, Koichi Nakao, Yuko Nakamura, Ayako Ando, and Tadataka Kawakami.
    • Division of Neurology, Department of Internal Medicine, Shin-Oyama City Hospital, Japan.
    • Intern. Med. 2015 Jan 1; 54 (7): 843-6.

    AbstractMedullary hemorrhage is rare, and the causative role of hypertension still remains controversial. Cavernous angioma and other vascular malformations have been reported to cause medullary hemorrhage. A 53-year-old man was admitted to our hospital for vertigo. Medullary hemorrhage and multiple small hypointense lesions were detected on T2-star weighted magnetic resonance imaging (T2*W MRI). One and four months later, the appearance of new lesions confirmed the diagnosis of cerebral cavernous angioma. Cavernous angioma is often characterized by de novo appearance/progression on MRI. A follow-up MRI is required to diagnose cavernous angioma in patients with medullary hemorrhage.

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