Case of the Month: May 2013, Page 3

Answer: D)  Mixed vascular malformation

The images show a developmental venous anomaly associated with the previously shown cavernous malformation. When this occurs, it is referred to as a mixed vascular malformation 15-20% of DVAs are associated with cavernous malformations.

Below is a T1 post contrast MIP image which better displays the Medusa head, or palm tree appearance, of multiple veins draining into a single larger collecting vein.   Notice the close association of the DVA with the cavernous malformation.

For a full-size image, please click Neurological Deficit 7 .



The patient returns 5 months later with palatal myoclonus.


For full size image, please click Neurological Deficit 8 and
Neurological Deficit 9 .


MR T2



MR T1 with gad



For full-size images, please click on Neurological Deficit 10 , Neurological Deficit 11 , Neurological Deficit 12 and Neurological Deficit 13 .

MR T2



MR T1 with gad



MR T2



MR T1 with gad



Question:

Given the above images and provided patient history, what is the best diagnosis?
A)  Hypertrophic olivary degeneration
B)  Multiple sclerosis
C)  Lymphoma
D)  Wernicke-Korsakoff Syndrome


< Previous PageVisit our Case of the Month ArchiveNext Page >
Android app on Google Play