Other specified congenital malformations of circulatory system [Q28.8], Reason for Study: ^Reason: history of CCM having numbness in left arm and leg History: numbness to left arm and leg, history of CCM Brain MRIThere are multifocal bihemispheric mulberry shaped intra-axial lesions with the surrounding hemosiderin deposition indicating multiple cavernous malformations. The largest lesion is located on the left caudate head and left anterior thalamic area measured around 19.3 mm x 22 mm. This lesion shows subtle internal enhancement on post enhancement scan.There is no evidence of developmental venous anomaly.The ventricles, sulci and cisterns are unremarkable except a slight mass effect toward the left lateral ventricle frontal horn. However, there is no evidence of ventriculomegaly. There is no evidence of acute ischemic lesion. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.C-spine MRI.COMPARISON: None.TECHNIQUE: The University of Chicago adult cervical spine MRI protocol without contrast was followed.
1. Multiple cavernous malformations involving bilateral hemispheres. The largest lesion is located at the left caudate nucleus head and anterior thalamus which is measured about 19.3 mm x 22 mm.2. Single superficial and posteriorly located spinal cord cavernous malformation without evidence of surrounding edema at the level of C3. The lesion is measured about 7.9 mm x 3 mm.