Case 319

Case 319

Medical history

19 year-old male patient refers 2 days with difficulty to walk and slightly ataxic gait. History of neuropsychomotor developmental delay, with difficulty to learn in early childhood. Denies comorbidities. Attending doctor requested a brain CT (Image 1) which revealed lesion in the right internal capsule area. Patient also brought previous MRI results (Image 2 and 3).

Image 1: Computed tomography (CT) of the brain, axial view, lateral ventricles level, without injection of intravenous iodine-based contrast.

Image 2: Magnetic resonance imaging (MRI) of the brain, T2-weighted, axial view, lateral ventricles level.

Image 3: Magnetic resonance imaging (MRI) of the brain, gradient-echo, axial view, lateral ventricles level.


Question:
Considering the information provided and the images shown, the probable aetiology for this case is:

Test question

(Rio de Janeiro Military Police, Neurosurgery – 2010) The lesion most frequently associated to cavernoma is:

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