title: Cerebral cavernous malformation: a diagnostic challenge in a young patient with intracerebral haemorrhage.
abstract: An 18-year-old Caucasian man presented with a sudden onset right hemiparesis. On examination, he had objective evidence of an upper motor neuron lesion affecting the right side of his body. CT scan showed a left thalamic haemorrhage. MRI, gradient echo and cerebral angiogram showed no structural lesion and the cause of the bleeding was ultimately attributed to the use of cocaine. During the subsequent 2 years the patient had two further similar episodes, with an MRI eventually demonstrating a cerebral cavernous malformation. This was excised using frameless stereotactic surgery, following which the patient made an uneventful recovery.
authors: Department of School of Medicine, Univeristy of Liverpool, Liverpool, UK.
authors: Kristijonas
authors: K
authors: Milinis
authors: Mohammed
authors: M
authors: Mohammed
authors: James Edward
authors: JE
authors: Dyer
authors: Paul Anthony
authors: PA
authors: Sutton
mesh_terms: D000293:Adolescent; D002543:Cerebral Hemorrhage / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D019970:Cocaine-Related Disorders / Q000150:complications*; D003399:Craniotomy; D020786:Hemangioma, Cavernous, Central Nervous System / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D020335:Paraparesis / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome