title: Medullary hemorrhage that preceded the onset of multiple cavernous angiomas.
abstract: Medullary 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.
authors.affiliation: Division of Neurology, Department of Internal Medicine, Shin-Oyama City Hospital, Japan.
authors.forename: Tameto
authors.initials: T
authors.lastname: Naoi
authors.forename: Koichi
authors.initials: K
authors.lastname: Nakao
authors.forename: Yuko
authors.initials: Y
authors.lastname: Nakamura
authors.forename: Ayako
authors.initials: A
authors.lastname: Ando
authors.forename: Tadataka
authors.initials: T
authors.lastname: Kawakami
mesh_terms: D000368:Aged; D001932:Brain Neoplasms / Q000150:complications* / Q000175:diagnosis; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D018450:Disease Progression; D020786:Hemangioma, Cavernous, Central Nervous System / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D008526:Medulla Oblongata; D014057:Tomography, X-Ray Computed; D014717:Vertigo / Q000209:etiology