Asymptomatic Familial Multiple Cerebral Cavernous Malformation in a 73-Year-Old Woman

Cerebral cavernous malformations (CCMs) are dilated blood vessels which can develop sporadically or in familial form and are the commonest malformations of blood vessels in the spinal cord and brain. The familial form is an autosomal dominant gene mutation disorder. This condition can be diagnosed w...

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Main Authors: Klenam Dzefi-Tettey, Emmanuel Kobina Mesi Edzie, Philip Narteh Gorleku, Henry Kusodzi, Abdul Raman Asemah
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2021/9974776
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author Klenam Dzefi-Tettey
Emmanuel Kobina Mesi Edzie
Philip Narteh Gorleku
Henry Kusodzi
Abdul Raman Asemah
author_facet Klenam Dzefi-Tettey
Emmanuel Kobina Mesi Edzie
Philip Narteh Gorleku
Henry Kusodzi
Abdul Raman Asemah
author_sort Klenam Dzefi-Tettey
collection DOAJ
description Cerebral cavernous malformations (CCMs) are dilated blood vessels which can develop sporadically or in familial form and are the commonest malformations of blood vessels in the spinal cord and brain. The familial form is an autosomal dominant gene mutation disorder. This condition can be diagnosed with magnetic resonance imaging (MRI) and computed tomography (CT) scan, but the modality of choice is MRI because of its high sensitivity. We report a case of a 73-year-old woman with an asymptomatic multiple familial cerebral cavernous malformation (FCCM) which was previously misdiagnosed as multiple cerebral metastases on CT scan. A brain MRI performed correctly diagnosed her condition as FCCM based on the typical MRI appearances. In order not to misdiagnose brain lesions like CCM on CT scan, for cerebral metastases in resource-poor settings, radiologists must recommend advanced imaging modalities like MRI for further evaluation, thereby avoiding unnecessary invasive surgical biopsies.
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institution Kabale University
issn 2090-6862
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language English
publishDate 2021-01-01
publisher Wiley
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series Case Reports in Radiology
spelling doaj-art-f6e5cb0d80524ee1955268e83e193ae62025-02-03T00:58:56ZengWileyCase Reports in Radiology2090-68622090-68702021-01-01202110.1155/2021/99747769974776Asymptomatic Familial Multiple Cerebral Cavernous Malformation in a 73-Year-Old WomanKlenam Dzefi-Tettey0Emmanuel Kobina Mesi Edzie1Philip Narteh Gorleku2Henry Kusodzi3Abdul Raman Asemah4Department of Radiology, Korle Bu Teaching Hospital, 1 Guggisberg Avenue, Accra, GhanaDepartment of Medical Imaging, School of Medical Sciences, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, GhanaDepartment of Medical Imaging, School of Medical Sciences, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, GhanaDepartment of Medical Imaging, School of Medical Sciences, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, GhanaDepartment of Medical Imaging, School of Medical Sciences, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, GhanaCerebral cavernous malformations (CCMs) are dilated blood vessels which can develop sporadically or in familial form and are the commonest malformations of blood vessels in the spinal cord and brain. The familial form is an autosomal dominant gene mutation disorder. This condition can be diagnosed with magnetic resonance imaging (MRI) and computed tomography (CT) scan, but the modality of choice is MRI because of its high sensitivity. We report a case of a 73-year-old woman with an asymptomatic multiple familial cerebral cavernous malformation (FCCM) which was previously misdiagnosed as multiple cerebral metastases on CT scan. A brain MRI performed correctly diagnosed her condition as FCCM based on the typical MRI appearances. In order not to misdiagnose brain lesions like CCM on CT scan, for cerebral metastases in resource-poor settings, radiologists must recommend advanced imaging modalities like MRI for further evaluation, thereby avoiding unnecessary invasive surgical biopsies.http://dx.doi.org/10.1155/2021/9974776
spellingShingle Klenam Dzefi-Tettey
Emmanuel Kobina Mesi Edzie
Philip Narteh Gorleku
Henry Kusodzi
Abdul Raman Asemah
Asymptomatic Familial Multiple Cerebral Cavernous Malformation in a 73-Year-Old Woman
Case Reports in Radiology
title Asymptomatic Familial Multiple Cerebral Cavernous Malformation in a 73-Year-Old Woman
title_full Asymptomatic Familial Multiple Cerebral Cavernous Malformation in a 73-Year-Old Woman
title_fullStr Asymptomatic Familial Multiple Cerebral Cavernous Malformation in a 73-Year-Old Woman
title_full_unstemmed Asymptomatic Familial Multiple Cerebral Cavernous Malformation in a 73-Year-Old Woman
title_short Asymptomatic Familial Multiple Cerebral Cavernous Malformation in a 73-Year-Old Woman
title_sort asymptomatic familial multiple cerebral cavernous malformation in a 73 year old woman
url http://dx.doi.org/10.1155/2021/9974776
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AT emmanuelkobinamesiedzie asymptomaticfamilialmultiplecerebralcavernousmalformationina73yearoldwoman
AT philipnartehgorleku asymptomaticfamilialmultiplecerebralcavernousmalformationina73yearoldwoman
AT henrykusodzi asymptomaticfamilialmultiplecerebralcavernousmalformationina73yearoldwoman
AT abdulramanasemah asymptomaticfamilialmultiplecerebralcavernousmalformationina73yearoldwoman