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How are Cavernoma Diagnosed?

MRI scans are mainly used to diagnose cavernomas. ‘Magnetic resonance imaging’.

As symptoms are not always evident, many people are only diagnosed with a cavernoma after having an MRI scan for another reason. This is called an incidental finding.

On an MRI scan cavernomas look like a raspberry with a ring around it.

The ring appearance is hemosiderin deposition.

Hemosiderin is iron, a byproduct of the breakdown of blood. This blood has oozed/haemorrhaged from the cavernoma.

An MRI is considered the most sensitive and specific technique for detecting cavernomas.

MRI Scan Images with Cavernoma

MRI Scan of a brain of person with hereditary cavernoma

Brain

Spinal cord

Other scans are sometimes used to identify a cavernoma include a CT ‘computed tomography’ scan. Unless the cavernoma is large it is difficult to see it on a CT scan.

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It is sometimes used in the emergency room to quickly identify bleeds.

Genetic testing can be done to test for the gene mutation.

 

However, this is usually only done once a person presents with 2 or more cavernomas or has a family history of them. The results of the test can confirm if it is hereditary.

Occasionally following neurosurgery to remove all or part of a suspected cavernoma, lab analysis will be done to confirm diagnosis.

Laboratory Technician
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