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J Korean Neurosurg Soc. 2012 Jan;51(1):37-39. English. Case Report.
Kim YS , Lee JI , Choi CH , Ko JK .
Department of Neurosurgery, Medical Reserch Institute, Pusan National University Hospital, Busan, Korea.

We present a rare case of massive intracerebral hemorrhage resulting from a small, superficially-located supratentorial cavernous malformation, or cavernoma. These lesions rarely lead to massive, life-threatening intracerebral hemorrhages. A 17-year-old female presented with a 3-week history of declining mental status. Brain computed tomography and magnetic resonance imaging revealed a sizable intracranial hemorrhage, within the right occipital region, associated with a small nodule at the hematoma's posterior margin. An emergency operation removed the entire hematoma and nodule. Histological examination of the nodule was compatible with a diagnosis of cavernous malformation. The patient's post-operative course was uneventful.

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