De Novo Cavernoma in the Sensory Cortex Causing Cervicobrachialgia

Abstract

most common cerebral vascular malformation after developmental venous anomaly and capillary telangiectasia [1]. Cavernomas are comprised of clusters of tightly packed, abnormally thin-walled blood vessels that displace normal neurological tissue in the brain or spinal cord [2]. Three gene mutations (CCM1, CCM2, and CCM3), which can either be inherited or occur sporadically, have been associated with the formation of cavernomasIntracerebral hemorrhage is the initial complication in 30% of cases [4,5]. Superficial cavernomas are associated with a lower risk of hemorrhage than those located in the depth. Patients with asymptomatic cavernomas with typical imaging findings are usually managed conservatively with serial imaging studies. Symptomatic patients may present with acute headache, epilepsy and acute or subacute neurological deficits owing to overt intra or extralesional hemorrhage [6].We report the case of a 32-year-old female who suffered from symptoms classified as cervicobrachialgia that were caused by a rapidly growing de novo cavernoma located in the post central gyrus.