Clinical Case Reports (Feb 2024)

A small frontal lobe cavernoma presenting with headache mimicking migraine and complex focal seizure: A case report

  • Prakriti Adhikari,
  • Anil Nepali,
  • Amit Shah,
  • Shailes Paudel,
  • Prakriti Bhandari,
  • Prakash Nepali

DOI
https://doi.org/10.1002/ccr3.8472
Journal volume & issue
Vol. 12, no. 2
pp. n/a – n/a

Abstract

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Key Clinical Message Cavernoma, or cerebral cavernous angioma, are hamartomatous lesions formed by sinusoidal vascular spaces without cerebral parenchyma in between. Cavernoma is a rare disorder that is diagnosed infrequently and incidentally, so it is called incidentaloma. However, cavernoma can present with seizures, headaches, and other focal neurological deficits, with seizures being the most frequent presentation. Cavernoma is angiographically concealed, and it's diagnosis is challenging. So, the cavernoma is diagnosed based on an MRI. We present the rare case of a patient who presented with a complex focal seizure and migraine‐like headache caused by a small frontal lobe cavernoma.

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