Radiological Case of the Month - Intraventricular Cavernous Angioma (IVCA)

A 22-year-old white woman presented with a 2-month history of ataxia and personality changes, consisting mainly of abulia, headache, and neck pain. Her medical history included significant hypertension and long-standing mental retardation. The physical examination was significant for severely diminished visual acuity in her right eye as well as bilateral papilledema. Contrast-enhanced computed tomography (CT) revealed a complex solid/cystic mass (Figure 1). Magnetic resonance imaging was performed to obtain further information (Figure 2).