Giant arachnoid granulation

Case contributed by Dr Abdulmajid Bawazeer

Presentation

Headache with no meningeal irritation symptoms.

Patient Data

Age: 30 years
Gender: Male
MRI

Large cystic structure measuring 1.9 cm seen within the left transverse sinus with small attenuation of the sinus lumen, it demonstrates high T2 and low T1 and FLAIR signal (follow CSF signal intensity) also appreciated in MRV source images.

Case Discussion

It follows the CSF signal in all sequences. It called giant arachnoid granulation when the size exceeds 1.5 cm and should be differentiated from dural sinus thrombosis

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Case information

rID: 78729
Published: 1st Aug 2020
Last edited: 3rd Aug 2020
Inclusion in quiz mode: Excluded
Institution: The Islamic Hospital

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