INTRACEREBRAL HEMORRHAGE / VASCULAR MALFORMATIONS
Capillary telangiectasia
Created 24/02/2022, last revision 26/05/2023
- the second most common vascular malformation after venous angioma (DVA) (16-20% of all malformations)
- the lesion is composed of vessels that resemble dilated capillaries (lumen 20-500μm) and are separated by normal brain tissue (unlike cavernous malformations)
- approx. 2/3 of the lesions have a visible small draining vein
- typical localization: pons, cerebellum, and spinal cord
- the vast majority of telangiectasias are asymptomatic (incidental finding on MRI)
Diagnostic evaluation
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Differential diagnosis
- tumor or metastasis
- subacute ischemia with hemorrhagic component
- cerebritis
- vascular malformation
Management
- usually conservative approach
- the lesion is difficult to access
- almost always asymptomatic
- MRI follow-up is not required if the imaging is typical