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Vascular Malformations Smith 12-12-2012 - Inova Health System

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2/8/20<strong>12</strong><br />

Capillary Telangiectasia<br />

• Dilated capillaries<br />

interspersed within<br />

normal brain<br />

• Usually small,<br />

asymptomatic incidental<br />

findings<br />

– Rare reports of<br />

hemorrhage exist<br />

• Most located in<br />

brainstem Pons<br />

Capillary Telangiectasia<br />

• T2: Increased signal<br />

• T2*: Low signal<br />

• Ill defined enhancement after contrast administration:<br />

Stippled/”brush stroke”<br />

• Occult on angiography<br />

• Treatment: None<br />

T1 T1+Gd T2<br />

Capillary Telangiectasia<br />

T1+Gd<br />

E<br />

21

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