Intraventricular Cavernoma

Cerebral cavernomas are simple vascular malformations that are mostly located in the brain parenchyma and usually remain asymptomatic. With the incidence of 0.5%, they are the most commonly identified cerebral vascular malformations in general population. However, with only 138 reported cases to date, intraventricular cavernomas are exceptionally rare. They may either remain asymptomatic or cause serious clinical conditions depending on their size and location. Sectional imaging methods are essential in their diagnosis. And in symptomatic cases, complete surgical removal is the treatment of choice. Here, we present a 67-year-old lady with an intraventricular cavernoma in the third ventricle of whom the symptoms were mild and ambiguous and therefore we preferred close clinical and radiological follow-up instead of intervening.