Cavernoma of the pons: Cranial MRI findings

Loss of strength and imbalance complaints that a 57-year old male patient started experiencing in the post-operative period increased in recent months, with speech disorder and difficulty in swallowing complicating the picture in the last few days. The patient had undergone a renal transplant due to chronic kidney failure a year ago. His medical history had diabetes mellitus type 2 and coronary artery disease. Neurologic examination showed dysartria, decrease in gag reflex and left ataxic hemiparesia. Cranial MRI showed a 10x9x11 mm lesion consistent with acute hemorrhagıc cavernoma in the right half of the pons (Images 1,2).