Intramedullary cavernous: a diagnosis to remember
Edwance dos Santos Góes, Rafael Cavalcanti Fernandes Rocha, Daniella Paula Dias coelho
Diseases of the circulatory system continue to impact the health of populations. Among these, arterial
cerebrovascular diseases are an important subgroup. In young adult patients, the years of life potentially
lost due to such injuries are considerably higher. In this group, there is a smaller proportion of ischemic
events, which can be explained by the occurrence of hemorrhagic events due to vascular malformations
and the use of illicit drugs. Cerebrovascular malformations with a higher risk of hemorrhagic events
are arteriovenous malformations and cavernous angiomas, also called cavernomas. The latter can
occur in any segment of the neuroaxis, and an intramedullary form is considered rare, corresponding to
approximately 5.0% of intramedullary lesions. We present the case of an intramedullary cavernoma in
a young patient who presented tetraparesis during physical exercise, a diagnosis to be remembered in
this age group.
