PMC6522175_01
(A) Linear scleroderma; (B) incision line and localized scleroderma plaque
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Toronto told her that she might have something in the brain due to scleroderma. The scleroderma was localised in the left frontal side of her scalp (Figure 1). The incision was planned with the help of plastic surgeons to incorporate the abnormality in the scalp flap with a broad base (Figure 1).
(A) axial CT angiogram shows no vascular malformation; (B) T2 axial image showing a fluid level with small amount of hematocrit level; (C) axial cuts showing SWI sequence shows few punctate foci of blooming artifacts; (D) sagittal section with contrast showing enhancement along inferior aspect of lesion; (E) sagittal cut showing a post contrast enhancement of a nodule (blue arrow)
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Figure 2 shows the features that were discovered on the MRI sequences. The post contrast MRI showed a tiny enhancing nodule along the lateral margin of the lesion (Figure 2).
(A) angio CT axial cuts does not show any vascular malformation; (B) post-surgical CT showing cyst was removed completely
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A gross total resection was achieved (Figure 3).
(A); 7mm nodule which was contrast enhancing after surgical removal, (B); histopathologic analysis after surgical removal of the nodule. Thin walled vessels of irregular outline amidst chronic reactive gliosis and hemosiderin deposition in the neuropil
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The examination (Figure 4) of the histopathology sections showed white matter containing multiple blood vessels of irregular outline with paper-thin walls lacking smooth muscle and lined by a single layer of endothelial cells.