Ipsilateral brain cavernoma under scleroderma plaque: a case report

  • Vimal Raj Nitish Gunness Neurosurgery Department St Michael’s Hospital, Toronto, Ontario, Canada
  • David Munoz Department of Laboratory Medicine, St Michael’s Hospital, Toronto, Ontario, Canada
  • Pablo González-López Neurosurgery Service, Alicante University General Hospital, Alicante Institute for Health and Biomedical Research (ISABIAL-FISABIO Foundation), Alicante, Spain
  • Nabeel Alshafai Neurosurgery Department, Royal Commission Hospital, Al Lulu Road, Fanateer, Al Jubail, Saudi Arabia
  • Agdaliya Mikhalkova Neurosurgery Department, Academic Teaching Hospital of Feldkirch, Feldkirch, Austria
  • Julian Spears Neurosurgery Department St Michael’s Hospital, Toronto, Ontario, Canada
Keywords: Scleroderma; cavernoma; adult; ipsilateral; brain; skin incision


Scleroderma is a rare disease of unknown etiology, which is characterized by thickening and hardening of skin due to an increased collagen production. A 44-year-old female patient with a scleroderma on the scalp known by our department, also presented an ipsilateral brain lesion since 2015, which was showing growth without any clinical symptomatology and the patient wanted the lesion to be removed. This atypical lesion underneath the scleroderma shows that diagnosis can be missed without brain imaging and biopsy.


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eISSN: 1937-8688