A 6-year-old girl presented with her first focal seizure involving her right arm with head turning to the right and eyes deviated to right. The seizure secondarily generalizes. A CT scan was done after the onset.
She was treated conservatively and put on an anticonvulsant. An MRI was obtained 3 months later.
The patient had another seizure 11 months after the first attack.
A follow-up MRI was obtained 1 year after the first seizure attack and 1 month after the second attack.
The patient underwent surgery for excision of the lesion 3 months later (15 months after the initial presentation)
The pathology confirmed cavernous malformation.