Deep Ganglionic Intracerebral Hemorrhage Due to Cavernous Malformation Mimicking Hypertensive Hemorrhage: A Report of Two Cases

Cavernous malformation (CM) is a type of vascular malformation that is an important cause of intracerebral hemorrhage. However, because CM is a low-flow vascular malformation, the occurrence of major hemorrhage is rare. We present two patients with deep ganglionic intracerebral hemorrhage that caused a significant mass effect, mimicking hypertensive hemorrhage. In both cases, we performed evacuation of the hematoma as a lifesaving treatment and made a pathological diagnosis of CM. In conclusion, preoperative diagnosis of CM using any kind of radiological evaluation is difficult, especially in patients with major hemorrhage. The possibility of CM should be remembered in cases with deep ganglionic intracerebral hemorrhage.