Capillary telangiectasia is a vascular abnormality primarily of the brainst
em. The clinical relevance is unclear as is the association with clearly pa
thologic findings such as cavernous haemangioma. We report on four cases wi
th capillary telangiectasia proven by follow-up und describe the imaging ch
aracteristics. T2 abnormality was only observed in half of the patients as
was the presence of a discernable collecting vein. Whereas two cases were i
ncidental findings in neurologically normal persons and one had symptoms cl
early attributable to lacunar stroke, one patient may have had symptoms due
to the vascular abnormality in the pens.