Name of the Patient : Abc XyzS. lmn / M / 20 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O head injury in October 0000 with weakness of the LUE and LLE. Bifrontal burr holes with evacuation of subdural hygromas was done on 4.11.97 and 00.00.00 with 5 sittings of HBOT.
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
5 mm thick T1 Weighted sagittal images.
Areas of hyperintensity on the proton and FLAIR images are seen along the cortical gray matter in the right temporal and left parieto-occipital lobes. These are most likely the result of previous contusions.
Areas which are near isointense to CSF are seen in the inferior right frontal lobe and left high parietal region. These are surrounded by hyperintense areas on the FLAIR images and which would represent gliotic changes. These would represent areas of cystic encephalomalacia, the result of previous trauma.
There is mild fullness of the third and both the lateral ventricles. There is mild prominence of the basal cisternal spaces and cerebellar folia bilaterally. Mild atrophy of the brainstem is noted.
The fourth ventricle is normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Inflammatory changes are seen within the maxillary sinuses bilaterally.
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The MRI features are suggestive of :
1. Areas of altered signal along the cortical gray matter in the right temporal and left parieto-occipital lobes are most likely the result of cortical contusions.
2. Areas of cystic encephalomalacia in the inferior right frontal lobe and left high parietal region are probably the result of previous trauma.
3. Mild fullness of the third and both the lateral ventricles with prominent cerebellar folia, basal cisternal spaces and mild brainstem atrophy.