/552 Date : 00.00.00
Name of the Patient : Abc XyzBartlmn / M / 28 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O gait imbalance with speech disturbances.
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
There is an ill-defined, hyperintense signal on the T2 Weighted images in the right thalamus, extending into the right internal capsular region superiorly and into the subthalamic region, right cerebral peduncle and in the pons on the right, inferiorly.
A similar signal intensity lesion is noted in the left cerebral peduncle and in the left corona radiata.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
1. Altered signal in the right thalamus, extending into the right internal capsular region superiorly and into the subthalamic region, both cerebral peduncles, in the pons on the right, inferiorly and in the left corona radiata is not specific for a single etiology. These lesions most likely represent ischemic lesions.
The possibility of demyelinating lesions is less likely.
2. No significant abnormality is detected on the intracranial and neck MRA on this study.