Date : 00.00.00
Name of the Patient : Abc Xyzt Plmn / M / 5 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O dystonia of the RUE and RLE.
CT was suggestive of calcification in the basal ganglia bilaterally (CT scan was not available).
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 and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
There are hyperintense areas in the caudate nuclei and lentiform nuclei bilaterally on the T1 Weighted images. These are mildly hypointense with peripheral hyperintense areas on the proton, T2 Weighted, FLAIR and Fast Scan (T2 *) images.
There is slight fullness of the ventricular system. There is prominence of the cerebral cortical sulci bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of enlarged adenoids.
Altered signal in the caudate nuclei and lentiform nuclei bilaterally is not specific for a single diagnosis. This may represent calcium (in view of the previous CT Scan).
Wilsons disease or mitochondrial disorders may be considered.