Date : 00.00.00
Name of the Patient : Abc Xyzi Tlmn / F / 73 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O generalized weakness with gait ataxia and bladder/bowel involvement since 2 months.
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 no focal area of altered signal intensity within the brain parenchyma.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted in the sphenoid sinus.
INTRACRANIAL MRA :
There is hypoplasia of the A1 segment of the left anterior cerebral artery.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized right 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 :
Tortuousity of the neck vessels is noted.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
Screening, T2 Weighted sagittal images of the cervical spine reveal small, postero-central disc herniations with peridiscal osteophytes at the C4-C5 and C5-C6 levels. Slight ligamentum flavum hypertrophy is also noted at these levels.
1. Mild age related cerebral cortical and cerebellar atrophy.
2. No significant abnormality is detected on the intracranial and neck MRA except for tortuousity of the neck vessels on this study.
3. Degenerative changes in the cervical spine as described.