Date : 00.00.00
Name of the Patient : Abc Xyza Milmn / F / 29 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with momentary blackouts since 3 months.
C/O vomiting since 10-15 days.
C/O fever (on and off).
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 is a leash of multiple, serpingenous, signal-void lesions on all the pulse sequences in the left fronto-temporo-parietal cortex and subcortical white matter. These lesions represent a vascular malformation, and is seen to drain into the cortical veins which appear prominent. The left internal cerebral vein also appears slightly larger as also do some of the posterior Sylvian branches of the left middle cerebral artery. There is no perilesional edema or evidence of a recent intracranial haemorrhage.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidentally noted is an empty sella.
The MRI features suggest a vascular malformation in the left fronto-temporo-parietal region. Its arterial supply appears to be from the posterior Sylvian branches of the left middle cerebral artery. The venous drainage seems to be into the superficial cortical veins and probably into the left internal cerebral vein.
A DSA would be worthwhile.