Date : 00.00.00
Name of the Patient : Abc Xyz. Bhairalmn / M / 32 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches and neckpain since 8 days.
C/O left sided hemiparesis with loss of bladder control and slurred speech since 00.00.00 which has recovered since 4 days.
C/O seizures on 00.00.00 and 00.00.00.
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.
A limited MR venogram sequence was obtained.
There is seen an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the right high frontal, parafalcine cortex. This lesion appears hypointense to normal grey matter on the T1 Weighted images (scans 103.17, 102.17, 104.17, 105.15-105.17).
There is a hyperintense signal on all the pulse sequences in the mid segment of the superior sagittal sinus and also probably in the superficial cortical veins in the high fronto-parietal region. This suggest venous sinus thrombosis and cortical venous thrombosis.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted in the left maxillary sinus.
1. Altered signal in the right high frontal, parafalcine cortex represents a recent ischemic lesion, most likely represents a venous infarct.
2. Altered signal in the midsegment of the superior sagittal sinus and also probably in the superficial cortical veins in the high fronto-parietal region suggest venous sinus thrombosis and cortical venous thrombosis.