/68 Date : 00.00.00
Name of the Patient : Abc Xyznan Nlmn / M / 40 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O sudden onset of paresthesias in the RUE with slurred speech on 00.00.00 from which patient recovered.
H/O paresthesias on right half of body and face for 2 days on 00.00.00, from which patient recovered.
Now C/O weakness of thumb and the index finger of the right hand with occasional slurring of speech.
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.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
There is an ill-defined, hyperintense signal on the proton, T2 Weighted and Flair images in the cortex and subcortical white matter in the left frontal region. This lesion appears hypointense on the T1 Weighted images and represents an infarct (? subacute).
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 left external carotid artery is not visualized. The left common carotid artery and the left internal carotid artery in the neck, the right common carotid artery and its bifurcation and the vertebral arteries on either side are unremarkable.
1. Altered signal in the left cortex and subcortical white matter in the left frontal region represents an infarct (? subacute).
2. Non visualization of the left external carotid artery and its branches in the neck.
No other significant abnormality is detected on this study.