Name of the Patient : Abc Xyz lmn / F / 38 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O 2 episodes of seizures (15 days back) with headaches and neck pain since 4 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.
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 sphenoid sinus.
Screening T2 Weighted sagittal images of the cervical spine reveals small posterior disc herniations with peridiscal osteophytes at the C3-C4, C4-C5 and C5-C6 levels.
INTRACRANIAL MRA :
The right posterior cerebral artery appears as a continuation of the right posterior communicating artery.
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 left posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
Flow related artifacts are noted at the common carotid bifurcations.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
No significant abnormality is detected on the intracranial and neck MRA on this study.