Name of the Patient : Abc Xyza R. Jlmn / F / 28 yrs.
Referred by : Dr. Abc Xyzhta / Dr. Abc Xyz.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O sudden onset of weakness of the LLE for a day, on 00.00.0000.
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.
There is an ill-defined, hyperintense signal on the T1 Weighted images in the globus pallidus bilaterally extending into the parathird ventricular region and the cerebral peduncles. This signal appears isointense to normal grey matter on the proton, T2 Weighted and FLAIR images.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Altered signal in the globus pallidus bilaterally extending into the parathird ventricular region and the cerebral peduncles as described may suggest paramagnetic substance deposition. Such changes may be seen to hepatocerebral syndromes.