sb/hs/nl/nl
Name of the Patient : Abc XyzJlmn / F / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O fever with vomiting since 1 1/2 months.
H/O ? convulsions 1 week back.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 mm thick T1 Weighted, T2 Weighted and FLAIR coronal images.
OBSERVATION :
There are ill-defined, hyperintense areas on the proton, T2 Weighted and FLAIR images in the caudate nuclei and thalami bilaterally and in the superior cerebellar vermis and superior cerebellar hemispheres, bilaterally. These areas appear iso to hypointense to normal brain parenchyma on the T1 Weighted images.
There is near symmetric deep sulci in the high frontal regions bilaterally, nearly reaching upto the lateral ventricular walls, but not touching the same. The cortex around these deep sulci is thickened.
The hippocampal complex is unremarkable on either side.
There is mild dilatation of the posterior body of both the lateral ventricles and the fourth ventricles. Also seen is slight fullness of both the frontal horns. The third ventricle is normal. There is slight prominence of the cerebral cortical sulci and the cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
IMPRESSION :
1. Nearly symmetric, altered signal in the caudate nuclei, thalami, superior cerebellar vermis and superior cerebellar hemispheres as described, may represent ischemic lesions. A hypoxic-ischemic etiology is a likely possibility (metabolic disorders should be excluded).
2. Nearly symmetric deep sulci in the high frontal regions bilaterally, with thickened cortical mantle around these sulci suggest cortical dysplasia (? closed lip schizencephaly).