Name of the Patient : Abc XyzGolalmn / F / 20 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O dystonia of the RUE since 7 years and swelling over the RLE since 2 years.
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 area following CSF signal characteristics on all pulse sequences, located within the lentiform nucleus, posteriorly on the left side extending into the left corona radiata. This area is surrounded by hyperintense signal on the proton, T2 Weighted and FLAIR images and represents an area of gliosis. This area in toto would represent an area of cystic encephalomalacia. There is mild ex-vacuo dilatation of the body of the left lateral ventricle and the left frontal horn.
Another smaller but similar area is seen in the left cerebellar hemisphere, postero-superiorly.
The right lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of inflammatory changes in the mastoid air cells on the right side and ethmoidal air cells.
The MRI features are suggestive of :
1. An areas of cystic encephalomalacia located within the lentiform nucleus, posteriorly on the left side extending into the left corona radiata, probably the sequelae of previous vascular insult.
2. Another smaller similar area in the left cerebellar hemisphere, postero-superiorly, also the sequelae of previous vascular insult.