Answer for CoW 01 Jan 2017
CHRONIC HEMORRHAGIC INFARCT - LEFT MOTOR CORTEX
Findings
The given sequences are T2WI , FLAIR AND GRADIENT ECHO (SWAN) IMAGES . The special study is Functional MRI - BOLD (Blood Oxygen level Dependent) imaging.
Discussion
Chronic hemorrhagic infarct with gyral calcification, gradient blooming and cystic encephalomalacia noted in the left precentral gyrus region and extending to the paracentral lobule. Surrounding FLAIR hyperintensities represent gliosis. Functional MRI (Motor Tasking) with finger tapping was done . Motor task of hands reveal significant activation in the region of the chronic infarct in left side. The gliosis is the cause of the seizures(scar epilepsy). The numbness of the right hands and feet is due to the prior infarct in the left motor cortex, well delineated in the Functional MRI
Findings
The given sequences are T2WI , FLAIR AND GRADIENT ECHO (SWAN) IMAGES . The special study is Functional MRI - BOLD (Blood Oxygen level Dependent) imaging.
Discussion
Chronic hemorrhagic infarct with gyral calcification, gradient blooming and cystic encephalomalacia noted in the left precentral gyrus region and extending to the paracentral lobule. Surrounding FLAIR hyperintensities represent gliosis. Functional MRI (Motor Tasking) with finger tapping was done . Motor task of hands reveal significant activation in the region of the chronic infarct in left side. The gliosis is the cause of the seizures(scar epilepsy). The numbness of the right hands and feet is due to the prior infarct in the left motor cortex, well delineated in the Functional MRI
Note:
We do not discourage differential diagnosis. But all the differentials must satisfy the findings noted in the case.
If you feel you have answered rightly but cannot find your name in the above list, please call 09551942599.
Did you Know?
The order in which the names appear in this winner's list is based on the time of submission. The first person to send the correct answer gets his/her name on top of the list!
We do not discourage differential diagnosis. But all the differentials must satisfy the findings noted in the case.
If you feel you have answered rightly but cannot find your name in the above list, please call 09551942599.
Did you Know?
The order in which the names appear in this winner's list is based on the time of submission. The first person to send the correct answer gets his/her name on top of the list!