Basal ganglia T1 hyperintensity

Case contributed by Dr Varun Babu

Presentation

Clinical picture raised a suspicion of encephalitis, so an MRI Brain study was done

Patient Data

Age: 60
Gender: Female

MRI brain plain and contrast

Modality: MRI

Bilateral symmetrical T1 hyperintense signals from globus pallidi not enhancing on post contrast study. 

Case Discussion

Lab parameters revealed an album - globulin reversal. Possibility of chronic liver disease was suggested to the clinician. Screening ultrasound abdomen revealed hepatic sonomorphology suggestive of chronic liver parenchymal changes. 

Hence a diagnosis of hepatolenticular degeneration was given. 

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Case Information

rID: 19332
Case created: 30th Aug 2012
Last edited: 2nd Oct 2015
Inclusion in quiz mode: Included

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