Cortical laminar necrosis: on MRI
A case of NIDDM patient presented to the ER complaining of acute onset of recurrent attacks of nausea, vomiting, generalized weakness, dizziness and headache. Last similar episode was 6 days ago. He was confused during MRI study.
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MRI brain with different protocols showing high signal selectively in T1, T1+C along cortical and subcortical regions of right side superior, middle and inferior temporal gyri suggesting cortical laminar necrosis . Absent giral enhancement in T2 sequences as well as DWI suspecting acute or late acute stages of necrosis. Also absence of cortical atrophy exclude chronic stage.