Cortical laminar necrosis: on MRI

Case contributed by Dr Mohamed Hossam el Deen

Presentation

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.

Patient Data

Age: 51
Gender: Male

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.

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Case information

rID: 46893
Case created: 21st Jul 2016
Last edited: 26th Jul 2016
Inclusion in quiz mode: Included

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