Laminar cortical necrosis

Case contributed by Dr Paul Simkin

Presentation

Generalised lethargy. Previous stroke 2 month earlier.

Patient Data

Age: 80
Gender: Female
Modality: CT

Gyriform high density in the right parietal and temporal lobes, with underlying white matter hypodensity, correlate to the regions of ischaemia seen on the previous MRI. This is consistent with calcified cortical laminar necrosis.

DWI from MRI 2 months earlier

Modality: MRI

Several areas of restricted diffusion in the right frontal lobe, right insula, right parietal lobe are in keeping with acute infarctions in the right MCA territory. The largest focal areas of diffusion restriction are in the right parietal lobe, however there are punctate foci elsewhere in the MCA territory.

CT from 2 months earlier

Modality: CT

There is subtle hypoattenuation and loss of grey-white matter differentiation in the posterior right insular cortex and superior temporal lobe.

PlayAdd to Share

Case Information

rID: 30492
Case created: 14th Aug 2014
Last edited: 17th Dec 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.