Periventricular leukomalacia

Case contributed by Magdi Mahsoub
Diagnosis certain

Presentation

Handicapped patient with cerebral palsy presented for follow up MRI.

Patient Data

Age: 16 years
Gender: Male
mri
This study is a stack
Axial
T1
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Axial
T2
This study is a stack
Axial
FLAIR
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Axial
DWI
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Axial
SWI
This study is a stack
Sagittal
T1
This study is a stack
Coronal
T2
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Info

Mildly dilated lateral ventricles with irregular outline and subtle periventricular gliotic changes.

Diminished periventricular white matter.

Mega cisterna magna.

Case Discussion

Periventricular leukomalacia (PVL) is a form of brain injury that affects infants, particularly premature babies. It involves the necrosis of the periventricular white matter. This condition is most commonly associated with premature birth and is a leading cause of cerebral palsy and other neurological impairments.

MRI features consistent with end-stage periventricular leukomalacia (PVL).

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