Presentation
Incidental finding in an MRI prescribed for chronic headaches.
Patient Data
Age: 55 years
Gender: Male
From the case:
Post-traumatic encephalomalacia
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Info
Multiple regions of encephalomalacia and gliosis, most prominent in the temporal pole but also seen, less conspicuously, in the inferior surface of the frontal lobes.
Case Discussion
This pattern of encephalomalacia / gliosis characteristic of a previous closed head injury, most likely representing a prior left occipital blow with contrecoup hemorrhaging contusions now resolved.
As the history is often remote (many decades earlier) it is usually not deemed noteworthy, or even recalled.
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