Wallerian degeneration - CT findings

Case contributed by Dr Chris O'Donnell

Presentation

PH of surgery to the left frontal lobe (years ago). Now seizures.

Patient Data

Age: 44
Gender: Female
Modality: CT

Urgent non-contast CT to exclude gross tumour recurrence

Atrophy in the left frontal lobe with low density and atrophy along the cortico-spinal tract through the posterior limb of the internal capsule into the left cerebral peduncle and pons.

Case Discussion

CT findings are only detected when there is well established atrophy along the cortico-spinal white matter tract as a result of damage to the cortical neurons in the left pre-central gyrus.
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Case Information

rID: 20934
Case created: 22nd Dec 2012
Last edited: 16th Nov 2015
Inclusion in quiz mode: Excluded

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