Category: Central Nervous System
TB ventriculitis
Clinical: An 18 years old girl Underlying beta thalassemia major on frequent blood transfusion Presented with headache, fever and meningism. CT brain shows ventriculitis EVD inserted-pus drained. MRI findings: There…
MCA infarction or HSV encephalitis?
Clinical: A 55 years old man with DM, HPT and CVA 4 years ago Presented with acute onset of aggressive behaviour. Also noted serum HSV IgG +ve, CSF protein 716….
Septo-optic dysplasia with schizencephaly
Clinical: A 34 years old lady Background history of right congenital nystagmus with reduced vision and glaucoma of same eye. Presented with right temporal visual defect Normal intraoccular pressure diagnosed…
Superior sagittal sinus thrombosis with intraparenchymal haemorrhages
Clinical: A 48 years old man No known medical problem Complains of headache for one month Worsening of headache for the last few days No neurological deficit MRI findings: Multiages…
Intraparenchymal haemorrhage with fluid-blood levels
Clinical: A 50-year old lady She has underlying end stage renal failure and hypertension Admitted for dengue fever, complaint of headache CT brain on admission was normal Clinically there was…
Pituitary stalk Langerhans cell histiocytosis
Clinical: A 9-year-old girl who was previously diagnosed with Langerhans cell histiocytosis. Previous assessment showed bony and pulmonary involvement. Recently she also developed diabetes insipidus. MRI findings: The MRI in…
Oligodendroglioma
Case contribution: Dr Raja Rizal Azman Clinical: A 40-year old man No known medical illness before Presents with three episodes of tonic clonic seizures over a period of two weeks…
Craniopharyngioma
Clinical: A 23-year old lady No known medical problem Presented with chronic headache. Imaging findings: Axial MRI images in (a) T1-weighted, (b) T2-weighted and (c) T1-post contrast show a lobulated…
Lytic lesions in the skull
Clinical: A 64 years old lady History of breast carcinoma (T2N0M0) with left mastectomy done 10 years ago, completed treatment Presented with feeling unwell, dizzy and fell at home Radiographic…
Central sulcus
Case scenario: A 40 years old lady, no known medical illness Recently involved in MVA, preceded with right upper limb rigidity Had antegrade amnesia post trauma MRI done shows space…