Category: Central Nervous System
Tuberculous encephalopathy
Clinical: An 18 years old boy, no previous medical problem Presented with altered behaviour Mainly being lethargy, sleep almost all day Previously described as hard working Came from poor family,…
Cerebral metastasis
Clinical: A 59 years old male Presented with headache for 2 months Gradual worsening affecting his daily activity No vomiting, no blurring of vision No fever, no loss of appetite…
Ruptured cerebral AVM
Clinical: A 20-year old man without any known medical illness Suddenly had fits at home. Brought in unconscious to ED Imaging findings: Axial non-contrasted CT scan of the brain with…
Hemorrhagic transformation of cerebral infarct
Clinical: A 53-year old lady Underlying history of chronic rheumatic heart disease, hypertension and hyperlipidaemia Presented with acute onset of left sided hemiparesis. GCS score was 15/15. Urgent plain CT…
Trumpeted IAM sign
Case contribution: Dr Khairiah Mat Nor Clinical: A 44-year old male Premorbidly, dyslididemia (not on medication) and social smoker. Presented with sensorineural hearing loss of the left ear for a …
Mesial temporal sclerosis
Clinical: A 39-year old male History of epilepsy since 9-year old. Recently fits becoming more frequent and not responding to medication. MRI findings: The left hippocampus is significantly smaller that…
Suprasellar germinoma
Clinical: A 23-year old lady No known medical illness Presented with chronic headache. MRI findings: A lobulated suprasellar mass (yellow arrows). It has mixed cystic and solid components. The lesion…
Hypoglossal schwannoma
Case contribution: Dr Khairiah Mat Nor Clinical: A 52-year-old lady Presented with blurring of vision for 2 months associated with right facial twitching and right facial numbness. Clinical examination showed…
Suprasellar meningioma
Clinical: A 56-year-old man No known medical illness Presented with headache and diplopia. Imaging findings: The axial CT scan of the brain in soft tissue window without contrast (1a) and…
Cerebral amyloid angiopathy
Clinical: A 78-year old lady with no known medical illness Presented with first episode generalized tonic clonic seizure. No history of trauma. Blood pressure was normal. Urgent non-contrast CT scan…