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,…

 Posted in Central Nervous System, Infection

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…

 Posted in Central Nervous System, Tumour

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…

 Posted in Central Nervous System, Vascular

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…

 Posted in Central Nervous System

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 …

 Posted in Central Nervous System, Tumour

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…

 Posted in Central Nervous System

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…

 Posted in Central Nervous System, Tumour

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…

 Posted in Central Nervous System, Tumour

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…

 Posted in Central Nervous System, Tumour

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…

 Posted in Central Nervous System