Category: Central Nervous System

Dense MCA sign

Case contribution: Dr. Raja Rizal Azman Clinical: An 82-year old man presented with sudden onset of right sided body weakness and reduced consciousness following a fall at home. Physical examination…

 Posted in Central Nervous System

Chronic Toluene-induced encephalopathy

Case contribution: Dr Norzaini Rose Mohd Zain Clinical: A 22-year old man A 9-year history of glue-sniffing that evolved into a full-blown picture of psychological dependency that was characterized by…

 Posted in Central Nervous System

Alzheimer Disease

Case contribution: Dr Norzaini Rose Mohd Zain Clinical: A 58 years old female lady was previously working as a secretary. She presented with rather rapid deterioration of cognitive function in…

 Posted in Central Nervous System, Degenerative

Subacute subdural haemorrhage

Clinical: A 63-year old man Presents with altered sensorium. He had a fall 3 days prior to the presentation. CT scan findings: Axial non-contrasted CT scan of the brain on…

 Posted in Central Nervous System, Trauma

Ectopic posterior pituitary gland

Case contribution: Dr. Raja Rizal Azman Clinical: A 10-year old girl presents with short stature secondary to Growth Hormone deficiency. She was born at term with no complications during delivery….

 Posted in Central Nervous System, Paediatric

Osmotic demyelination syndrome

Case contribution: Dr Raja Rizal Azman Clinical: A 54-year old homeless man with a history of alcoholism Presents with drowsiness and associated cough and fever. The patient was admitted and…

 Posted in Central Nervous System

Pituitary apoplexy 2

Clinical: A 64-year-old man with pituitary macroadenoma. Transphenoidal surgery was done 12 years ago. He was under yearly MRI surveillance for residual tumour. He presented with sudden onset of headache…

 Posted in Central Nervous System, Tumour

Pituitary macroadenoma

Clinical: A 57-year-old man Presented with headache and diplopia. Clinical examination showed ptosis of left eye with CNIII palsy. There was no body weakness. Imaging finding: The non-contrast axial plane…

 Posted in Central Nervous System, Tumour

Agenesis of corpus callosum

Case contribution: Prof. Dr Azian Abd Aziz Clinical: A 9 year old girl Recurrent afebrile seizures. MRI findings: MRI axial T2 (Figs. a & b), sagittal T1 (Fig. c) and…

 Posted in Central Nervous System, Paediatric

Multicystic encephalomalacia

Case contribution: Prof. Dr. Azian Abd Aziz Clinical: A 1 year old boy Previously delivered prematurely at 33 weeks gestation and was followed up for hypoxic ischemic encephalopathy. During follow…

 Posted in Central Nervous System, Paediatric