Category: Central Nervous System

Pituitary apoplexy

Clinical: A 41 years old lady No known medical illness Presented with sudden onset of headache Associated with blurring of vision. Clinical examination shows bitemporal hemianopia Blood investigations are unremarkable…

 Posted in Central Nervous System, Tumour

Heterotopia

Clinical: A 19 years old boy No known medical problem Presented with generalized tonic clonic seizure No neurological deficit MRI findings: Bilateral hippocampus are symmetrical with normal signal intensity (images…

 Posted in Central Nervous System, Developmental

CNS tuberculosis

Clinical: A 25 years old lady, health worker Presented with symptoms of diplopia, photophobia, headache and fever History of contact with TB patient Clinically has bilateral CN VI palsy with…

 Posted in Central Nervous System, Infection

Traumatic contusion and subarachnoid hemorrhage

Clinical: A 46 years old man Involved in motor vehicle accident History of loss of consciousness Complains of headache and persitent vomiting Clinical assessment in ED shows GCS 15/15, no…

 Posted in Central Nervous System, Trauma

Linear skull fracture

Clinical: An 11 years old boy Alleged fall from double decker bed No loss of consciousness Had a few episodes of vomiting after fall No limb weakness, no headache, no…

 Posted in Central Nervous System, Trauma

Swirl sign (intracranial hemorrhage)

Clinical: A 30 years old man Involved in motor vehicle accident Presented with headache and persistent vomiting GCS on arrival in Emergency Department is 14/15 Non-contrast CT brain axial plane…

 Posted in Central Nervous System, Trauma

Depressed skull fracture

Clinical: A 40 years old man hit with a hammer Complains of headache No loss of consciousness No vomitting or blurred vision Radiographic findings: Abnormal lucency rounded in shape at…

 Posted in Central Nervous System, Trauma

Metastatic cavernous sinus lesion

Clinical: A 51 years old man Referred to opthalmologist complaining of unable to open eyes since one month ago. Associated with double vision and headache Clinically examination shows visual acuity…

 Posted in Central Nervous System, ENT, Tumour

Neuromyelitis optica

Clinical: A 28 years old lady First 2 presentations were optic neuritis Third presentation with lower limbs weakness Current presentation with bilateral lower limb weakness and urgency. Clinical examination shows…

 Posted in Central Nervous System

Wallerian Degeneration

Clinical: A 52 years old lady Underlying multiple medical problems Presented with sudden onset right sided body weakness CT brain done showed MCA-territorial infarction MRI done 4 weeks after the…

 Posted in Central Nervous System