Category: Central Nervous System
Young stroke with MCA stenosis
Clinical: A 34 years old man Young stroke under investigation. Risk factor: smoking, type II DM, hypercholesterolaemia and obesity. CT scan shows lacunar infarctions CT findings: Hypodensity at the left…
Hyperacute MCA infarction
Clinical: A 55 years old man Underlying hypertension and DM Presented with acute onset of altered consciousness CT findings: There is no intracranial haemorrhage Hyperdense MCA sign seen on the…
Lateral medullary syndrome
Clinical: A 69 years old female Background history of hypertension, right CVA with left hemiparesis. Newly diagnosed AF Complaining of headache with dizziness and diplopia for 1 day Noted clinically…
Olfactory groove meningioma
Case contribution: Dr Radhiana Hassan Clinical: A 56 years old man No known medical problem Presented with behavioural change Clinical examination is unremarkable MRI findings: A large extra-axial mass at…
PICA infarction
Clinical: A 35 years old man Known case of DM, HPT Also previously diagnosed as retroviral +ve Presented with sudden onset of headache and generalized body weakness Clinical examination shows…
Biparietal osteodystrophy
Clinical: An 80 years old lady Alleged fall at home during walking Witnessed by daughter in-law After fall noted bleeding wound from left eyebrow No vomiting, no headache, no ear…
Acute Subdural Haemorrhage
Clinical: A 59 years old man Underlying DM, HPT and hyperuricaemia Alleged fall at home, missed steps and landed backward No loss of consciousness, no vomiting, no headache, no blurred…
Subacute infarction with gyriform enhancement
Case contribution: Dr Radhiana Hassan Clinical: A 50 years old lady Had ovarian mass still under investigation No other medical or surgical problem Presented with one week history of lethargy…
Primary CNS lymphoma
Case contribution: Dr Radhiana Hassan Clinical: A 53 years old man presented with difficulty in speech and memory loss Gradual onset and worsening, disorientated at times No headache, no seizure,…
Infarction due to SSS thrombosis
Case contribution: Dr Radhiana Hassan Clinical: A 67 years old man with sudden onset of altered sensorium History of reduced oral intake and shortness of breath few days before Patient…