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…

 Posted in Central Nervous System

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…

 Posted in Central Nervous System

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…

 Posted in Central Nervous System

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…

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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…

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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…

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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…

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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…

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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,…

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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…

 Posted in Central Nervous System