Category: Central Nervous System

MCA infarction or HSV encephalitis?

Clinical: A 55 years old man with DM, HPT and CVA 4 years ago Presented with acute onset of aggressive behaviour. Also noted serum HSV IgG +ve, CSF protein 716….

 Posted in Central Nervous System, Vascular

Septo-optic dysplasia with schizencephaly

Clinical: A 34 years old lady Background history of right congenital nystagmus with reduced vision and glaucoma of same eye. Presented with right temporal visual defect Normal intraoccular pressure diagnosed…

 Posted in Central Nervous System, Developmental

Superior sagittal sinus thrombosis with intraparenchymal haemorrhages

Clinical: A 48 years old man No known medical problem Complains of headache for one month Worsening of headache for the last few days No neurological deficit MRI findings: Multiages…

 Posted in Central Nervous System, Vascular

Intraparenchymal haemorrhage with fluid-blood levels

Clinical:  A 50-year old lady She has underlying end stage renal failure and hypertension Admitted for dengue fever, complaint of headache CT brain on admission was normal Clinically there was…

 Posted in Central Nervous System

Pituitary stalk Langerhans cell histiocytosis

Clinical: A 9-year-old girl who was previously diagnosed with Langerhans cell histiocytosis. Previous assessment showed bony and pulmonary involvement. Recently she also developed diabetes insipidus. MRI findings: The MRI in…

 Posted in Central Nervous System, Tumour

Oligodendroglioma

Case contribution: Dr Raja Rizal Azman Clinical: A 40-year old  man No known medical illness before Presents with three episodes of tonic clonic seizures over a period of two weeks…

 Posted in Central Nervous System, Tumour

Craniopharyngioma

Clinical: A 23-year old lady No known medical problem Presented with chronic headache. Imaging findings: Axial MRI images in (a) T1-weighted, (b) T2-weighted and (c) T1-post contrast show a lobulated…

 Posted in Central Nervous System, Tumour

Lytic lesions in the skull

Clinical: A 64 years old lady History of breast carcinoma (T2N0M0) with left mastectomy done 10 years ago, completed treatment Presented with feeling unwell, dizzy and fell at home Radiographic…

 Posted in Central Nervous System, Tumour

Central sulcus

Case scenario: A 40 years old lady, no known medical illness Recently involved in MVA, preceded with right upper limb rigidity Had antegrade amnesia post trauma MRI done shows space…

 Posted in Central Nervous System, Notes

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