Category: Central Nervous System
Multiple sclerosis
Clinical: A 20 years old lady Diagnosed multiple sclerosis 6 years ago Initial presentation: bilateral spastic paraparesis Also had bilateral cerebellar sign and unsteady gait. MRI findings: There are multiple…
Atypical meningioma
Clinical A 22 years old man Presented with sudden onset of generalized tonic clonic fit. He had no history of childhood seizure. He had localized headaches and a skull swelling…
Spinal meningioma
Clinical: A 57 years old lady Underlying HPT and bronchial asthma Treated as CVA since 3 years ago when presented with right upper limb weakness and numbness CT scan brain…
Inflammatory pseudotumour of skull base
Clinical: A 39 years old lady Presented with left eye symptoms Imaging showed lesion at left cavernous sinus area Biopsy done showed inflammatory cells On regular follow up since then…
Intracranial mycotic aneurysm
Clinical: A 21 years old man Strep. viridans endocarditis with aortic regurgitation. Presented with acute left MCA infarction MRI done for further assessment MRI findings: MRI done 3 weeks after…
Rathke cleft cyst
Clinical: A 55 years old lady Para 1, last child birth 13 years ago (2007) Conceived spontaneously, breast feeding for 12 months Initial presentation in 2008 at 43 years old…
Superior cerebellar artery infarction
Clinical: A 64 years old man Underlying HPT, DM and old CVA Complaint sudden onset giddiness, vomiting and nausea, tinnitus, unsteady gait with tendency to fall to left side. Clinically:…
Internuclear opthalmoplegia due to pontine infarction
Clinical: A 63 years old lady Day 8 post laparotomy for multiple liver abscess Developed sudden onset blurring of vision and diploplia Clinical examination showed isolated impaired adduction with nystagmus…
PCA infarction
Clinical: A 54 years old male Presented with left sided headache, dizziness, slurred speech and right sided visual problem Clinical examination show right homonymous quadrantanopia CT Brain on the same…
ACA infarction
Clinical: A 71 years old lady Known case of ESRF on CAPD, T2DM, HPT Sudden onset of reduce consciousness during PD, right body weakness and slurring of speech. Able to…