Case Notes
History
76 year old with male intermittent slurred speech and trouble with typing. Then developed acute arm weakness and staring spell with unresponsiveness. Patient had a full head MR exam, which was interpreted as having features of acute stroke. No dominant mass was identified to suspect CNS tumor. Based on the imaging and the acute right arm paresis, the patient underwent angiography for possible stroke therapy; the angio, however, was negative. The patient was then referred as an unknown diagnostic problem.Exam
Pre and postcontrast T1-w MR