Info Images Findings Impression Reco/Acuity Case Images View Images / Launch Visage Case Notes History 32 year old male presenting with an episode of "eye fluttering," tremors, and unreponsiveness. There is a history of a "seizure" event at age 6 years. Exam Non contrast T1-w sequence Prior Study CT Head was not obtained. Dicom View Reference Material
Section 1 Submit Findings Case362c Findings MR T1-W Sequence Pre Contrast There is evidence of abnormal increase in size and/or reduced T1-w signal (i.e. edema) of either hippocampus. Yes No There is evidence of recent or chronic intracranial parenchymal hemorrhage. Yes No There is T1-w signal abnormality (either reduced or increased) suggesting an underlying intraaxial or extraaxial CNS abnormality. Yes No There is global background signal intensity asymmetry between the cerebrum vs cerebellum (only evident when using narrow/high contrast window widths), which if present, is consistent with global hypoxic-ischemic (HIE) event where the cerebrum is uniformly hypodense and the cerebellum is actually normal or near normal. Yes No There is focal/regional loss of sulci with compression of cisterns, & ventricles (not in a recognizable arterial zone), but is indicative of local or regional mass effect. Yes No There may be extravasation of contrast from recent earlier CTA; not to be confused with recent subarachnoid hemorrhage. Yes No There is abnormal brain calciification consistent with prior TORCH infection, as a cause of a seizure event. Yes No There is apparent parenchymal dysgenesis (i.e. Sturge-Weber, NF, tuberous sclerosis, etc) or brain formation abnormality, as a cause of a seizure event. Yes No There is evidence of aggressive otomastoid or paranasal sinus infectious disease, which could lead to cortical vein phlebothrombosis or dural sinus thrombosis. Yes No There are one or more lacunar defects or areas of encephalomalacia or evidence of subcortical leukomalacia consisent with post ischemic injury, or multiple other etiologies as trauma, post encephalitis, post HIE, toxic encepalopathy, etc. Yes No Other Other significant findings are present. Yes No