EURORAD ESR

Case 12662

Asymptomatic cerebellar lesions in linear scleroderma “en coup de sabre”

Author(s)
Michael J Maggart and Sumit Pruthi MD

Department of Radiology,
Vanderbilt University Medical Center
Nashville, TN 37232 USA.
Email: sumit.pruthi@vanderbilt.edu
 
Patient
male, 6 year(s)
 
 
  • Figure 1
    Left parietal scalp and calvarial thinning
     

    Initial coronal T2-W MRI demonstrates no obvious signal abnormality within the cerebellum. Scalp thinning is seen (arrow) along the left parietal region corresponding to the patient’s known cutaneous abnormality.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Staging; Special Focus: Connective tissue disorders;

    Coronal reformats from CTA in bone algorithm again demonstrate scalp thinning and underlying calvarial thinning along the left parietal region.

     
    Area of Interest: Head and neck; Imaging Technique: CT-Angiography; Procedure: Staging; Special Focus: Connective tissue disorders;
     
     
  • Figure 2
    Two-year follow-up MR showing cerebellar T2 hyperintensities, nodular enhancement
     

    Axial FLAIR MRI from follow-up obtained 2 years after diagnosis, demonstrating a moderate-sized ill-defined area of T2 hyperintensity involving the left cerebellar white matter. Postsurgical change from scalp biopsy...

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Treatment effects; Special Focus: Connective tissue disorders;

    Coronal T2-W from follow-up obtained 2 years after diagnosis, demonstrating a moderate-sized ill-defined area of T2 hyperintensity involving the left cerebellar white matter. Postsurgical change from scalp biopsy...

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Treatment effects; Special Focus: Connective tissue disorders;

    Axial gradient recall echo (GRE) image demonstrates punctate areas of susceptibility effect (short arrows).

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Treatment effects; Special Focus: Connective tissue disorders;

    Coronal T1-W post-contrast image reveals subtle area of nodular enhancement within (long arrows).

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Treatment effects; Special Focus: Connective tissue disorders;
     
     
Initial coronal T2-W MRI demonstrates no obvious signal abnormality within the cerebellum. Scalp thinning is seen (arrow) along the left parietal region corresponding to the patient’s known cutaneous abnormality.
 
Coronal reformats from CTA in bone algorithm again demonstrate scalp thinning and underlying calvarial thinning along the left parietal region.
 
Axial FLAIR MRI from follow-up obtained 2 years after diagnosis, demonstrating a moderate-sized ill-defined area of T2 hyperintensity involving the left cerebellar white matter. Postsurgical change from scalp biopsy (arrow) is also seen.
 
Coronal T2-W from follow-up obtained 2 years after diagnosis, demonstrating a moderate-sized ill-defined area of T2 hyperintensity involving the left cerebellar white matter. Postsurgical change from scalp biopsy (arrow) is also seen.
 
Axial gradient recall echo (GRE) image demonstrates punctate areas of susceptibility effect (short arrows).
 
Coronal T1-W post-contrast image reveals subtle area of nodular enhancement within (long arrows).
 
 
 
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