EURORAD ESR

Case 13220

A rare case of Tumefactive demyelination

Author(s)
Jitender Singh, Shaista Siddiqui, Mohd Khalid, Premlata Chouhan, Kavish Kumar

Jawarlal Nehru Medical College, Aligarh Muslim University; Aligarh Road 202001 Aligarh, India; Email:introductory2008@gmail.com
 
Patient
male, 25 year(s)
 
 
  • Figure 1
    CT
     

    CECT shows hypodense lesion in the white matter of right parietal lobe which showing very subtle peripheral enhancement

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Education; Special Focus: Acute;

    T2WI shows hyperintense area in right parasagittal location in parietal lobes.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Acute;
     
     
  • Figure 2
    Brain MRI

    Post contrast T1WI shows peripheral enhancing lesion in the parietal lobe.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Acute;
     
     
  • Figure 3
    MRS

    MRS of lesion shows lactate doublet at 1.3 ppm and reduced NAA and elevated CHO peak at 3.2 ppm

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Spectroscopy; Procedure: Education; Special Focus: Acute;
     
     
  • Figure 4
    CT

    Follow CECT after treatment with corticosteroids shows reduction in size and enhancement of the lesion

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Education; Special Focus: Acute;
     
     
CECT shows hypodense lesion in the white matter of right parietal lobe which showing very subtle peripheral enhancement
 
T2WI shows hyperintense area in right parasagittal location in parietal lobes.
 
Post contrast T1WI shows peripheral enhancing lesion in the parietal lobe.
 
MRS of lesion shows lactate doublet at 1.3 ppm and reduced NAA and elevated CHO peak at 3.2 ppm
 
Follow CECT after treatment with corticosteroids shows reduction in size and enhancement of the lesion
 
 
 
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