EURORAD ESR

Case 14780

Stroke-like episodes in a young patient

Author(s)
Diego Páez Granda, Elena López Banet, Juan Francisco Martínez Martínez, Victor Orcajada Zamora, Victoria Vázquez Sáez

Hospital Universitario Virgen de la Arrixaca,
Murcia, España;
Email:dpaezg@hotmail.com
 
Patient
female, 29 year(s)
 
 
  • Figure 1
    Brain CT

    Bilateral calcifications on the basal ganglia are seen.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Education; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 2
    Brain MRI, T2 sequence

    Cortical subcortical hyperintensity on the left occipito-temporal region.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 3
    Brain MRI after contrast administration

    Mild gyral enhancement is seen.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 4
    Brain MRI, DWI sequence

    The lesion is hyperintense on DWI. It is caused mainly by vasogenic oedema.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 5
    Spectroscopy

    A lactate peak is seen.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Spectroscopy; Procedure: Education; Special Focus: Ischaemia / Infarction;
     
     
Bilateral calcifications on the basal ganglia are seen.
 
Cortical subcortical hyperintensity on the left occipito-temporal region.
 
Mild gyral enhancement is seen.
 
The lesion is hyperintense on DWI. It is caused mainly by vasogenic oedema.
 
A lactate peak is seen.
 
 
 
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