EURORAD ESR

Case 14949

Permanent brain MRI injury after electrical shock

Author(s)
Anastasia Zikou1, Christina Naka1, Sigliti-Henrietta Pelidou2, Maria I Argyropoulou1

1. Department of Clinical Radiology
2. Department of Neurology
University Hospital of Ioannina,
Greece
Email:anzikou@cc.uoi.gr
 
Patient
male, 38 year(s)
 
 
  • Figure 1
    T2 -WI
     

    T2 weighted axial images show bilateral, symmetrical hyperintensities in the globus pallidus, posterior limb of internal capsule, corona radiata and semi-oval centre (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;

    T2 weighted axial images show bilateral, symmetrical hyperintensities in the globus pallidus, posterior limb of internal capsule, corona radiata and semi-oval centre (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;

    T2 weighted axial images show bilateral, symmetrical hyperintensities in the globus pallidus, posterior limb of internal capsule, corona radiata and semi-oval centre (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;

    T2 weighted axial images show bilateral, symmetrical hyperintensities in the globus pallidus, posterior limb of internal capsule, corona radiata and semi-oval centre (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;

    T2 weighted axial images show bilateral, symmetrical hyperintensities in the globus pallidus, posterior limb of internal capsule, corona radiata and semi-oval centre (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 2
    FLAIR -WI
     

    Axial FLAIR images show bilateral, symmetrical hyperintensities in the globus pallidus, posterior limb of internal capsule, corona radiata and semi-oval centre (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Axial FLAIR images show bilateral, symmetrical hyperintensities in the globus pallidus, posterior limb of internal capsule, corona radiata and semi-oval centre (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Axial FLAIR images show bilateral, symmetrical hyperintensities in the globus pallidus, posterior limb of internal capsule, corona radiata and semi-oval centre (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Axial FLAIR images show bilateral, symmetrical hyperintensities in the globus pallidus, posterior limb of internal capsule, corona radiata and semi-oval centre (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Axial FLAIR images show bilateral, symmetrical hyperintensities in the globus pallidus, posterior limb of internal capsule, corona radiata and semi-oval centre (arrows)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 3
    ADC maps
     

    ADC maps show restricted diffusion in the same regions (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Pathology;

    ADC maps show restricted diffusion in the same regions (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Pathology;

    ADC maps show restricted diffusion in the same regions (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Pathology;

    ADC maps show restricted diffusion in the same regions (arrows)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Pathology;

    ADC maps show restricted diffusion in the same regions (arrows)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 4
    T2 -WI
     

    T2 weighted axial images demonstrate the previous affected regions with persistent hyperintensity and mild ex vacuo dilatation of the lateral ventricles (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;

    T2 weighted axial images demonstrate the previous affected regions with persistent hyperintensity and mild ex vacuo dilatation of the lateral ventricles (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;

    T2 weighted axial images demonstrate the previous affected regions with persistent hyperintensity and mild ex vacuo dilatation of the lateral ventricles (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;

    T2 weighted axial images demonstrate the previous affected regions with persistent hyperintensity and mild ex vacuo dilatation of the lateral ventricles (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;

    T2 weighted axial images demonstrate the previous affected regions with persistent hyperintensity and mild ex vacuo dilatation of the lateral ventricles (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 5
    FLAIR
     

    Axial FLAIR images demonstrate the previous affected regions with persistent hyperintensity and mild ex vacuo dilatation of the lateral ventricles (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Axial FLAIR images demonstrate the previous affected regions with persistent hyperintensity and mild ex vacuo dilatation of the lateral ventricles (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Axial FLAIR images demonstrate the previous affected regions with persistent hyperintensity and mild ex vacuo dilatation of the lateral ventricles (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Axial FLAIR images demonstrate the previous affected regions with persistent hyperintensity and mild ex vacuo dilatation of the lateral ventricles (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Axial FLAIR images demonstrate the previous affected regions with persistent hyperintensity and mild ex vacuo dilatation of the lateral ventricles (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 6
    ADC maps
     

    ADC maps show quite “normal” or slight hyperintense signal in the previous affected regions (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Pathology;

    ADC maps show quite “normal” or slight hyperintense signal in the previous affected regions (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Pathology;

    ADC maps show quite “normal” or slight hyperintense signal in the previous affected regions (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Pathology;

    ADC maps show quite “normal” or slight hyperintense signal in the previous affected regions (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Pathology;

    ADC maps show quite “normal” or slight hyperintense signal in the previous affected regions (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
T2 weighted axial images show bilateral, symmetrical hyperintensities in the globus pallidus, posterior limb of internal capsule, corona radiata and semi-oval centre (arrows).
 
T2 weighted axial images show bilateral, symmetrical hyperintensities in the globus pallidus, posterior limb of internal capsule, corona radiata and semi-oval centre (arrows).
 
T2 weighted axial images show bilateral, symmetrical hyperintensities in the globus pallidus, posterior limb of internal capsule, corona radiata and semi-oval centre (arrows).
 
T2 weighted axial images show bilateral, symmetrical hyperintensities in the globus pallidus, posterior limb of internal capsule, corona radiata and semi-oval centre (arrows).
 
T2 weighted axial images show bilateral, symmetrical hyperintensities in the globus pallidus, posterior limb of internal capsule, corona radiata and semi-oval centre (arrows).
 
Axial FLAIR images show bilateral, symmetrical hyperintensities in the globus pallidus, posterior limb of internal capsule, corona radiata and semi-oval centre (arrows).
 
Axial FLAIR images show bilateral, symmetrical hyperintensities in the globus pallidus, posterior limb of internal capsule, corona radiata and semi-oval centre (arrows).
 
Axial FLAIR images show bilateral, symmetrical hyperintensities in the globus pallidus, posterior limb of internal capsule, corona radiata and semi-oval centre (arrows).
 
Axial FLAIR images show bilateral, symmetrical hyperintensities in the globus pallidus, posterior limb of internal capsule, corona radiata and semi-oval centre (arrows).
 
Axial FLAIR images show bilateral, symmetrical hyperintensities in the globus pallidus, posterior limb of internal capsule, corona radiata and semi-oval centre (arrows)
 
ADC maps show restricted diffusion in the same regions (arrows).
 
ADC maps show restricted diffusion in the same regions (arrows).
 
ADC maps show restricted diffusion in the same regions (arrows).
 
ADC maps show restricted diffusion in the same regions (arrows)
 
ADC maps show restricted diffusion in the same regions (arrows)
 
T2 weighted axial images demonstrate the previous affected regions with persistent hyperintensity and mild ex vacuo dilatation of the lateral ventricles (arrows).
 
T2 weighted axial images demonstrate the previous affected regions with persistent hyperintensity and mild ex vacuo dilatation of the lateral ventricles (arrows).
 
T2 weighted axial images demonstrate the previous affected regions with persistent hyperintensity and mild ex vacuo dilatation of the lateral ventricles (arrows).
 
T2 weighted axial images demonstrate the previous affected regions with persistent hyperintensity and mild ex vacuo dilatation of the lateral ventricles (arrows).
 
T2 weighted axial images demonstrate the previous affected regions with persistent hyperintensity and mild ex vacuo dilatation of the lateral ventricles (arrows).
 
Axial FLAIR images demonstrate the previous affected regions with persistent hyperintensity and mild ex vacuo dilatation of the lateral ventricles (arrows).
 
Axial FLAIR images demonstrate the previous affected regions with persistent hyperintensity and mild ex vacuo dilatation of the lateral ventricles (arrows).
 
Axial FLAIR images demonstrate the previous affected regions with persistent hyperintensity and mild ex vacuo dilatation of the lateral ventricles (arrows).
 
Axial FLAIR images demonstrate the previous affected regions with persistent hyperintensity and mild ex vacuo dilatation of the lateral ventricles (arrows).
 
Axial FLAIR images demonstrate the previous affected regions with persistent hyperintensity and mild ex vacuo dilatation of the lateral ventricles (arrows).
 
ADC maps show quite “normal” or slight hyperintense signal in the previous affected regions (arrows).
 
ADC maps show quite “normal” or slight hyperintense signal in the previous affected regions (arrows).
 
ADC maps show quite “normal” or slight hyperintense signal in the previous affected regions (arrows).
 
ADC maps show quite “normal” or slight hyperintense signal in the previous affected regions (arrows).
 
ADC maps show quite “normal” or slight hyperintense signal in the previous affected regions (arrows).
 
 
 
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