EURORAD ESR

Case 14974

Unilateral Duane syndrome

Author(s)
Ahire Pankaj

Paras MRI Scan Centre,
Citypride, Jalna Road,
Aurangabad.
Dr. Hedgewar Hospital, Aurangabad.
431001, MS, India.
Email:drpankaj_77@rediffmail.com
 
Patient
female, 4 year(s)
 
 
  • Figure 1
    MRI Brain axial FIESTA nerve sequence
     

    Axial 3D GRE FIESTA nerve sequence showing pontomedullary sulcus with the origin of right abducens nerve. On left side there is flow void of anterior inferior cerebellar artery.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial 3D GRE FIESTA nerve sequence showing origin of right abducens nerve at pontomedullary sulcus. On left side origin of abducens nerve is not seen.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial 3D GRE FIESTA nerve sequence showing origin of right abducens nerve at pontomedullary sulcus. On left side origin of abducens nerve is not seen with flow void of anterior inferior cerebellar artery.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial 3D GRE FIESTA nerve sequence showing origin of right abducens nerve. Left abducens nerve is not seen with flow void of anterior inferior cerebellar artery.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial 3D GRE FIESTA nerve sequence showing cisternal portion of right abducens nerve. Left-sided abducens nerve is not seen with flow void of anterior inferior cerebellar artery.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial 3D GRE FIESTA nerve sequence showing cisternal portion of right abducens nerve. Left-sided abducens nerve is not seen with flow void of anterior inferior cerebellar artery.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial 3D GRE FIESTA nerve sequence showing cisternal portion of right abducens nerve. Left-sided abducens nerve is not seen with flow void of anterior inferior cerebellar artery.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial 3D GRE FIESTA nerve sequence showing cisternal portion of right abducens nerve. Left-sided abducens nerve is not seen with flow void of anterior inferior cerebellar artery.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial 3D GRE FIESTA nerve sequence showing cisternal portion of right abducens nerve. Left-sided abducens nerve is not seen with flow void of anterior inferior cerebellar artery.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial 3D GRE FIESTA nerve sequence showing cisternal portion of right abducens nerve with absent left abducens nerve.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial 3D GRE FIESTA nerve sequence showing right abducens nerve entering in right Dorello's canal with absent left abducens nerve.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial 3D GRE FIESTA nerve sequence showing right abducens nerve entering in right Dorello's canal with absent left abducens nerve.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial 3D GRE FIESTA nerve sequence showing right abducens nerve in right Dorello's canal with absent left abducens nerve.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial 3D GRE FIESTA nerve sequence showing right abducens nerve in right Dorello's canal with absent left abducens nerve.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;
     
     
  • Figure 2
    MRI Brain axial inversion images
     

    Axial inversion image showing origin of right abducens nerve with absent left abducens nerve.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial inversion image showing origin of right abducens nerve with absent left abducens nerve.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial inversion image showing origin of right abducens nerve with absent left abducens nerve. Flow void of anterior inferior cerebellar artery seen on left side.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial inversion image showing origin of right abducens nerve with absent left abducens nerve. Flow void of anterior inferior cerebellar artery seen on left side.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial inversion image showing cisternal portion of right abducens nerve with absent left abducens nerve. Flow void of anterior inferior cerebellar artery seen on left side.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial inversion image showing cisternal portion of right abducens nerve with absent left abducens nerve. Flow void of anterior inferior cerebellar artery seen on left side.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial inversion image showing cisternal portion of right abducens nerve with absent left abducens nerve. Flow void of anterior inferior cerebellar artery seen on left side.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial inversion image showing cisternal portion of right abducens nerve with absent left abducens nerve.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial inversion image showing cisternal portion of right abducens nerve entering in Dorello's canal with absent left abducens nerve.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial inversion image showing cisternal portion of right abducens nerve entering in Dorello's canal with absent left abducens nerve.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial inversion image showing right abducens nerve in Dorello's canal with absent left abducens nerve.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;

    Axial inversion image showing right abducens nerve in Dorello's canal with absent left abducens nerve.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Epidemiology;
     
     
  • Figure 3
    MRI Orbit T2W fat sat sequence
     

    Axial T2W fatsat images showing inferior part of lateral rectus muscles.

     
    Area of Interest: Eyes; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Tissue characterisation;

    Axial T2W fatsat images showing normal calibre of lateral rectus muscles.

     
    Area of Interest: Eyes; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Tissue characterisation;

    Axial T2W fatsat images showing normal calibre of lateral rectus muscles.

     
    Area of Interest: Eyes; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Tissue characterisation;

    Axial T2W fatsat images showing normal eye globes.

     
    Area of Interest: Eyes; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Tissue characterisation;
     
     
Axial 3D GRE FIESTA nerve sequence showing pontomedullary sulcus with the origin of right abducens nerve. On left side there is flow void of anterior inferior cerebellar artery.
 
Axial 3D GRE FIESTA nerve sequence showing origin of right abducens nerve at pontomedullary sulcus. On left side origin of abducens nerve is not seen.
 
Axial 3D GRE FIESTA nerve sequence showing origin of right abducens nerve at pontomedullary sulcus. On left side origin of abducens nerve is not seen with flow void of anterior inferior cerebellar artery.
 
Axial 3D GRE FIESTA nerve sequence showing origin of right abducens nerve. Left abducens nerve is not seen with flow void of anterior inferior cerebellar artery.
 
Axial 3D GRE FIESTA nerve sequence showing cisternal portion of right abducens nerve. Left-sided abducens nerve is not seen with flow void of anterior inferior cerebellar artery.
 
Axial 3D GRE FIESTA nerve sequence showing cisternal portion of right abducens nerve. Left-sided abducens nerve is not seen with flow void of anterior inferior cerebellar artery.
 
Axial 3D GRE FIESTA nerve sequence showing cisternal portion of right abducens nerve. Left-sided abducens nerve is not seen with flow void of anterior inferior cerebellar artery.
 
Axial 3D GRE FIESTA nerve sequence showing cisternal portion of right abducens nerve. Left-sided abducens nerve is not seen with flow void of anterior inferior cerebellar artery.
 
Axial 3D GRE FIESTA nerve sequence showing cisternal portion of right abducens nerve. Left-sided abducens nerve is not seen with flow void of anterior inferior cerebellar artery.
 
Axial 3D GRE FIESTA nerve sequence showing cisternal portion of right abducens nerve with absent left abducens nerve.
 
Axial 3D GRE FIESTA nerve sequence showing right abducens nerve entering in right Dorello's canal with absent left abducens nerve.
 
Axial 3D GRE FIESTA nerve sequence showing right abducens nerve entering in right Dorello's canal with absent left abducens nerve.
 
Axial 3D GRE FIESTA nerve sequence showing right abducens nerve in right Dorello's canal with absent left abducens nerve.
 
Axial 3D GRE FIESTA nerve sequence showing right abducens nerve in right Dorello's canal with absent left abducens nerve.
 
Axial inversion image showing origin of right abducens nerve with absent left abducens nerve.
 
Axial inversion image showing origin of right abducens nerve with absent left abducens nerve.
 
Axial inversion image showing origin of right abducens nerve with absent left abducens nerve. Flow void of anterior inferior cerebellar artery seen on left side.
 
Axial inversion image showing origin of right abducens nerve with absent left abducens nerve. Flow void of anterior inferior cerebellar artery seen on left side.
 
Axial inversion image showing cisternal portion of right abducens nerve with absent left abducens nerve. Flow void of anterior inferior cerebellar artery seen on left side.
 
Axial inversion image showing cisternal portion of right abducens nerve with absent left abducens nerve. Flow void of anterior inferior cerebellar artery seen on left side.
 
Axial inversion image showing cisternal portion of right abducens nerve with absent left abducens nerve. Flow void of anterior inferior cerebellar artery seen on left side.
 
Axial inversion image showing cisternal portion of right abducens nerve with absent left abducens nerve.
 
Axial inversion image showing cisternal portion of right abducens nerve entering in Dorello's canal with absent left abducens nerve.
 
Axial inversion image showing cisternal portion of right abducens nerve entering in Dorello's canal with absent left abducens nerve.
 
Axial inversion image showing right abducens nerve in Dorello's canal with absent left abducens nerve.
 
Axial inversion image showing right abducens nerve in Dorello's canal with absent left abducens nerve.
 
Axial T2W fatsat images showing inferior part of lateral rectus muscles.
 
Axial T2W fatsat images showing normal calibre of lateral rectus muscles.
 
Axial T2W fatsat images showing normal calibre of lateral rectus muscles.
 
Axial T2W fatsat images showing normal eye globes.
 
 
 
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