EURORAD ESR

Case 9393

A case of neuroacanthocytosis associated with mesial temporal sclerosis

Author(s)
Martucci M, Gaudino S, Colantonio R, Colosimo C
 
Patient
male, 43 year(s)
 
 
  • Figure 1
    MR

    Axial T1-wi IR (1a) and coronal T2-wi (1b) show bilaterally atrophy of caudate nucleus and putamen, without signal intensity changes. Note the subsequent widening of the anterior horns of the lateral ventricles.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR;
     
     
  • Figure 2
    MR

    Axial (2a) and coronal (2b) FLAIR images show left hippocampal mild atrophy and slight hippocampal hyperintensity.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR;
     
     
  • Figure 3
    MR- Perfusion, Spectroscopy

    CBV map (3a) doesn't reveal decreased perfusion of caudate nuclei. Proton spectra (3b, SV TE 35, voxel at the level of the basal ganglia) shows decreased NAA/Cr, increased Cho/Cr and mI/Cr.

     
    Area of Interest: Neuroradiology brain;
     
     
Axial T1-wi IR (1a) and coronal T2-wi (1b) show bilaterally atrophy of caudate nucleus and putamen, without signal intensity changes. Note the subsequent widening of the anterior horns of the lateral ventricles.
 
Axial (2a) and coronal (2b) FLAIR images show left hippocampal mild atrophy and slight hippocampal hyperintensity.
 
CBV map (3a) doesn't reveal decreased perfusion of caudate nuclei. Proton spectra (3b, SV TE 35, voxel at the level of the basal ganglia) shows decreased NAA/Cr, increased Cho/Cr and mI/Cr.
 
 
 
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