miércoles, 26 de junio de 2013

CASE 36: Mid 50's patient with aphasia

This case had a great interdisciplinary approach result from a good communication with the Neurology Department and other Departments also.

Patient reffered problems with understanding the meaning of words associated with progressive headache that started 2 months ago. He did not suffered from any other neurological symptoms. He was directly reffered to us to undergo an MR with suspicion of a mass or a stroke onset.

Here are the relevant images:


FLAIR



 T1



POST GAD



T2



With this medical history given, make some differential diagnosis. Later on, I'll post further information and conclusion.
  

2 comentarios:

  1. iso-hyper in T2
    Hypointense core in T2
    rim enhancement with nodularity
    surrounding oedema with necrotic center
    Likely a tuberculoma
    D/D
    Toxoplasma,Cysticercosis,fungus,lymphoma,radiation necrosis

    ResponderEliminar
  2. Great differentials..agree, most likely NCC but ring is wide and there is no scolex within. Soon I'll post the conclusion

    ResponderEliminar