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3.0T Pediatric neuro cases - Fletcher Allen Health Care

Case Study
Braff, Steven, M.D. Burlington, Fletcher Allen Health Care USA
Filippi, Christopher, M.D. Burlington, Fletcher Allen Health Care USA

Click on an image to enlarge it !

2-month-old following prolonged cardiac arrest

T2-weighted TSE TR 4000 ms, TE 80 ms, <br>flip angle 90, 1 NSA, <br>slice thickness 4 mmT1-weighted TR 508 ms, TE 9 ms, <br>flip angle 90, 2 NSA
T2-weighted TSE
T1-weighted
TR 4000 ms, TE 80 ms,
flip angle 90, 1 NSA,
slice thickness 4 mm
TR 508 ms, TE 9 ms,
flip angle 90, 2 NSA

 

In the T2-weighted image, hypointense signal abnormality is noted

in caudate, basal ganglia and thalami, in addition to posterior limb

of internal capsule. These areas are abnormally hyperintense on the

T1-weighted image.

 

The diagnosis was hypoxic ischemic encephalopathy.

 

12-year-old patient with hard lump on frontal bone

T2-weighted TSE TR 4000 ms, TE 80 ms, 1 NSAT1-weighted TR 8.15 ms, TE 3.74 ms, <br>flip angle 8.0, 1 NSA
T2-weighted TSE
T1-weighted
TR 4000 ms, TE 80 ms, 1 NSA
TR 8.15 ms, TE 3.74 ms,
flip angle 8.0, 1 NSA
Post contrast TR 8.15 ms, TE 3.74 ms, <br>flip angle 8.0, 1 NSADWI
Post contrast
DWI
TR 8.15 ms, TE 3.74 ms,
flip angle 8.0, 1 NSA

 

In the T2-weighted image, a hyperintense lesion within the diploic

compartment of the frontal bone is visualized.

 

In the T1-weighted image, the lesion is isointense with respect to

marrow. In the post-contrast image, mild enhancement is noted.

 

The lesion is markedly hyperintense on the diffusion-weighted

image, which is consistent with an epidermoid. Note excellent

lesion conspicuity despite its location.

 

13-year-old with new onset of seizure

GRASE TR 2459 ms, TE 80 ms, 3 NSAFLAIR TR 11000 ms, TE 125 ms, 1 NSA
GRASE
FLAIR
TR 2459 ms, TE 80 ms, 3 NSA
TR 11000 ms, TE 125 ms, 1 NSA

 

A cortical/subcortical susceptibility lesion is seen on the GRASE image.

 

The FLAIR image shows multifocal areas of hyperintense signal

abnormality in the subcortical white matter.

 

 

 

For background information, see



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Case Study
Achieva 3.0T
Release 1
Quasar Dual
Neuro, Pediatric
 

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