NetForum uses cookies to ensure that we give you the best experience on our website. If you continue to use the site, we'll assume that you are happy to receive these cookies on the NetForum website. Read about our cookies.
NetForum Community
Learn. Share. Optimize.
Log in | Sign up now | Submit content | Contact
Go to similar content

Epileptic patient with a small cyst in hippocampus

Case Study
Ajithkumar, Devaki Ramachandran Philips Healthcare • China, People's Republic of
Rajendran, Karthick Raj Philips Healthcare • India
Aziz, Mudasir Philips Healthcare • India

Patient history

A 41-year-old male with a history of seizures since three years underwent an MRI examination on Multiva 1.5T at Holy Family Hospital, New Delhi, India.

Courtesy of Dr. Renee Kulkami and Dr Sameer Kausik, Holy Family hospital, New Delhi, India.

MR examination

The MRI examination according to the hospital epilepsy protocol was performed on a release 5 Multiva 1.5T system using the head part of the HeadSpineTorso (HST) coil.

  

The epilepsy protocol demands high resolution, thin slice scanning with different weightings to rule out subtle pathologies. Epilepsy imaging using Multiva could demonstrate very tiny cysts with great resolution using VISTA, T1W IR, T2W, FLAIR sequences and subtle metabolite ratio reduction in MR spectroscopy.

 

View ExamCard used:

Images and findings

Click on an image to enlarge
 Coronal FLAIR Coronal T1 VISTA
Coronal FLAIR
Coronal T1
VISTA

 

The images from this epilepsy protocol suggest well-marginated, oval-shaped cystic focus, hyperintense on T2W and hypointense on T1W and FLAIR imaging with no diffusion restriction. It measures 5.2 x 3.9 mm. Spectroscopy suggests marginally reduced NAA/Cho and NAA/Cr ratios suggestive of subtle neuronal dysfunction or decreased focal neuronal viability.

Diagnosis

This study done with epilepsy protocol, suggests a small, relatively well marginated, non-enhancing left choroidal fissure cyst causing subtle focal indentation on left hippocampal formation and is associated with minimal perifocal gliosis.

Impact of using Multiva 1.5T

These images show outstanding performance for the sensitivity and specificity of the pathology. 

 

   

Results from case studies are not predictive of results in other cases. Results in other cases may vary. This content is not for use in the USA.



This content has been made possible by NetForum Community.
Share this on: Share your link in twitter Share your link in facebook Share your link on LinkedIn Print Rate this article: Log in to vote

 
Rating:
Votes:
0
Views:
2465
Added:
Jan 12, 2016

Rate this:
Log in to vote
 

Case Study
Multiva 1.5T
Release 5
epilepsy, Hippocampus, Neuro, VISTA
 

Clinical News
Best Practices
Case Studies
Publications and Abstracts
White Papers
Web seminars and Presentations
ExamCards
Protocols
Application Tips and FAQ
Training
Try an Application
Business News
Case Studies
White Papers
Web Seminars and Presentations
Utilization Services
Contributing Professionals
Contributing Institutions
Become a Contributor