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3.0T Neuro clinical cases - Fletcher Allen Health Care

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

Click on an image to enlarge it !

22-year-old with optic neuritis

T1-weighted TR 573ms, TE 12 ms, 1 NSAPost contrast
T1-weighted
Post contrast
TR 573ms, TE 12 ms, 1 NSA

 

Left T1-weighted image shows mildly enlarged right optic nerve.

Post-contrast image demonstrates optic nerve enhancement.

The diagnosis was multiple sclerosis.

 

Middle-aged woman with ataxia and cranial neuropathies

GRASE TR 2462 ms, TE 80 ms, 3 NSADWI TR 8.25 ms, TE 3.81 ms, <br>flip angle 8.0, 1 NSA
GRASE
DWI
TR 2462 ms, TE 80 ms, 3 NSA
TR 8.25 ms, TE 3.81 ms,
flip angle 8.0, 1 NSA

 

Left image shows a heterogeneous lesion within pons showing striking

hypointensity and marked edema tracking into cerebellum and brain stem.

 

On the diffusion-weighted image, a central hypointensity is seen within the lesion.

 

Tuberculoma

 

On both pre-biopsy images marked enhancement is present with

central areas of non-enhancement. On the coronal image, note the

enlargement of the temporal horns due to obstructive hydrocephalus.

 

This patient underwent biopsy, which confirmed a tuberculoma.

 

Tuberous sclerosis

FLAIR TR 11000 ms, TE 125 ms, <br>flip angle 90, 1 NSAT1-weighted TR 8.25 ms, TE 3.81 ms, <br>flip angle 8.0, 1 NSA
FLAIR
T1-weighted
TR 11000 ms, TE 125 ms,
flip angle 90, 1 NSA
TR 8.25 ms, TE 3.81 ms,
flip angle 8.0, 1 NSA

 

The FLAIR image shows multifocal areas of hyperintense signal

abnormality in the subcortical white matter and corresponding

cortical signal abnormality.

 

In the coronal image, a nodule lining ependymal surface of the

lateral ventricle is noted.

 

 

 

For background information, see



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Case Study
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