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Tapia's syndrome

Case Study
Dr. Iaia, Alberto, M.D. Newark, Del., NeuroScience Imaging USA

Patient history:

A 45-year-old male presented with ipsilateral hemiplegia of the larynx and tongue.

He was imaged on Achieva 1.5T with the 8-channel SENSE Head coil.

MR images and interpretation:

            T1-weighted   T2-weighted, fat-suppressed   T2-weighted, fat-suppressed
T1-weighted
T2-weighted, fat-suppressed
T2-weighted, fat-suppressed

 

The axial T1-weighted image shows soft tissue prominence in the left lateral wall of the oropharynx (curved arrow) due to posterior displacement of hemiplegic tongue.
Posteriorly, bright signal is present in the left carotid sheath (straight arrow).

 

The axial T2-weighted, fat-suppressed image (center) demonstrates edematous appearance of the left vocal cord (arrow), along with abduction of such structure.

 

The axial T2-weighted fat-suppressed image on the right confirms the presence of carotid dissection (arrow) with hemorrhage present in the left internal carotid artery sheath. Involvement of the vagus (recurrent laryngeal branch) and hypoglossal nerve accounts for clinical findings of Tapia's syndrome.

Impact of Achieva 1.5T imaging:

In skull base and neck studies,  fat suppression is extremely homogenous and reliably so. And we achieve that excellent fat suppression even in areas where there usually is susceptibility.


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Aug 11, 2005

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Case Study
Achieva 1.5T
Release 1
Nova, Nova Dual, Pulsar
Brain, Neck, Neuro, Vascular
 

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