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Year : 2006  |  Volume : 16  |  Issue : 4  |  Page : 953-955
Radiological quiz - neuroradiology


Department of Radiodiagnosis and Imaging, Gandhi Medical College and Hamidia Hospital, Bhopal (MP), India

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Date of Submission12-Oct-2006
Date of Acceptance20-Nov-2006
 

How to cite this article:
Malik R, Pandya V K, Jain M. Radiological quiz - neuroradiology. Indian J Radiol Imaging 2006;16:953-5

How to cite this URL:
Malik R, Pandya V K, Jain M. Radiological quiz - neuroradiology. Indian J Radiol Imaging [serial online] 2006 [cited 2019 Aug 24];16:953-5. Available from: http://www.ijri.org/text.asp?2006/16/4/953/32398
A 62 year male presented with tonic - clonic seizures followed by altered sensorium and later loss of consciousness. His blood pressure was 210/130. Hematological and liver function tests were with in normal limits, with mild elevation of serum urea and creatinine. Patient was referred as suspected case of stroke. CT scan of head showed hypodensity, confined to posterior white matter of bilateral cerebral hemisphere with preservation of adjacent gray matter and occipital cortex [Figure - 1]. Lesion was non enhancing on postcontrast scans [Figure - 2]. No other focal mass lesion causing edema in the brain was noted.


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   References Top

1.Hinchey J, Chaves C, Appignani B et al. A reversible posterior leukoencephalopathy syndrome. N Engl J Med 1996; 334:494-500.  Back to cited text no. 1    
2.Diego J. Covarrubias, Patrick H. Luetmer and Norbert G. Campeau, Posterior Reversible Encephalopathy Syndrome: Prognostic Utility of Quantitative Diffusion-Weighted MR Images. American Journal of Neuroradiology June-July 2002; 23:1038-1048.  Back to cited text no. 2    
3.Sean O. Casey, Ricardo C. Sampaio, Eduard Michel and Charles L. Truwit, Posterior Reversible Encephalopathy Syndrome: Utility of Fluid-attenuated Inversion Recovery MR Imaging in the Detection of Cortical and Subcortical Lesions.American Journal of Neuroradiology July 2000;21:1199-1206   Back to cited text no. 3    
4.Javed MA, Sial MSH, Lingawi S, Alfi A, Lubbad E, Etiology of posterior reversible encephalopathy syndrome (PRES). Pak J Med Sci 2005; 21(2):149-54.  Back to cited text no. 4    
5.R K Garg, Posterior leukoencephalopathy syndrome. Postgrad Med J January 2001; 77:24.  Back to cited text no. 5    
6.Weingarten K, Barbut D, Fillipi C, et al. Acute hypertensive encephalopathy: findings on spin-echo and gradient-echo MR imaging. Am J Roentgenol 1994; 162:665-670.  Back to cited text no. 6    
7.Bakshi R, Bates VE, Mechtler LL, et al. Occipital lobe seizures as major clinical manifestations of reversible posterior leukoencephalopathy syndrome: magnetic resonance imaging findings. Epilepsia 1998; 39:295-299  Back to cited text no. 7  [PUBMED]  
8.Ay H, Buonanno FS, Schaefer PW, et al. Posterior leukoencephalopathy without severe hypertension: utility of diffusion weighted MRI. Neurology 1998; 51:1369-1376.  Back to cited text no. 8  [PUBMED]  

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Correspondence Address:
R Malik
Department of Radiodiagnosis and Imaging, Gandhi Medical College and Hamidia Hospital, Bhopal (MP)
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-3026.32398

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  [Figure - 1], [Figure - 2], [Figure - 3], [Figure - 4], [Figure - 5]



 

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