A 6 years old girl with progressive strabismus and vision loss

Slides:

Advertisements

Similar presentations

63 year-old woman with subacute parkinsonism Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.

Advertisements

A 52-year old man with recently diagnosed HIV infection with irregular shaking of his hand Teaching NeuroImages Neurology Resident and Fellow Section ©

A 62-year-old man presented with mild left hemiparesis, headache and blurred vision of his right eye Teaching NeuroImages Neurology Resident and Fellow.

84 year old woman with spells of right upper limb weakness and numbness Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy.

Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology 46 year-old women with acute headache, post seizure confusion.

A 43-year-old man with decreased consciousness Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.

A 50 year old man with progressive tetraparesis and blindness Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology.

A 38-year-old patient with partial seizures Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.

Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology An unusual cause of conus medullaris syndrome.

A 30-year male with cognitive decline and unsteady gait Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology.

A 39-year old man with facial diplegia Teaching NeuroImages Neurology Resident and Fellow Section Campbell J, et al © 2013 American Academy of Neurology.

Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology A 23 month old full term male with seizures.

A 26 year old woman with headache, diplopia, and pulsatile tinnitus Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy.

Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology 57-year-old man with a painful tumoral mass in the leg.

Patient with painful ophthalmoplegia after traffic accidents

Resident and Fellow Section

71-year-old Man with Nystagmus and Oscillpsia

Neurology Resident and Fellow Section

Hemigeographic tongue following an acute ischemic stroke

Fig. 5. Both imaging and lesion factors in case 3 with focal cortical dysplasia. A. Axial T2-weighted initial MR image (1.5T, non-epilepsy protocol) obtained.

Neurology Resident and Fellow Section

Teaching NeuroImages Neurology Resident and Fellow Section

Montage of lesions demonstrated by MRI

Neurology Resident and Fellow Section

Neurology Resident and Fellow Section

Neurology Resident and Fellow Section

A 9-year old girl with multi-compartmental intracranial hemorrhage

20-year-old male with progressive status epilepticus

Effects of Surgical Revascularization on Cerebral Oxygen Metabolism in Patients With Moyamoya Disease by Satoshi Kuroda, Daina Kashiwazaki, Kenji Hirata,

Figure 4 Paradoxical immune reconstitution inflammatory syndrome

A 54-year old woman with subacute encephalopathy

Neurology Resident and Fellow Section

A 10 month old boy with macrocephaly

Acquired hepatocerebral degeneration

A 30 year old man with headaches, imbalance and aphasia

68-year-old patient with memory impairment

7.1b. Contrast coronal T1 Wtd MRI 7.1c. Contrast sagittal T1 Wtd MRI

A 64-year-old female with progressive parkinsonian syndrome

Figure 4. Brain imaging and neuropathologic demonstration of Epstein-Barr virus (EBV) encephalitis in patient PT-10 Brain imaging and neuropathologic demonstration.

A 21 year old woman with frequent vomiting

Figure 1 Coronal MRI images showing the evolution of white matter abnormality and atrophy of patient 1 Coronal MRI images showing the evolution of white.

Figure Brain MRI of the patient throughout the disease course(A) Brain MRI at the time of cerebral toxoplasmosis diagnosis (a) and after 1 month of toxoplasmosis.

Figure 3 Example of venous narrowing

by F. Baertling, J. Schaper, E. Mayatepek and F. Distelmaier Neurology

A 74-year old woman with progressive amnesia

Figure Brain MRI and biopsy specimens from the pontine lesion

Figure 2 T2-weighted and subtraction images

Figure 2 Exemplary MRI of a patient with contrast enhancement on postcontrast FLAIR MRI of a 54-year-old patient with viral meningitis caused by varicella-zoster.

Figure 2 7T MRI can differentiate between early PML and MS lesions Two different patterns of brain lesions were observed using 7T MRI: ring-enhancing lesions.

Chapter 16 Neurologic Dysfunction and Kidney Disease

A 45 YEAR OLD WOMAN WITH PROGRESSIVE WEAKNESS

Figure 2 Example of venous narrowing

A 47-year old HIV infected man with jerking of his right hand

Figure 1 Illustration of white matter– and lesion-associated regions of interest (ROIs)‏ Illustration of white matter– and lesion-associated regions of.

Figure 2 Cerebral and spinal MRI (A) Restricted diffusion of both optic nerves (arrows) on diffusion-weighted and apparent diffusion coefficient imaging.

Figure 1 Evolution of MRI findings during interleukin (IL)–7 therapy

Neurology Resident and Fellow Section

Figure 1 MRI findings over time

Figure 1 Brain MRI Brain MRI (A) Axial fluid-attenuated inversion-recovery images show perilesional edema in both cerebellar hemisphere and hypointense.

Figure 1 Brain MRI (A) MRI-brain gradient echo (GRE) axial T2

A 48-year-old man with a cerebral metastasis from a hepatocellular carcinoma. A 48-year-old man with a cerebral metastasis from a hepatocellular carcinoma.

A 2 year old girl with progressive neurological deficits

A 16-year-old boy with intractable epilepsy

A 11-month-old girl with acute irritability and hypotonia

Figure 2 MRIs (cases 2 and 3)‏

Fig. 1. Brain imaging before surgery

Figure 4 Patient 3 MRI evolution over time

Figure 1 MRI at presentation The axial diffusion-weighted image (A) showed restricted diffusion throughout the cortical ribbon of the right hemisphere.

A 3-year-old boy with increased head circumference

Figure MRI T1 coronal images show homogenous hyperintense lesion involving the right trigeminal nerve root (white arrows) in A and B and Meckel's cave.

Presentation transcript:

A 6 years old girl with progressive strabismus and vision loss Teaching NeuroImages Neurology Resident and Fellow Section Dekang Nie et al. Copyright © 2016 by AAN Enterprises, Inc.

Vignette A 6-year-old girl with a 3-month history of progressive left eye strabismus and vision loss. The MRI scan of the brain showed a single hypointense lesion in the left cerebral hemisphere with no perilesional edema or contrast enhancement. At surgery, the lesion was showed to be a single large cystic lesions measuring approximately 7.0 × 6.5 × 6.0 cm. The patient underwent a complete resection and made an uneventful recovery. Dekang Nie et al. Copyright © 2016 by AAN Enterprises, Inc.

Imaging Dekang Nie et al. Figure1 T1-weighted brain MRI (A-C) and enhanced MRI (B) demonstrates a single hypointense lesion in the left cerebral hemisphere with no perilesional edema and contrast enhancement. Dekang Nie et al. Copyright © 2016 by AAN Enterprises, Inc.

Imaging Dekang Nie et al. Figure2 Surgical area (A) and resection specimens (B) show a white floc floating in the cystic fluid (black arrow), thick cyst wall was milkiness. Pathology confirmed a diagnosis of brain cyst with scolex (C). Dekang Nie et al. Copyright © 2016 by AAN Enterprises, Inc.

Giant cystic echinococcosis with unusual imaging manifestations Pathology confirmed a diagnosis of cerebral cyst with scolex. This imaging feature of giant cystic echinococcosis is very unusual.1 Gross total resection has obvious advantages compared with non-surgically with antihelminthics.2 References 1. Stojkovic M, Junghanss T. Cystic and alveolar echinococcosis. Handb Clin Neurol 2013;114:327-334. 2. Hajhouji F, Aniba K, Laghmari M, Lmejjati M, Ghannane H, Benali SA. Epilepsy: unusual presentation of cerebral hydatid disease in Children. Pan Afr Med J 2016;25:58. Dekang Nie et al. Copyright © 2016 by AAN Enterprises, Inc.