This Neurology & Neurosurgery forum is for questions and information regarding Rheumatoid Arthritis Neurology & Neurosurgery conditions and symptoms. All questions will receive a personal answer from a medical expert.
17 year old MRI - active athlete that has broken her vertibrea but no other health issues
Procedure: A combination of FLAIR, T1-, T2-, gradient-echo, diffusion and postgadolinium (10cc) T1-weighted images of the head were obtained in multiple imagine planes. Multiple coronal sequences were performed to evaluate the temporal lobe structures.
FINDINGS: There is no evidence of an acute ischemic event on diffusion imagine, Posterior fossa structures are unremarkable. 4th ventrical is midline and nondilated. No Chiari Malformation.
Supratentorial compartment: There is an area of decreased T1 and increased T2 signal without enhancement in the left parietal lobe. This appears to have a septation within it, it measures 1.5 mm in greatest diameter. There is decreased signal intensity. No other lesions are identified within the brain. Possible etiologies for this lesion include the following:
1. Ganglioglioma: These lesson are oftencystic in appearance and often peripheral within the brain. No definite enhancement which is typical.
2. Pleomorphic xanthoastrocytoma: No enhancement and no enhanced “tail”.
3. Pilocytic astrocytoma: Location uncommon – supratentorial
4. Neurocysticercosis or sequelae of neurocysticcercosis – only one lesion
5. Other posttraumatic: Patient does have a vertebrae break, Neoplastic or infections ethologies: No restricted diffusion on diffusion imaging.
From the MRI findings given to me only a differential diagnosis of a non-enhancing cystic lesion can be considered. For an extra-axial, supratentorial, non-enhancing lesion present off midline, other possibilities could be an arachnoid cyst and a hydatid cyst.
A computerised tomography scan (CT scan) of the brain would be an option to look for calcification within the lesion or on the periphery as it could be easily missed on the MRI.
Lastly, I would like to know the reasons for doing an MRI of the brain in her for a clinical correlation.
So I personally feel that with a complete clinical history and a result of the CT scan, the list of the possibilities can be narrowed down.
Please send me the list of symptoms that this person is suffering and preferably results of the CT scan as well.
I thank you again for submitting your question. I hope you find my response to be both helpful and adequate. If you have any additional concerns regarding your question I would be happy to address them.
Thank you for using MedHelp's "Ask an Expert" Service, where we feature some of world's renowned medical experts in their fields. Millions have benefitted from our service to get personalized advice for them and for their loved ones.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.