Neurological tuberous sclerosis (MR).

MRI BRAIN WITH EPILEPSY PROTOCOL


PROTOCOL:    

Thin 4 mm sections were obtained for temporal lobe (epilepsy protocol) : FLAIR and T1W 1R sequences.
Axial – T1 & T2W and Sagittal T2W sequences were obtained for brain.

FINDINGS:

• The temporal lobes show normal MR morphology.  The white matter of the temporal lobes is normal in bulk and bilaterally symmetrical.  Bilateral hippocampii show normal morphology and signal intensities.  The uncal recesses of temporal horns are bilaterally symmetrical.  The amygdala, fornices and mamillary bodies are well visualized and are normal in signal intensity.

• An area of altered signal (23 x 21 x 18 mm) is noted in juxta cortical situation in the right frontal region. It shows hypo intensity on all MR sequences with blooming effect on gradient images.
• Multiple tiny sub ependymal nodules were noted in the walls of the lateral ventricles.

• Third ventricle is normal in size and position.  There is no midline shift. Fourth ventricle is normal in size and position.
• Cerebellum and brain stem are normal in appearance. 

OPINION:

• On the light of the clinical data given in the request and MR finding in this current study; picture is suggestive of neurological tuberous sclerosis with right frontal sub cortical tuber in addition to multiple sub ependymal tubers.




Click the link for more information.




Reported By : DR.MOHAMMED MOHYELDIN
 Consultant-Radiologist
Report Status : Validated / Validated By :  Dr.Mohammed Mohyeldin