Hypoxic ischemic encepahlopathy (MR).

PROTOCOL:

T2W – Sagittal & axial scans

T1W – Axial scans

FLAIR – Coronal scans

T2FFE (Gradient) – Axial scans

3D TOF MR angiography of the circle of Willis vessels and MIP reconstruction.

FINDINGS:

-Revealed:

·        Bilateral diffuse hyper intensity of both caudate and lentiform nuclei.

·        Bilateral bands of hyper intensity around lateral ventricles.

·        Bilateral and symmetrical hyper intensities of both cerebellar peduncles.

·        Bilateral frontal gyral hyper intensities.

-Lateral and third ventricles are normal in size and position. Septum is in midline.  There is no midline shift.

-Basal cisterns, cortical sulci and gyri are normal in appearance.

-Sella is normal in appearance.

-Corpus callosum shows normal MR morphology.

-Brain stem and cerebellum show normal signal intensities. 

-Fourth ventricle is normal in size and is midline in position.

MR angiography reveals normal course, caliber and outlines of vessels of bilateral CA, ACA, MCA, PCA and their peripheral branches. Vertebro basilar trunk is also normal in appearance.

OPINION:

·             In light of previously mentioned signs; picture is suggestive of hypoxic ischemic encephalopathy for clinical correlation.

Reported By : DR.MOHAMMED MOHYELDIN

                          Consultant-Radiologist

Report Status : Validated / Validated By :  Dr.Mohammed Mohyeldin