Balaji Anvekar's Neuroradiology Cases

---

• Sickle Cell Anemia MRI
• MPS MRI
• Ewing's Sarcoma MRI Spine
• Crossed Cerebellar Diaschisis CT Brain
• Brachial Plexus Neuritis MRI
• Amyotrophic Lateral Sclerosis MRI

Sickle Cell Anemia MRI Posted: 18 Aug 2019 12:23 AM PDT MRI SCREENING OF WHOLE SPINE, SI AND HIP JOINT Multiple vertebrae show subchondral collapse in dorso lumbar region. Hip screening show avascular necrosis involving bilateral capital femoral epiphysis.. Ill-defined heterogeneous marrow oedema involving Acetabular fossa, Femoral head neck on either side, mild joint effusion. Suggested detailed haematological / bone marrow evaluation. Further evaluation turned out sickle cell anaemia.

MPS MRI Posted: 18 Aug 2019 12:08 AM PDT MRI study of brain reveals: Diffuse cerebral cortical atrophy. Enlarged Peri vascular spaces involving bilateral Cingulate gyri, corpus callosum. Diffuse thickening of bony calvarium. J shaped Sella. MRI study of Spine reveals: Bullet-shaped vertebra at multiple levels. Dorsal dermal sinus in sacral region extending towards S4 without fusion or segmentation anomaly. No obvious cord tethering. Spleen 10 cm, moderate splenomegaly. Liver 12 cmM mild to moderate hepatomegaly. Possibility of Mucopolysaccharidosis suggested for further clinical evaluation.

Ewing's Sarcoma MRI Spine Posted: 17 Aug 2019 11:40 PM PDT

Crossed Cerebellar Diaschisis CT Brain Posted: 17 Aug 2019 11:16 PM PDT

Brachial Plexus Neuritis MRI Posted: 17 Aug 2019 11:09 PM PDT

Amyotrophic Lateral Sclerosis MRI Posted: 17 Aug 2019 10:56 PM PDT Clinical Details  : 45 yo male, from last five months has been having slowly progressive right distal arm, hand and recently right leg weakness which seems to be progressive. There is no sensory symptoms. No bowel bladder disturbance. Recently has also noted some slurrring of speech and tremulousness of both hands. Clinical examination shows poly myoclonus. Hyper reflexia, right plantar is extensor. Mild right facial weakness, eye movements are normal. Sensations are normal. MRI Findings: Contiguous bilateral symmetric T2 hyperintensity along posterior limb of internal capsule, extending in adjacent Corona radiata and along cortical spinal tract portion of Brainstem. MRI DWI images normal. Normal MR Angiography of Brain. Finding consistent with clinical diagnosis of Amyotrophic Lateral Sclerosis.