case_images: PMC4395949_01
case_images: Magnetic resonance imaging of brain showing large poorly marginated lesion in the left parieto-occipital lobe measuring 6.3 x 5.6 x 5.4 cm, hyperintense on flair image
case_images: JPN-10-55-g001.jpg
case_images: PMC4395949_01_JPN-10-55-g001.jpg
case_images: F1
case_images: Magnetic resonance imaging (MRI) of brain [Figures 1 and 2] showed large poorly marginated lesion in the left parieto-occipital lobe measuring 6.3 x 5.6 x 5.4 cm, hypointense on T1-weighted, hyperintense on T2-weighted/flair images and postgadolinium images showing incomplete ring enhancement which is open towards the gray matter.
case_images: Magnetic resonance imaging of brain with gadolinium showing incomplete ring enhancement which is open towards the gray matter
case_images: JPN-10-55-g002.jpg
case_images: PMC4395949_01_JPN-10-55-g002.jpg
case_images: F2
case_images: Magnetic resonance imaging (MRI) of brain [Figures 1 and 2] showed large poorly marginated lesion in the left parieto-occipital lobe measuring 6.3 x 5.6 x 5.4 cm, hypointense on T1-weighted, hyperintense on T2-weighted/flair images and postgadolinium images showing incomplete ring enhancement which is open towards the gray matter.
case_images: Magnetic resonance spectroscopy showing abnormally elevated choline and mildly decreased creatine, with increased choline creatine ratio. N-acetyl aspartate peak was mildly reduced with abnormal lactate doublet on long TE spectrum
case_images: JPN-10-55-g003.jpg
case_images: PMC4395949_01_JPN-10-55-g003.jpg
case_images: F3
case_images: Magnetic resonance spectroscopy (MRS) [Figure 3] revealed abnormally elevated choline and mildly decreased creatine, with increased choline creatine ratio.
case_images: Magnetic resonance imaging brain showing circumscribed lesion in paramedian high right frontal lobe measuring about 2 x 2 cm with hyperintense flair images along with encephalomalacia and gliosis in left high parietal region
case_images: JPN-10-55-g004.jpg
case_images: PMC4395949_01_JPN-10-55-g004.jpg
case_images: F4
case_images: In view of her history of TD we went ahead directly with brain imaging [Figures 4 and 5], which revealed circumscribed lesion in paramedian high right frontal lobe measuring about 2 x 2 cm with hyperintense T2-weighted/flair images and incomplete ring on diffusion weighted images, along with encephalomalacia and gliosis in left high parietal region.
case_images: Magnetic resonance imaging brain showing incomplete ring on diffusion weighted image
case_images: JPN-10-55-g005.jpg
case_images: PMC4395949_01_JPN-10-55-g005.jpg
case_images: F5
case_images: In view of her history of TD we went ahead directly with brain imaging [Figures 4 and 5], which revealed circumscribed lesion in paramedian high right frontal lobe measuring about 2 x 2 cm with hyperintense T2-weighted/flair images and incomplete ring on diffusion weighted images, along with encephalomalacia and gliosis in left high parietal region.