Atypical Brain Calcifications Causing Seizure-Imaging Appearances
Journal Title: International Journal of Anatomy Radiology and Surgery - Year 2016, Vol 5, Issue 2
Abstract
ABSTRACT Introduction: Brain calcification causing seizure disorder is a common clinical condition. Calcification may be single or multiple. Seizure cases with calcifications reported in our institute are analysed in this article. There is diagnostic challenge if calcifications are multiple or in atypical locations. The Imaging appearances of calcification in CT, MRI help a lot to arrive at definitive diagnosis. Aim: To analyse the imaging appearances of brain calcifications causing seizure and to find out the commonest etiology and age group most commonal affected. Materials and Methods: This is a retrospective analytical study of six months period from June 2015 to November 2015. The study was done in the Radiodiagnosis Department of Tirunelveli Medical College Hospital. In our institute, 3600 cases of CT brain have been taken in above period for various conditions. In which seizure patients with pathological calcifications who also underwent MRI brain were selected for the study i.e. sample selection. Total 78 patients were selected for analysis. The findings were analyzed and hereby are presented. Results: Most of pathological calcifications belong to age group 21-40. Tuberculomas and tumors account for about 50% of cases. Both genders are equally affected. In MRI, T2*GRE sequence plays major role in identifying areas of calcification. Rare cases like unilateral hemispheric multiple cavernous angiomas, hypoparathyroidism and hemophilia sequlae are noted in this study. Conclusion: The location of calcifications, extent, perilesional changes in the scans help to narrow down the differential diagnosis. MRI confirms the cavernous malformations. CT-scan is helpful for detecting calcifications. MRI is useful for diagnosing pericalcific parenchymal changes. Metabolic disorders should be ruled out if there is extensive bilateral cerebral and cerebellar calcification. Clinical history is very important for imaging interpretation as evident by the hemophiliac case.
Authors and Affiliations
Nellaiappan Chelliah
Keywords
Related Articles
- EP ID EP472913
- DOI -
- Views 118
- Downloads 0
Cadaveric Study of Lateral Circumflex Femoral Artery
ABSTRACT Introduction: Lateral circumflex femoral artery is typically arising from Profunda femoris artery (PFA) and supplied blood to head, neck, greater trochanter of femur, the vastus lateralis muscle and knee. Hence,...
Peripheral Arterial Diseases in Type 2 Diabetes Mellitus: A Cross-sectional Study Using Ankle-Brachial Index
ABSTRACT Introduction: India is fast emerging the diabetes capital of the world. Diabetic patients are at high risk for Peripheral Arterial Diseases (PAD). It is a major risk factor for lower extremity amputation and is...
Jejunojejunal Intussusception in an Adult Due to a Gastrointestinal Stromal Tumour
ABSTRACT Intussusception in an adult is a rare entity responsible for less than 1% of all intestinal obstructions. It is far more common in children, where the etiology is more often idiopathic. In adults most cases have...
MRI Findings in Diastematomyelia Presenting without Neurological Deficit-A Rare Case
ABSTRACT Diastematomyelia is a rare dysraphic lesion of spinal cord and the defect occurs as a result of an incorrect development of notochord between 15th and 18th day of pregnancy. In this defect, the spinal cord split...
Dynamic Contrast Enhanced Magnetic Resonance Imaging in Evaluation of Various Breast Pathologies with Histopathological Correlation
ABSTRACT Introduction: MRI Breast came as a promising modality for evaluation of breast pathologies. Dynamic Contrast-Enhanced (DCE) MRI of the breast has recently emerged as the most sensitive (95-100%) instrument for t...