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종결
Case No. 199
2009-12-14~2009-12-30
출제자 : 관리자
Hit : 523
| Period | 2009-12-14~2009-12-30 |
|---|---|
| Diagnosis | |
| Clinical information | 15/M, CC: Headache, fever. |
| Discussion | 최종진단: Tbc meningoencephalitis Imaging findings: T2강조영상에서 corpus callosum splenium에 focal hyperintense lesion이 있음. DWI에서도 병변은 뚜렷한 고신호 강도를 보이고 ADC map image에서는 저신호 강도를 보임. 조영증강 T1강조영상에서 병변의 뚜렷한 조영증강은 보이지 않으나 전반적인 leptomeingeal enhacement가 증가되어 보임. 고찰: Lesions involving the corpus callosum splenium • Congenital lesions: agenesis, pericallosal lipoma • Traumatic lesions: diffuse axonal injury (DAI) • Ischemic lesions: infarction, HIE, hypoglycemic encephalopathy, CO-intoxication • Tumors: gliomas, mets, lymphomas, germinomas • Degenerative & demyelinating diseases: Wallerian degeneration, MS, ADEM, PRES, osmotic demyeliation syndrome, PML • Seizure-related lesions • Infection: viral, bacterial, tbc meningoencephalitis • Leukodystrophy: adreno- & metachromatic |
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