Images in neuroscience: 1

Journal of Clinical Neuroscience (2003) 10(1), 86–87 ª 2002 Elsevier Science Ltd. All rights reserved. DOI:10.1016/S0967-5868(02)00272-2

Images in neuroscience

Images in neuroscience

Fig. 1

Fig. 3

Fig. 2

A 53 year old single man, with a past history of hypertension was found confused, wandering in a rubbish tip by the police. He was taken to hospital where he was noted to be significantly amnestic and delusional. The patient was taking ramipril and amlodipine for hypertension, and there is no other relevant past history. 86

Fig. 4

Images in neuroscience 87

WHAT IS THE MOST LIKELY DIAGNOSIS? (a) Primary cerebral lymphoma (b) High grade glioma (c) Venous infarction

(d) Arterial infarction (e) Hypoxic encephalopathy

Answer on Page 138

ª 2002 Elsevier Science Ltd. All rights reserved.

Journal of Clinical Neuroscience (2003) 10(1), 86–87

Journal of Clinical Neuroscience (2003) 10(1), 138 ª 2002 Elsevier Science Ltd. All rights reserved. DOI:10.1016/S0967-5868(02)00272-2

Images in neuroscience

Images in neuroscience: answer 1. ANSWER (c) Bilateral cerebral venous infarction, with absent flow in the internal cerebral veins, vein of Galen and straight sinus. The patient was anticoagulated with intravenous heparin and was subsequently commenced on warfarin1 . He has improved but continues to have an amnestic syndrome with pronounced confabulatory features.

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Case prepared by Dr. A. Vinton, Department of Neurology, Royal Melbourne Hospital. REFERENCE 1. Bousser MG. Cerebral venous thrombosis: diagnosis and management. J Neurol 2000; 247(4): 252–258.