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Multiple bihemispheric cysts
Journal of Clinical Neuroscience xxx (2017) xxx–xxx
Contents lists available at ScienceDirect
Journal of Clinical Neuroscience journal homepage: www.elsevier.com/locate/jocn
Images in Neuroscience: Question
Multiple bihemispheric cysts Agnieszka Borewicz a,⇑, Annika Kowoll b, Uwe Schlegel a, Stoyan Popkirov a a b
Department of Neurology, University Hospital Knappschaftskrankenhaus, Bochum, Germany Department of Radiology and Neuroradiology, University Hospital Knappschaftskrankenhaus, Bochum, Germany
1. Clinical background A 60-year-old woman presented with new numbness of her right arm and face on awakening; no other neurological signs or symptoms were present. Her past medical history was unremarkable aside from smoking (30 pack years). In addition to a small focus of restricted diffusion, brain MRI showed multiple ‘‘cystic” lesions in both hemispheres (Fig. 1).
2. The most likely diagnosis is A. B. C. D. E.
Multiple cystic metastases Giant Virchow-Robin spaces Subcortical arteriosclerotic encephalopathy Neurocysticercosis Multiple neuroglial cysts
Sources of support This research did not receive any specific grant from founding agencies in the public, commercial, or not-for-profit sectors.
Fig. 1. Cranial CT and MR imaging. (A) Axial cranial CT; (B-C) Axial T2-weighted MRI, (D) coronal FLAIR-MRI with lines indicating transsections and (E) axial diffusion weighted MRI.
DOI of answer: http://dx.doi.org/10.1016/j.jocn.2017.04.018
⇑ Corresponding author at: Klinik für Neurologie, Universitätsklinikum Knappschaftskrankenhaus Bochum, In der Schornau 23-25, 44892 Bochum, Germany. Fax: +49 23194174740. E-mail addresses: [email protected], [email protected] (A. Borewicz), [email protected] (A. Kowoll), [email protected] (U. Schlegel), [email protected] (S. Popkirov). http://dx.doi.org/10.1016/j.jocn.2017.04.009 0967-5868/Ó 2017 Elsevier Ltd. All rights reserved.
Please cite this article in press as: Borewicz A et al. Multiple bihemispheric cysts. J Clin Neurosci (2017), http://dx.doi.org/10.1016/j.jocn.2017.04.009
Contents lists available at ScienceDirect
Journal of Clinical Neuroscience journal homepage: www.elsevier.com/locate/jocn
Images in Neuroscience: Question
Multiple bihemispheric cysts Agnieszka Borewicz a,⇑, Annika Kowoll b, Uwe Schlegel a, Stoyan Popkirov a a b
Department of Neurology, University Hospital Knappschaftskrankenhaus, Bochum, Germany Department of Radiology and Neuroradiology, University Hospital Knappschaftskrankenhaus, Bochum, Germany
1. Clinical background A 60-year-old woman presented with new numbness of her right arm and face on awakening; no other neurological signs or symptoms were present. Her past medical history was unremarkable aside from smoking (30 pack years). In addition to a small focus of restricted diffusion, brain MRI showed multiple ‘‘cystic” lesions in both hemispheres (Fig. 1).
2. The most likely diagnosis is A. B. C. D. E.
Multiple cystic metastases Giant Virchow-Robin spaces Subcortical arteriosclerotic encephalopathy Neurocysticercosis Multiple neuroglial cysts
Sources of support This research did not receive any specific grant from founding agencies in the public, commercial, or not-for-profit sectors.
Fig. 1. Cranial CT and MR imaging. (A) Axial cranial CT; (B-C) Axial T2-weighted MRI, (D) coronal FLAIR-MRI with lines indicating transsections and (E) axial diffusion weighted MRI.
DOI of answer: http://dx.doi.org/10.1016/j.jocn.2017.04.018
⇑ Corresponding author at: Klinik für Neurologie, Universitätsklinikum Knappschaftskrankenhaus Bochum, In der Schornau 23-25, 44892 Bochum, Germany. Fax: +49 23194174740. E-mail addresses: [email protected], [email protected] (A. Borewicz), [email protected] (A. Kowoll), [email protected] (U. Schlegel), [email protected] (S. Popkirov). http://dx.doi.org/10.1016/j.jocn.2017.04.009 0967-5868/Ó 2017 Elsevier Ltd. All rights reserved.
Please cite this article in press as: Borewicz A et al. Multiple bihemispheric cysts. J Clin Neurosci (2017), http://dx.doi.org/10.1016/j.jocn.2017.04.009