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Department of Radiology
Seth G.S. Medical College and K.E.M. Hospital, Mumbai , India
Case of the Day
Case of the Day
A 14-year-old boy, known to have a seizure disorder, was brought with two episodes of generalised tonic clonic seizures. He had history of febrile seizures at five years of age with left sided weakness that had resolved except for distal weakness. The boy showed poor scholastic performance.
A 14-year-old boy, known to have a seizure disorder, was brought with two episodes of generalised tonic clonic seizures. He had history of febrile seizures at five years of age with left sided weakness that had resolved except for distal weakness. The boy showed poor scholastic performance.
MRI of the brain shows right cerebral hemiatrophy with encephalomalacia and gliosis involving the right frontoparietal region. There is relative sparing of the anterior temporal region with ex-vacuo dilatation of the right lateral ventricle and mild compensatory ipsilateral calvarial thickening and enlargement of the right frontal sinus. There is mild atrophy of the right midbrain, diffuse thinning of the corpus callosum. No hyperintense signal abnormality is seen in the hippocampal formations or the mesial temporal cortices.
MRI of the brain shows right cerebral hemiatrophy with encephalomalacia and gliosis involving the right frontoparietal region. There is relative sparing of the anterior temporal region with ex-vacuo dilatation of the right lateral ventricle and mild compensatory ipsilateral calvarial thickening and enlargement of the right frontal sinus. There is mild atrophy of the right midbrain, diffuse thinning of the corpus callosum. No hyperintense signal abnormality is seen in the hippocampal formations or the mesial temporal cortices.
(the linked reference is the abstract of the original 1934 paper)
Cornelius Gysbert Dyke (1900-1943) : Cornelius G. Dyke was a pioneering American radiologist who is widely considered the first to dedicate his entire professional career to the field of neuroradiology. He helped establish the importance of neuroradiology in the diagnosis and treatment of neurological disorders. Dyke was a brilliant diagnostician and helped set the standard for the field's growth in North America. He was recognized for his contributions in using pneumoencephalography The American Society of Neuroradiology has an award named in his honor.
Leo M. Davidoff (1898-1975) : Leo M. Davidoff was a prominent American neurosurgeon and a key figure in the development of modern neurological surgery. He was a student of Harvey Cushing and was instrumental in establishing the Albert Einstein College of Medicine in New York City. His book "The Abnormal Pneumoencephalogram," is dedicated to the memory of Cornelius Dyke.
Clement B. Masson ( ?? - 1945) : Clement B. Masson was an American neurosurgeon at the Neurological Institute of the Columbia-Presbyterian Medical Center.
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