23 year old with head injury since age 2. Seizures and right hemiparesis since age 10. [Neuroradiology] [CT] [MR]
23 year old with head injury since age 2. Seizures and right hemiparesis since age 10. [Neuroradiology] [CT] [MR]
[Left]: Head CT shows left hemispheric volume loss. The injury happened early enough that even the skull is smaller on that side.
[Right]: Brain MRI shows the severe left hemispheric atrophy. Some of the brain gyri have bulbous ends and a thin neck, resembling mushrooms, a shape called ulegyria and consequence of the brain atrophy. The left lateral ventricle is mildly enlarged due to the atrophied brain.
Any ideas which sequence the MRI image comes from (I'm guessing MP2RAGE but I'm seeing more vessels like FLAIR)?
Just a standard T2 sequence.
FLAIR would have dark CSF, since that's what FLAIR is designed to suppress - CSF.
MPRAGE is a T1 sequence that's usually done with contrast.
Got it, thanks for clarifying 👍