Situation 20


Case 1

 

-A 35 year-old male presented to the ER with tonic-clonic convulsions.
-No history of any medical problems.
-Examination: severe hypertension (210/130)
-CT and MRI ordered: see the photo
N.B. you must consider a primary cause in a patient with newly developed fits.

Case 2
Compare with the following case

 
 
 


A 74 year-old female, diabetic, complained of unilateral right upper limb fits that became generalized.
CT And MRI brain ordered with the above photos results.


Comment on Case2 by:
Dr. Abd-Ellah Nazeer
Professor of radiology
Al Azhar university
 
Left high parietal subcortical lesion with mass effect manifested as effacement of the adjacent sulci, mostly neoplastic mass lesion for better assessment by enhanced MRI study.
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