Parto Teb Azma

trauma

Findings:

Numerous pelvic fracture, fixation device

Diagnose (DX):
-Right sided high grade vesicouretral reflex (V.C.U.G)
-Posterior urethra rupture (retrograde)

History (HX):
Headache-seizure, blurred vision, systemic hypertension and recent childbearing (CS 5 days ago)

Findings:
Bilateral parieto-occipital and frontal T2-hyperintension cortical / subcortical lesions .
DWI is normal which can distinguish reversible changes from early ischemia

Diagnosis (DX):Posterior Reversible Encephalopathy syndrome (PRES)

Discussion :
Disorder of cerebrovascular autoregulation with multiple etiologies, most of which cause acute hypertension. This heads to hyperperfusion and BBB disruption with escape of fluid from the intravascular component into the interstitium (subcortical edema) but without infarction of the brain.

History (HX):
Seizure for 20 yrs

Findings:
Huge vascular mass in right cerebral hemisphere which is composed of serpigenous signal void vascular structures, multiple feeding arteries (arising from both anterior and posterior circulation) and draining veins (draining into the superior and right lateral sinuses, vein of Galen and straight sinus)

Diagnosis (DX):Large AVM

History (HX):
Known case of MS

Findings:
In this known case of MS on post-Gd images numerous enhancing lesions are noted with different enhancement pattern such as nodular, ring and open ring (typical for MS) suggesting active / acute lesion

Diagnosis (DX):
MS with multiple enhancing (active) plaques