Figure 5

Stroke Mimics: Insights from a Retrospective Neuroimaging Study

Lucia Monti*, Davide del Roscio, Francesca Tutino, Tommaso Casseri, Umberto Arrigucci, Matteo Bellini, Maurizio Acampa, Sabina Bartalini, Carla Battisti, Giovanni Bova and Alessandro Rossi

Published: 27 September, 2023 | Volume 7 - Issue 2 | Pages: 094-103

jnnd-aid1083-g005

Figure 5:

Figure 5: Multiple Sclerosis. Stroke code: 35 years old female presenting with improving left upper limb paresis. In anamnesis: smoker, oral contraceptive therapy. a) CTA: no arterial occlusions were demonstrated b) CTP did not show asymmetric hypoperfusion and c) No acute or chronic intracranial pathology was present on parenchymal phase. Nevertheless, previous informed consens and the absence of contraindication for e.v. fibrinolysis, at about 2.10 h clinical onset: 52 mg /Kg Actilyse was administered. d) A delayed 3D FLAIR MRI demonstrated an oval shaped hyperintensity greater than 2 cm in the right frontal periventricular white matter, with main axis perpendicular to lateral ventricle. f) Artifactual FLAIR/DWI mismatch: corresponding hyperintesity on DWI images not due to low ADC (T2-shine through effect) g), suggesting vasogenic edema. e) Contrast enhanced T1 MRI: heterogeneous and venular enhancement. Diagnosis: Tumor-like multiple sclerosis.

Read Full Article HTML DOI: 10.29328/journal.jnnd.1001083 Cite this Article Read Full Article PDF

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