EURORAD ESR

Case 15494

Secondary Fahr-type brain calcifications: Imaging by CT or MR ?

Author(s)
Anastasia Zikou1, Persefoni Margariti1, Sofia Markoula2, Efrosini Styliara1, Ana Castro3, Maria I Argyropoulou1.

1. Department of Clinical Radiology, Medical School of Ioannina, Greece.
2. Department of Neurology, Medical School of Ioannina, Greece.
3. Universidad Autónoma de Baja California, México.
Email: anzikou@cc.uoi.gr
 
Patient
female, 59 year(s)
 
 
  • Figure 1
    Brain CT examination

    Brain CT examination revealed extensive bilateral calcifications involving the dentate nucleus and the cerebellum (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;
     
     
  • Figure 2
    Brain CT examination

    Brain CT examination revealed extensive bilateral calcifications involving the basal ganglia, the thalamus and the subcortical white matter of the occipital lobe (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;
     
     
  • Figure 3
    Brain CT examination
     

    Brain CT examination revealed extensive bilateral calcifications involving the body of caudate nucleus and the semi-oval centre (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Brain CT examination revealed extensive bilateral calcifications involving the body of caudate nucleus and the semi-oval centre (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;
     
     
  • Figure 4
    MRI T1W
     

    Axial T1W-images show the calcifications with “paradoxical” high-signal (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Axial T1W-images show the calcifications with “paradoxical” high-signal (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Axial T1W-images show the calcifications with “paradoxical” high-signal (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Axial T1W-images show the calcifications with “paradoxical” high-signal (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Axial T1W-images cannot show the calcifications at the level of semi-oval centre.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;
     
     
  • Figure 5
    MRI T2W
     

    Axial T2W-images show the calcifications hypointense and more extensive hyperintense foci (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Axial T2W-images show the calcifications hypointense and more extensive hyperintense foci (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Axial T2W-images show the calcifications hypointense and more extensive hyperintense foci (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Axial T2W-images show the calcifications hypointense and more extensive hyperintense foci (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Axial T2W-images show the calcifications hypointense and more extensive hyperintense foci (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;
     
     
  • Figure 6
    MRI FLAIR
     

    Axial FLAIR show the calcifications hypointense and more extensive hyperintense foci (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Axial FLAIR show the calcifications hypointense and more extensive hyperintense foci (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Axial FLAIR show the calcifications hypointense and more extensive hyperintense foci (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Axial FLAIR show the calcifications hypointense and more extensive hyperintense foci (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Axial FLAIR show the calcifications hypointense and more extensive hyperintense foci (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;
     
     
  • Figure 7
    MRI T2*-gradient
     

    Axial T2*-gradient images revealed the calcifications as hypo-intensities, but to a lesser extent than CT (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Axial T2*-gradient images revealed the calcifications as hypo-intensities, but to a lesser extent than CT (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Axial T2*-gradient images revealed the calcifications as hypo-intensities, but to a lesser extent than CT (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Axial T2*-gradient images revealed the calcifications as hypo-intensities, but to a lesser extent than CT (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;

    Axial T2*-gradient images revealed the calcifications as hypo-intensities, but to a lesser extent than CT (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;
     
     
Brain CT examination revealed extensive bilateral calcifications involving the dentate nucleus and the cerebellum (arrows).
 
Brain CT examination revealed extensive bilateral calcifications involving the basal ganglia, the thalamus and the subcortical white matter of the occipital lobe (arrows).
 
Brain CT examination revealed extensive bilateral calcifications involving the body of caudate nucleus and the semi-oval centre (arrows).
 
Brain CT examination revealed extensive bilateral calcifications involving the body of caudate nucleus and the semi-oval centre (arrows).
 
Axial T1W-images show the calcifications with “paradoxical” high-signal (arrows).
 
Axial T1W-images show the calcifications with “paradoxical” high-signal (arrows).
 
Axial T1W-images show the calcifications with “paradoxical” high-signal (arrows).
 
Axial T1W-images show the calcifications with “paradoxical” high-signal (arrows).
 
Axial T1W-images cannot show the calcifications at the level of semi-oval centre.
 
Axial T2W-images show the calcifications hypointense and more extensive hyperintense foci (arrows).
 
Axial T2W-images show the calcifications hypointense and more extensive hyperintense foci (arrows).
 
Axial T2W-images show the calcifications hypointense and more extensive hyperintense foci (arrows).
 
Axial T2W-images show the calcifications hypointense and more extensive hyperintense foci (arrows).
 
Axial T2W-images show the calcifications hypointense and more extensive hyperintense foci (arrows).
 
Axial FLAIR show the calcifications hypointense and more extensive hyperintense foci (arrows).
 
Axial FLAIR show the calcifications hypointense and more extensive hyperintense foci (arrows).
 
Axial FLAIR show the calcifications hypointense and more extensive hyperintense foci (arrows).
 
Axial FLAIR show the calcifications hypointense and more extensive hyperintense foci (arrows).
 
Axial FLAIR show the calcifications hypointense and more extensive hyperintense foci (arrows).
 
Axial T2*-gradient images revealed the calcifications as hypo-intensities, but to a lesser extent than CT (arrows).
 
Axial T2*-gradient images revealed the calcifications as hypo-intensities, but to a lesser extent than CT (arrows).
 
Axial T2*-gradient images revealed the calcifications as hypo-intensities, but to a lesser extent than CT (arrows).
 
Axial T2*-gradient images revealed the calcifications as hypo-intensities, but to a lesser extent than CT (arrows).
 
Axial T2*-gradient images revealed the calcifications as hypo-intensities, but to a lesser extent than CT (arrows).
 
 
 
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