EURORAD ESR

Case 8913

'Batwing' sylvian fissure

Author(s)
Arora A, Upreti L, Kapoor A, Gupta R, SK Puri.

Department of Radiodiagnosis, G.B. Pant Hospital and associated Maulana Azad Medical College, New Delhi, India.
 
Patient
male, 1 year(s)
 
 
  • Figure 1
    Axial contrast enhanced CT

    Axial CT scan shows bi-frontal cerebral atrophy with associated subarachnoid CSF space and ventricular prominence.

     
     
     
  • Figure 2
    Axial contrast enhanced CT

    Widely open opercula are evident on both sides (right>left).

     
     
     
  • Figure 3
    Axial contrast enhanced MRI

    Widely open sylvian fissures have been likened to batwings. This has been considered the most striking finding on neuroimaging in glutaric aciduria type I.

     
     
     
  • Figure 4
    Axial T1- weighted MRI

    Subdural hygroma can be seen along the left fronto-parietal cerebral convexity.

     
     
     
  • Figure 5
    Axial T2- weighted MRI

    Diffuse white matter hyperintensity & focal signal alterations within the basal ganglia can be seen on this T2-w MRI. Also seen are left fronto-parietal subdural bleed, bi-fronto-temporal atrophy, enlarged...

     
     
     
Axial CT scan shows bi-frontal cerebral atrophy with associated subarachnoid CSF space and ventricular prominence.
 
Widely open opercula are evident on both sides (right>left).
 
Widely open sylvian fissures have been likened to batwings. This has been considered the most striking finding on neuroimaging in glutaric aciduria type I.
 
Subdural hygroma can be seen along the left fronto-parietal cerebral convexity.
 
Diffuse white matter hyperintensity & focal signal alterations within the basal ganglia can be seen on this T2-w MRI. Also seen are left fronto-parietal subdural bleed, bi-fronto-temporal atrophy, enlarged opercula and subtle basal ganglia atrophy.
 
 
 
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