Role of Magnetic Resonance Imaging in the Evaluation of Basal Ganglia Lesions
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 3
Abstract
Introduction: Radiologists will encounter bilaterally symmetrical abnormalities of the basal ganglia, usually in diffuse systemic and metabolic diseases. Study aimed to identify the spectrum of diseases involving basal ganglia disease and also to evaluate other sites of involvement in these patients. Material and methods: 30 patients referred to our hospitalwith suspicion of basal ganglia lesions subjected to MR examinations by 3TMR system using a 32-channel phased array head coil. Results: Most common etio-pathologies affecting basal ganglia are metabolic diseases (67%), Japanese encephalitis and dengue encephalitis (17%), Neoplasm’s Glioma and DNET (10%) and degenerative NBIA and Huntington’s disease (7%) respectively. Among metabolic diseases Hypoxic ischemic encephalopathy (30%) and Leigh’s syndrome (30%) are the most common entities followed by hypoglycemic encephalopathy (10%) and posterior reversible encephalopathy syndrome (10%) diagnosed respectively. Among the Thirty patients with basal ganglia lesions, bilateral symmetrical involvement in 22 cases (73%), unilateral involvement in 5 cases (17%) and bilateral asymmetrical involvement in 3 cases (10%). There are 5 cases with Caudate +Putamen (Dorsal striatum), 4 cases with Putamen+globus pallidus (lentiform nucleus) and 7 cases withentire basal ganglia (Corpus striatum) involvement in metabolic disease patients. Conclusion: MR imaging has dramatically improved the ability to visualise deep grey structures of basal ganglia and spectrum.
Authors and Affiliations
Diddy Vamshi Kiran, Rama Krishna Rao Baru
Keywords
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- EP ID EP424309
- DOI 10.21276/ijcmsr.2018.3.3.13
- Views 139
- Downloads 0
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