Answer of August 2002

 

Clinical History:


M/19 Involuntary limbs movement.

Figure 1: Axial Noncontrast CT Brain
Figure 2: Axial T1 weighed MR Brain
Figure 3: Axial T2 Weighed MR Brain



                                Figure 1



                                Figure 2


                                Figure 3

 

Diagnosis:


Wilson's disease.Putaminal lesions are associated with bradykinesia and dystonia.


Discussion:


Figure 1: There are hypodensities in lentiform nuclei (putamen) bilaterally.

Figure 2 and Figure 3: There are T1 hypointense and T2 hyperintense signal in the putamen bilaterally