Case of May 2018

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Clinical History:

-  5-year old male, term, normal birth weight

-  Past medical history: Developmental delay, suspected neurofibromatosis 1 (multiple Café au lait macules)

-  Admitted previously for febrile convulsion and right upper limb weakness. CT brain was unremarkable. He had good recovery.

-  He presented again with convulsion, with left upper and lower limbs weakness and dysphasia. He then gradually recovered.

-  MRI brain and digital subtraction angiogram were performed.

MRI Brain:

PD + T2                                                                                  T1 Post-contrast

ADC                                                                                        DWI

T1W                                                                                        T1W