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Table of Contents    
NEUROIMAGES
Year : 2018  |  Volume : 66  |  Issue : 3  |  Page : 878-879

Sieve-like basal ganglia: A rare MRI presentation of vascular parkinsonism


Department of Neurology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

Date of Web Publication15-May-2018

Correspondence Address:
Dr. Sunil Pradhan
Department of Neurology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.232349

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How to cite this article:
Pradhan S, Bansal R. Sieve-like basal ganglia: A rare MRI presentation of vascular parkinsonism. Neurol India 2018;66:878-9

How to cite this URL:
Pradhan S, Bansal R. Sieve-like basal ganglia: A rare MRI presentation of vascular parkinsonism. Neurol India [serial online] 2018 [cited 2018 Aug 20];66:878-9. Available from: http://www.neurologyindia.com/text.asp?2018/66/3/878/232349




An 87-year old male patient, a chronic tobacco chewer with long-standing diabetes mellitus and hypertension as well as history of two episodes of transient ischemic attacks in the recent past, presented with rapid loss of mobility due to marked rigidity in both lower limbs causing severe postural instability along with hypophonic speech and severe bradykinesia due to which he become chair-bound over a period of 2 months. These features were predominantly consistent with lower-body  Parkinsonism More Details. There was no history of fluctuations in his cognition status, hallucinations, myoclonus, gaze restriction, or postural drop. Possibility of vascular parkinsonism, normal pressure hydrocephalus, or frontal lobe tumor were kept. Magnetic resonance imaging revealed a multi-infarct state of the basal ganglia, which presented an almost sieve-like appearance on axial planes [Figure 1]. There was no evidence of any hydrocephalus or a frontal lobe mass lesion on imaging. Finally, the clinico-radiological features were consistent with the diagnosis of vascular Parkinsonism.[1]
Figure 1: Axial T1 (a) and T2 (b) weighted MRI images showing sieve like basal ganglia

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Zijlmans JC, Daniel SE, Hughes AJ, Revesz T, Lees AJ. Clinicopathological investigation of vascular parkinsonism, including clinical criteria for diagnosis. Mov Disord 2004;19:630-40.  Back to cited text no. 1
    


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