Neurol India Close
 

Figure 1: (a-c) Preoperative magnetic resonance imaging of the brain (axial, sagittal, and coronal images) with contrast revealed extensive bifrontal encephalomalacia, left being greater than right (measuring 11 cm × 6.3 cm in dimension), milder bilateral anterior temporal pole encephalomalacia, and destructive changes involving the caudate nuclei, anterior corpus callosum, and anterior portions of the corticospinal tracts, specifically anterior limbs of the internal capsule and corona radiata; (d-f) magnetic resonance imaging of the brain with contrast (3 months postprocedure) revealed 6 mm contrast enhancing signal changes involving the caudate nuclei bilaterally; (g-i) magnetic resonance imaging of the brain with contrast (at a 6 month follow-up) showing the rim enhancement along bilateral anterior limbs of the internal capsule with extension to the caudate heads and anterior medial margins of the lentiform nuclei measuring 1.5 cm AP × 1.4 cm in the transverse plane on the right and 1.4 cm AP × 1.1 cm in the transverse plane on the left, with no mass effect

Figure 1: (a-c) Preoperative magnetic resonance imaging of the brain (axial, sagittal, and coronal images) with contrast revealed extensive bifrontal encephalomalacia, left being greater than right (measuring 11 cm × 6.3 cm in dimension), milder bilateral anterior temporal pole encephalomalacia, and destructive changes involving the caudate nuclei, anterior corpus callosum, and anterior portions of the corticospinal tracts, specifically anterior limbs of the internal capsule and corona radiata; (d-f) magnetic resonance imaging of the brain with contrast (3 months postprocedure) revealed 6 mm contrast enhancing signal changes involving the caudate nuclei bilaterally; (g-i) magnetic resonance imaging of the brain with contrast (at a 6 month follow-up) showing the rim enhancement along bilateral anterior limbs of the internal capsule with extension to the caudate heads and anterior medial margins of the lentiform nuclei measuring 1.5 cm AP × 1.4 cm in the transverse plane on the right and 1.4 cm AP × 1.1 cm in the transverse plane on the left, with no mass effect