Friday, May 4, 2012

Basal ganglia calcification on CT

The faint white stippling in the basal ganglia region is calcification.
Calcification is better seen on a CT scan than MRI. MRI will show low intensity on T2 which is often missed. Causes include
1. Metabolic: hypocalcemia due to hypoparathyroidism, pseudohypoparathyroidism and hyperparathyroidism
2. Birth asphyxia
3. Infections: TORCH, CNS TB, CNS HIV, neurocysticercosis, toxoplasmosis
4. Genetic disorders- mitochondrial, Hallervorden Spatz disease
5. Toxins- CO and lead poisoning.
6. Idiopathic- Fahr disease

A good site to read more is :
http://www.ncbi.nlm.nih.gov/books/NBK1421/

Saturday, April 28, 2012

Adenoma Sebaceum

Adenoma sebaceum is seen in patients with tuberous sclerosis. It usually appears after 2 years of age and continues to increase till adolescence and persist throughout life. These small reddish brown papules are tiny angiofibromas. They appear on the nose and cheeks in a butterfly distribution. The problem is mainly cosmetic. May be removed using dermabrasion, laser ablation or radiofrequency abrasion.


Thursday, April 26, 2012

Algorithms in Pediatric Neurology

Hi

Children with neurological problems are like fascinating puzzles.

They tantalize, mystify and satisfy.

My blog will be about these.

Bye

See you soon with some solved, some unsolved but always interesting problems