Season 6 Case 23

Neuro Feb 12, 2018

Case 23

History: Worsening right sided weakness



The goal was to notice the the swollen hypodense gyral pattern in the posterior left frontal lobe/parietal lobe. On top of that are some serpentine hyperdensities that conform to the gyri.

Answer: cortical laminar necrosis.

It is variable on when and how it shows up/progresses, but the key to remember is that it is not hemorrhage and should not be mistaken for hemorrhagic conversion (Often these are seen on f/u exams, which is the point of the history here).

Here is a good series progression:

better write up than me:



Professor of the Darkroom Arts

Great! You've successfully subscribed.
Great! Next, complete checkout for full access.
Welcome back! You've successfully signed in.
Success! Your account is fully activated, you now have access to all content.