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Case 90

A man with a 5-6 month history of progressive dysphagia and suboccipital headache

Ozgur Kilickesmez, MD

This 52 year-old man presented with the symptoms of 5-6 month history of progressive slurred speech, dysphagia, neck pain spreading to the arms and suboccipital headache radiating to the skull vertex. The motor and sensory examination of the upper and lower extremities was unremarkable. There were no signs of hyperreflexia or myelopathy. An MRI study of the cranium was performed in three planes.

What is the abnormality seen on MR pictures ?

Sagittal T1 W Coronal T2 W Axial T1 W

Answer...

 
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© The Scottish Radiological Society
Author : Ozgur KILICKESMEZ, MD okilickesmez@yahoo.com
Institution : SSK Istanbul Education Hospital Radiology Department
Date : 03/12/2001,
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