患者背景:
68 歳, 女性
適応:
Parkinsonism
所見
- Midbrain atrophy disproportionate to the overall degree of cerebral and cerebellar volume
- Midbrain to pons area ratio measures 0.12
- Patchy T2/FLAIR signal hyperintensity in the subcortical and periventricular white matter, which although nonspecific likely relates to chronic small vessel disease
- Mild mucosal thickening of the paranasal sinus with a small mucous retention cyst in the left maxillary sinus
診断
Progressive supranuclear palsy (PSP)
サンプルレポート
Midbrain atrophy disproportionate to the overall degree of cerebral and cerebellar volume with a midbrain to pons area ratio of 0.12, which can be seen with progressive supranuclear palsy (PSP).
考察