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Corpus Callosum Infarcts with Atypical Clinical and Radiologic Presentations

David L. Kasow, Sylvie Destian, Carl Braun, John C. Quintas, Nolan J. Kagetsu and Carl E. Johnson
American Journal of Neuroradiology November 2000, 21 (10) 1876-1880;
David L. Kasow
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Sylvie Destian
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Carl Braun
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John C. Quintas
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Nolan J. Kagetsu
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Carl E. Johnson
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    fig 1.

    Case 1. Axial postcontrast CT image (A) and coronal postcontrast T1-weighted image (B) (480/20/1 [TR/TE/excitations]) show a non-enhancing lesion within both sides of the genu (curved arrow) of the corpus callosum with mass effect on the frontal horns. Axial T2-weighted image (C) (2500/105/1) shows corresponding high signal intensity within the genu of the corpus callosum (curved arrow), crossing the midline. An old infarct is noted within the right posterior border zone and scattered foci of T2 signal abnormality are seen in the left frontal and parietal regions. A biopsy of the lesion was obtained, confirming an infarct

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    fig 2.

    Case 2. Postcontrast axial T1-weighted image (A) (500/20/1) shows subtle enhancement with surrounding hypointensity within the genu of the corpus callosum (arrows). FLAIR images (B, C) (8900/140/1) show abnormal increased signal within both sides of the genu and body of the corpus callosum. Axial FLAIR images (D, E) (8900/140/1) from follow-up MR imaging performed 3 weeks later showed almost complete resolution of the abnormal signal within the corpus callosum

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    fig 3.

    Case 3. Sagittal precontrast T1-weighted image (A) (400/12/2) shows a hypointense ovoid mass (arrow) within the body of the corpus callosum, depressing the roof of the lateral ventricle. After administration of contrast material (B) (400/12/2), it enhances homogeneously. A small infarct (white arrow) is noted within the right thalamus on the axial T2-weighted image (C) (2560/90/1). Subsequent biopsy confirmed an infarct

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    fig 4.

    Case 4. Sagittal non-contrast T1- (A) (400/10/1) and coronal T2-weighted (B) (2500/105/1) images show abnormal signal within the body of the corpus callosum and adjacent white matter (arrow) on the left side. Sagittal (C) (400/8/2) and coronal (D) (450/20/1) postcontrast T1-weighted images from a subsequent MR examination show abnormal enhancement (arrow) within the corpus callosum and adjacent white matter

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American Journal of Neuroradiology
Vol. 21, Issue 10
1 Nov 2000
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Corpus Callosum Infarcts with Atypical Clinical and Radiologic Presentations
David L. Kasow, Sylvie Destian, Carl Braun, John C. Quintas, Nolan J. Kagetsu, Carl E. Johnson
American Journal of Neuroradiology Nov 2000, 21 (10) 1876-1880;

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Corpus Callosum Infarcts with Atypical Clinical and Radiologic Presentations
David L. Kasow, Sylvie Destian, Carl Braun, John C. Quintas, Nolan J. Kagetsu, Carl E. Johnson
American Journal of Neuroradiology Nov 2000, 21 (10) 1876-1880;
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