CASE OF THE MONTH

1999

ANSWER

FOR AUG


Fig 1

Figure 1

Fig 2

Figure 2

Figure 1 NECT brain shows bilateral symmetrical hypodensities in internal and external capsules, globus pallidus and mainly the subcortical white matter of the occipital lobe.

Figure 2 NECT brain better demonstrates the occipital lobe hypodensities predominantly affecting the subcortical white matter.This patient has both uraemic (basal ganglia changes) and hypertensive (occipital lobe changes) encephalopathy.

DIAGNOSIS :

Uraemic and hypertensive encephalopathy

HISTORY

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