MyPACS.net: Radiology Teaching Files > Case 29681060

previously visited 090623 CHRONIC RENAL INSUFFICIENCY-RELATED INTRACRANIAL CALCIFICATIONS
Contributed by: pedrad CSH, Radiologist, Chung Shan Medical University Hospital, Taiwan.
Patient: 9 year old male
History:

Chief complain:
Conscious disturbance for about 3 days.
Fever, poor appetite, poor activity, and unstable walking gait.
Hyperatremia (serum NA: 198 U/L)
Hypocalcemia (serum Ca: 6.9mg/dl)

Past History:
1. Central diabetes insipidus (DI) with repeat hypernatremia and without regular medical control.
2. Chronic renal insufficiency
3. Cerebral palsy

Birth History:
Cesarean section with gestational age 26 weeks.
Birthbody weight: 980gm. G2P2
Sepsos after birth

Images:[small]larger

Fig. 1: NECT_axi

Fig. 2: NECT_axi

Fig. 3: NECT_cor
Findings:

Multidetector row CT scan of brain with multiplanar
 reconstruction, and without intravenous contrast:

1. Extensive symmetric patchy and gyriform calcifications in
   deep cortex/subcortical white matter of bilateral cerebral
   hemispheres and dense calcifications in bilateral corpus
   striatum, possibly associated with chronic renal insufficiency
   with abnormal metabolic status (Fig 1-3).
2. Effacement of bilateral cortical sulci and ventricles,
   significance unknown.

Diagnosis: Chronic renal insufficiency-related intracranial calcifications
Discussion: Prognosis:
The patient unfortunately progress to coma, disseminated intravascular coagulation (DIC) and death during hospitalization.
Comments:
No comments posted.
Additional Details:

Case Number: 29681060Last Updated: 07-21-2009
Anatomy: Cranium and Contents   Pathology: Metabolic
Modality: CTAccess Level: Readable by all users
Keywords: calcification,ACR: 18.57

The reader is fully responsible for confirming the accuracy of this content.
Text and images may be copyrighted by the case author or institution.
You can help keep MyPACS tidy: if you notice a case which is not useful (e.g. a test case) or inaccurate, please contact us.