MyPACS.net: Radiology Teaching Files > Case 15298564

Never visited BILATERAL BASAL GANGLIA CALCIFICATIONS
Contributed by: Barti Davan, Newark Beth Israel, New Jersey, USA.
History: Altered mental status, history of drug abuse
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Fig. 1

Fig. 2
Findings: Dense and symmetric calcifications in the globus pallidus, caudate, putamen and dentate nuclei. Scattered periventricular hypodensities, nonspecific in nature.
Discussion:  

Calcification in the globus pallidus of a patient under the age of 40 should be considered pathological unless proved otherwise.  Calcification confined to the globus pallidus of a patient older than 40 should be considered physiological and no further work up is recommended.

Calcification elsewhere in the basal ganglia, dentate nucleus, or multiple areas of the cortex in a patient of any age should also be considered pathological.

References:

Calcification of the Basal Ganglia as Visualized by Computed

Tomography

Chad R. Cohen, M.D., Paul M. Duchesneau, M.D., and Meredith A. WeInstein, M.D.

RadIology 134:97-99, January 1980.

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Additional Details:

Case Number: 15298564Last Updated: 2011-08-02
Anatomy: Cranium and Contents   Pathology: Infection
Modality: CTAccess Level: Readable by all users

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