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Sturge-Weber syndrome

Findings:

The left cerebral hemisphere is small in keeping with previously demonstrated atrophy related to cortical surface malformation of Sturge-Weber syndrome.
Blooming artefacts in the left frontal and parietal lobes on the SWI sequence, corresponding to the calcifications seen on CT scan. The remainder of the brain parenchyma is unremarkable. No diffusion restriction.
No obvious midbrain or cerebellar volume loss. No hydrocephalus or midline shift.
The pituitary gland is normal.
The left frontal and ethmoid sinuses are enlarged, when compared to the left side. Mucosal thickening is seen in the paranasal sinuses bilaterally. Partial obliteration of the mastoid air cells is seen on both sides, more significant on the right. The orbits are unremarkable.

No bony abnormality is seen.

Conclusion:
Known pial malformation over the left cerebral hemisphere with volume loss, in keeping with the known Sturge-Weber syndrome. No right-sided cortical abnormality is shown. No crossed cerebellar diaschisis.

Updated on 12. April 2023

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About the author

Dr Sara Mohebbi is a Consultant Radiologist (Facharzt für Radiologie) with sub-specialty training in neuroradiology. She served as Chief Resident at University Hospital Freiburg and is a member of the European Society of Radiology (ESR). Her clinical focus includes demyelinating disease, neuro-oncology, and vascular neuroimaging. Dr Mohebbi is the Clinical Lead at Radiology Prime, where she provides independent second opinion reports on brain and spine MRI.