Advertisements
//
you're reading...
Neuro

Periventricular White Matter Hypoattenuation – Differential Diagnosis

History: 80 year old male with headache.

Axial CT scan of the head shows prominent ventricles, widened sulci, and hypoattenuation of the periventricular white matter (yellow arrows).

Periventricular white matter hypoattenuation:Ā Axial CT scan of the head shows prominent ventricles, widened sulci, and hypoattenuation of the periventricular white matter (yellow arrows).

This is the appearance of periventricular white matter hypoattenuation on CT. In this patient it is due to normal aging effects on the brain. The appearance of periventricular white matter hypoattenuation on CT is nonspecific and the differential diagnosis includes normal aging brain, arteriolosclerosis, multiple sclerosis, acute disseminated encephalomyelitis (ADEM), diffuse axonal injury, radiation therapy, periventricular leukomalacia, vasculitis, and other more rare entities such as cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL).

Advertisements

About radiologypics

I am a radiology physician from California, USA.

Discussion

Trackbacks/Pingbacks

  1. Pingback: Top 10 Cases from 2013 | RADIOLOGYPICS.COM - December 31, 2013

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

Advertisements
%d bloggers like this: