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Neurological picture
Lhermitte–Duclos disease
  1. Li Jun Qian1,
  2. Jian Rong Xu1,
  3. Lu Ying Zheng2
  1. 1Department of Radiology, Renji Hospital, Shanghai Jiaotong University School of Medicine, Pudong, Shanghai, PR China
  2. 2Department of Pathology, Renji Hospital, Shanghai Jiaotong University School of Medicine, Pudong, Shanghai, PR China
  1. Correspondence to Dr Jian Rong Xu, Department of Radiology, Renji Hospital, Shanghai Jiaotong University School of Medicine, No 1630, Dongfang Rd. Pudong, Shanghai 200127, PR China; xujianr{at}gmail.com

https://doi.org/10.1136/jnnp.2009.182808

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    Case report

    A 38-year-old woman showed a history of a 6-month paroxysmal right occipital headache with 1-week recurrent gait ataxia and falls. MR imaging of the brain depicted a well-circumscribed mass in the right cerebellar hemisphere with unilateral hemispheric expansion and partial compression of the fourth ventricle. T1/T2-isointense linear striations were displayed within T1-hypointense/T2-hyperintense lesion background, both of which manifested as striated or ‘tiger-stripping’ pattern in appearance. Partial enhancement of the isointense bands was observed on the gadolinium-enhanced T1-weighted sequences (figure 1). The imaging diagnosis of …

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    Footnotes

    • Funding JRX is supported by Shanghai Leading Academic Discipline Project (S30203).

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.