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Research ArticleBrain

Hyperintense Putaminal Rim Sign Is Not a Hallmark of Multiple System Atrophy at 3T

Wei-Hsing Lee, Chau-Chin Lee, Woei-Cherng Shyu, Pau-Nyen Chong and Shinn-Zong Lin
American Journal of Neuroradiology October 2005, 26 (9) 2238-2242;
Wei-Hsing Lee
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Chau-Chin Lee
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Woei-Cherng Shyu
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Pau-Nyen Chong
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Shinn-Zong Lin
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    Fig 1.

    Concomitant axial T2-weighted imaging (TR, 4000 ms; TE, 105 ms) (A) and FLAIR imaging (TR, 6902 ms; TE, 90 ms; TI, 2100 ms) (B) of a healthy 46-year-old woman (case 10) are performed at the striatal level on the 3T scanner; (C) equivalent T2-weighted image (TR, 4400 ms; TE, 95 ms) is acquired at 1.5T.

    A, There are bilateral slitlike signal intensity changes (grade 1 on right side and grade 2 on left side), consisting of a lateral hyperintense rim at the lateral border of the putamen (HPR) and a grade 1 hypointense area medial to this rim.

    B, FLAIR image demonstrates vague hyperintensities of the putaminal outer margin.

    C, The hyperintense rim is absent on T2-weighted image at 1.5T. Note grade 0 putaminal signal intensity hypointensity relative to the globus pallidus.

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    Fig 2.

    Brain MR imaging of a healthy 46-year-old woman (case 3) uses the same scanning protocol as that of Fig 1.

    A, There are grade 2 HPRs on the right and grade 3 on the left and grade 2 dorsolateral putaminal hypointensities.

    B, FLAIR image demonstrates grade 1 HPR on left side only.

    C, Signal intensity changes of bilateral HPR in A turn to negative findings. The dorsolateral putaminal hypointensities become brighter signals than those in A.

Tables

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  • Basic data and 3T MR findings in 10 subjects with hyperintense putaminal rim

    Patient No./Age (y)/SexT2WIFLAIR
    RightLeftRightLeft
    1/61/M1100
    2/60/F1100
    3/46/F2301
    4/49/F2211
    5/48/F2211
    6/55/F1210
    7/56/F1200
    8/44/M1100
    9/54/M1110
    10/46/F1211
    • Note.—T2WI indicates T2-weighted images; FLAIR, fluid-attenuated inversion recovery. Patient number is in order of examination date. With regard to the scale, 0 indicates normal; 1, mild; 2, moderate; and 3, severe abnormalities.

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American Journal of Neuroradiology: 26 (9)
American Journal of Neuroradiology
Vol. 26, Issue 9
1 Oct 2005
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Cite this article
Wei-Hsing Lee, Chau-Chin Lee, Woei-Cherng Shyu, Pau-Nyen Chong, Shinn-Zong Lin
Hyperintense Putaminal Rim Sign Is Not a Hallmark of Multiple System Atrophy at 3T
American Journal of Neuroradiology Oct 2005, 26 (9) 2238-2242;

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Hyperintense Putaminal Rim Sign Is Not a Hallmark of Multiple System Atrophy at 3T
Wei-Hsing Lee, Chau-Chin Lee, Woei-Cherng Shyu, Pau-Nyen Chong, Shinn-Zong Lin
American Journal of Neuroradiology Oct 2005, 26 (9) 2238-2242;
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