Atypical MRI features of Wilson's disease: high signal in globus pallidus on T1-weighted images.

H Mochizuki, K Kamakura, T Masaki, M Okano, N Nagata, A Inui, T Fujisawa, T Kaji
Author Information
  1. H Mochizuki: Third Department of Internal Medicine, National Defense Medical College, Saitama, Japan.

Abstract

Most reports of MRI in Wilson's disease have been of abnormal low-signal lesions on T1-weighted images and high signal intensity on T2-weighted images. In contrast, we report three patients who had high-signal lesions in the globus pallidus on T1-weighted images, a finding seen in patients with portal-systemic encephalopathy. The possible causes include the paramagnetic effect of copper or iron and accumulation of Alzheimer type II glial cells.

MeSH Term

Adult
Alzheimer Disease
Copper
Diagnosis, Differential
Female
Globus Pallidus
Hepatic Encephalopathy
Hepatolenticular Degeneration
Humans
Iron
Magnetic Resonance Imaging
Male
Mesencephalon
Neuroglia
Putamen

Chemicals

Copper
Iron

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