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Differential Diagnosis in Neuroimaging: Brain and Meninges PDF

660 Pages·2016·39.387 MB·English
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Differential Diagnosis in Neuroimaging Brain and Meninges Steven P. Meyers, MD, PhD, FACR Professor of Radiology/Imaging Sciences, Neurosurgery, and Otolaryngology Director, Radiology Residency Program University of Rochester School of Medicine and Dentistry Rochester, New York 1952 illustrations Thieme New York • Stuttgart • Delhi • Rio de Janeiro Executive Editor: William Lamsback Important note: Medicine is an ever-changing science undergoing Managing Editor: J. Owen Zurhellen IV continual development. Research and clinical experience are Director, Editorial Services: Mary Jo Casey continually expanding our knowledge, in particular our knowledge Editorial Consultant: Judith Tomat of proper treatment and drug therapy. Insofar as this book mentions Production Editor: Kenneth L. Chumbley any dosage or application, readers may rest assured that the International Production Director: Andreas Schabert authors, editors, and publishers have made every effort to ensure Vice President, Editorial and E-Product Development: Vera Spillner that such references are in accordance with the state of knowledge International Marketing Director: Fiona Henderson at the time of production of the book. International Sales Director: Louisa Turrell Nevertheless, this does not involve, imply, or express any Director of Sales, North America: Mike Roseman guarantee or responsibility on the part of the publishers in respect Senior Vice President and Chief Operating Officer: Sarah Vanderbilt to any dosage instructions and forms of applications stated in President: Brian D. Scanlan the book. Every user is requested to examine carefully the manufacturers’ leaflets accompanying each drug and to check, if necessary in consultation with a physician or specialist, whether Library of Congress Cataloging-in-Publication Data the dosage schedules mentioned therein or the contraindications stated by the manufacturers differ from the statements made in Names: Meyers, Steven P., author. the present book. Such examination is particularly important with Title: Differential diagnosis in neuroimaging. Brain and meninges / drugs that are either rarely used or have been newly released on the Steven P. Meyers. market. Every dosage schedule or every form of application used Description: New York : Thieme, [2016] | Includes bibliographical is entirely at the user’s own risk and responsibility. The authors references. and publishers request every user to report to the publishers any Identifiers: LCCN 2016013145 | ISBN 9781604067002 (alk. paper) | discrepancies or inaccuracies noticed. If errors in this work are found ISBN 9781604067026 (eISBN) after publication, errata will be posted at www.thieme.com on the Subjects: | MESH: Neuroimaging | Brain Diseases—diagnosis | product description page. Magnetic Resonance Imaging | Diagnosis, Differential Some of the product names, patents, and registered designs Classification: LCC RC349.D52 | NLM WL 141.5.N47 | referred to in this book are in fact registered trademarks or DDC 616.8/04754—dc23 proprietary names even though specific reference to this fact is LC record available at https://lccn.loc.gov/2016013145 not always made in the text. Therefore, the appearance of a name without designation as proprietary is not to be construed as a representation by the publisher that it is in the public domain. © 2017 Thieme Medical Publishers, Inc. Thieme Publishers New York 333 Seventh Avenue, New York, NY 10001 USA +1 800 782 3488, [email protected] Thieme Publishers Stuttgart Rüdigerstrasse 14, 70469 Stuttgart, Germany +49 [0]711 8931 421, [email protected] Thieme Publishers Delhi A-12, Second Floor, Sector-2, Noida-201301 Uttar Pradesh, India +91 120 45 566 00, [email protected] Thieme Publishers Rio de Janeiro, Thieme Publicações Ltda. Edifício Rodolpho de Paoli, 25º andar Av. Nilo Peçanha, 50 – Sala 2508 Rio de Janeiro 20020-906, Brasil +55 21 3172 2297 Cover design: Thieme Publishing Group Typesetting by Prairie Papers This book, including all parts thereof, is legally protected by copyright. Any use, exploitation, or commercialization outside the Printed in China by Asia Pacific Offset 5 4 3 2 1 narrow limits set by copyright legislation without the publisher’s consent is illegal and liable to prosecution. This applies in par- ISBN 978-1-60406-700-2 ticular to photostat reproduction, copying, mimeographing or Also available as an e-book: duplication of any kind, translating, preparation of microfilms, eISBN 978-1-60406-702-6 and electronic data processing and storage. To my parents, for their unwavering encouragement and support along my long journey through formal education. And to my wife, Barbara, and son, Noah, for their continuous love, support, and patience during this project. Contents Preface ................................................................................................................................................................................ix Acknowledgments .............................................................................................................................................................x Abbreviations ....................................................................................................................................................................xi Prologue, Intracranial Abnormalities ..........................................................................................................................1 1 Brain (Intra-Axial Lesions) ..............................................................................................................................................3 Introduction .......................................................................................................................................................................4 Table 1.1 Congenital and histogenic malformations of the brain ...................................................................11 Table 1.2 Supratentorial solitary intra-axial mass lesions................................................................................36 Table 1.3 Solitary intra-axial lesions in the posterior cranial fossa (infratentorial) .................................94 Table 1.4 Multiple intra-axial lesions in the brain ...........................................................................................128 Table 1.5 Multiple or diffuse lesions involving white matter in children .................................................185 Table 1.6 Bilateral lesions involving the basal ganglia and/or thalami ......................................................219 Table 1.7 Neurodegenerative disorders ...............................................................................................................262 Table 1.8 Ischemia and infarction involving the brain and/or brainstem in adults ...............................298 Table 1.9 Ischemia and infarction involving the brain and/or brainstem in children ...........................318 Table 1.10 Intrasellar and juxtasellar lesions ....................................................................................................348 Table 1.11 Lesions in the pineal region................................................................................................................386 References ......................................................................................................................................................................400 2 Ventricles and Cisterns ................................................................................................................................................421 Introduction ..................................................................................................................................................................422 Table 2.1 Lateral ventricles—common masses ..................................................................................................423 Table 2.2 Common third ventricular masses .....................................................................................................425 Table 2.3 Fourth ventricular lesions .....................................................................................................................425 Table 2.4 Excessively small ventricles ..................................................................................................................426 Table 2.5 Dilated ventricles .....................................................................................................................................428 Table 2.6 Abnormal or altered configuration of the ventricles ....................................................................456 Table 2.7 Solitary intraventricular lesions in children ....................................................................................468 Table 2.8 Solitary intraventricular lesions in adults ........................................................................................488 Table 2.9 Contrast-enhancing ventricular margins .........................................................................................510 References ......................................................................................................................................................................516 3 Extra-Axial Lesions .......................................................................................................................................................517 Introduction ..................................................................................................................................................................518 Table 3.1 Solitary extra-axial mass lesions ........................................................................................................518 Table 3.2 Multifocal extra-axial lesions ...............................................................................................................548 References ......................................................................................................................................................................558 4 Meninges .........................................................................................................................................................................561 Introduction ..................................................................................................................................................................562 Table 4.1 Abnormalities involving the dura .......................................................................................................563 Table 4.2 Multifocal and/or diffuse leptomeningeal abnormalities ...........................................................583 References ......................................................................................................................................................................596 vii viii Contents 5 Vascular Abnormalities ...............................................................................................................................................597 Introduction ..................................................................................................................................................................598 Table 5.1 Congenital and developmental vascular anomalies/variants .....................................................607 Table 5.2 Acquired vascular disease .....................................................................................................................620 References ......................................................................................................................................................................638 Index .................................................................................................................................................................................641

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