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J. E. Vandevenne and A. Kastler
ab
Fig. 20.15 (a–c) Plasmacytoma with mini-brain appearance. Example of a solitary plasmacytoma in a 31-year-old man presenting with low back pain. The CT image demonstrates an irregular shaped lytic lesion
Table 20.3 Primary benign tumors: CT and MR characteristics and treatment modalities
Tumor type CT features Osteoma Dense sclerotic, round shape,
sometimes with spicula
Osteoid osteoma (OO) Posterior elements, central nidus
lucent or sclerotic with lucent rim, broad and dense sclerotic reactive zone
Osteoblastoma Like osteoid osteoma, osteoid forming
tumor of larger size of nidus: >1.5cm with variable mineralization
Hemangioma Hypodense with coarse vertical
trabeculae (white polka dots/corduroy sign)
Aggressive Hemangioma Like hemangioma but with bone
destruction
Fibrous dysplasia Expansile, ground-glass matrix; cystic
areas may appear lytic (rare in spine, polyostotic)
Osteochondroma Continuity of bony cortex and
medullary space from lesion into normal bone
Chondroblastoma Osteolytic, thin sclerotic rim, may
involve cortical bone, variable intralesional calcication (chondroid
matrix) Simple bone cyst Radiolucent, thin sclerotic rim Fluid signal intensity Not needed Aneurysmal bone cyst (ABC)
Benign notochordal tumor
Giant cell tumor Lytic, expansile, cortical disruption,
Eosinophilic granuloma (Langerhans histiocytosis)
Balloon-like expansile, lytic with
bony septa, thin cortical shell may
focally disrupt
Sclerotic, may involve entire vertebra
preserved trabecula, no cortical
destruction
thin/disrupted sclerotic margins and
trabecula, locally aggressive lesion
Lucent lytic lesion, bone destruction
locally aggressive lesion, vertebra
plana
of the vertebral body, with cortical thickening correlating to linear hypointense struts in T1 and T2 imaging resembling the cortical gyra­tion of a mini-brain
MRI features (high and low refer to signal intensity) Treatment
Low on all sequences Not needed
Nidus is low on T1 and high on T2, avidly enhancing; broad, enhancing reactive zone (not malignant!) nidus easily missed on MRI, CT is preferred Low on T1, high on T2, variable enhancement peritumoral oedema and periosteal reaction uid-uid levels if associated ABC Typical (fatty stroma): High on T1, high on T2 atypical (vascular): Iso or low on T1, high on T2 idem to atypical hemangioma, avid enhancement, use fat saturation to see extraosseous extension/cord compression Low on T1, low to intermediate on T2, cystic areas are high on T2, enhancement variable
Bone marrow signal, cortical bone signal cartilage cap (high on T2)
Iso on T1, heterogeneous on T2 and after contrast lobular matrix, low T1 and T2 rim, bone marrow and soft tissue edema with enhancement
Fluid-uid levels (lower layer is low on T2) solid ABC exist
Hypo or iso, some high foci on T1 (entrapped fat) high on T2, may sometimes enhance
Soft tissue component, sharp margin, thin curvilinear bands (residual trabecula) uid-uid levels if associated ABC Low or iso on T1, high on T2, diffusely enhancing
c
Surgical curettage or percutaneous ablation
Surgery
Not needed
Optional: Embolization, vertebroplasty, surgery
Not needed
Optional (resection)
Surgery (curettage)
Optional: Biopsy, surgery, or calcitonin/ corticoid injection Not needed, MRI follow-up to exclude chordoma Surgery (resection)
Conservative, surgery
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Fig. 20.16 (a–c) Osteoid osteoma in a child with inammatory pain responding to salicylic acid and non-steroidal anti-inammatory drugs. Use of these drugs are a diagnostic test for osteoid osteoma. On MRI, a hypointense sclerotic center with extensive surrounding inammation
a
b
(reactive zone) on T2WI (a) and strong enhancement after IV contrast on T1WI with fat suppression (b) is seen. CT to better advantage shows the typical sclerotic rounded center with a hypodense rim representing the osteoid nidus (c)
cd
c
Fig. 20.17 (a–d) Benign Notochordal Cell Tumor (BNCT) in an asymptomatic young adult. Sclerotic lesion on CT involving a large central area of the L3 body showing visible, undestructed bone trabecu­lae (a, b). On MRI, the lesion is hypointense on T1WI (c) and hyperin-
tense on T2WI (d). No contrast enhancement (not shown). Incidentally, a vertebral hemangioma is present in the L4 body, hyperintense on T1 and T2 due to fatty content. Modic type 2 changes are present at level L4-L5
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Fig. 20.18 (a–d) Giant cell tumor in the cervical spine of a young adult. Benign locally aggressive tumor presenting as a lytic expansile lesion with cortical disruption and soft tissue invasion. CT demonstrates the osteolysis but also a thin sclerotic rim in the vertebral body (narrow transition zone) and a thin cortical shell that is rather eroded and displaced than destructed: signs of an expansile erosive lesion but not permeative (a, b). The characteristic nding on MRI is the heterogeneous to low signal on T2WI representing hemorrhagic components (c). The lesion is hypointense on T1 and avidly enhances after IV contrast administration (d)
J. E. Vandevenne and A. Kastler
c
d
Table 20.4 Masses in the epidural space
Degenerative Disc herniation, ligamentum avum degeneration
(mucoid and cystic change, calcication, hypertrophy), facet arthropathy, intraspinal synovial
Infectious Pyogenic abscess, tuberculous abscess, fungal
Neoplastic benign
Neoplastic malignant Congenital Neurenteric cyst (more frequently intradural),
Other Epidural hematoma (spontaneous, post-traumatic,
facet cyst, frictional bursitis de novo in Baastrup, ossication of posterior longitudinal ligament (OPLL), retrodental pseudotumor of transverse ligament
infection Lipoma/lipomatosis, angiolipoma, cavernous hemangioma, schwannoma, neurobroma, meningioma, paraspinal arteriovenous malformation/ stula, arachnoid cyst, dermoid, epidermoid cyst, extramedullary hematopoiesis Lymphoma, metastasis, neuroendocrine spinal tumor (paraganglioma)
meningeal cyst
post-surgery), pseudomeningocele, postoperative brosis, early postoperative pseudomass (débris), dilated venous plexus as collateral pathway in inferior vena cava obstruction, Hirayama’s disease
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Fig. 20.19 (a–c) Epidural lipomatosis on T1WI, often seen in over- weight patients or secondary to steroids intake. In the thoracic spine, excessive fat is usually present in the posterior epidural space (a), while
c
in the lumbar spine excessive fat surrounds the thecal sac resulting in a Y shaped compression (b, c)
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Fig. 20.20 (a–d) Epidural hematoma can occur after trauma, secondary to a vascular abnormality or anti-coagulant therapy, or spontaneously as in this case. Blood signal on MRI will vary according to age of the hematoma. An epidural hematoma posteriorly in the spinal canal is shown with intermediary signal on non-contrast T1WI (a, c) and typical hypointense signal on T2WI (b, d). No contrast enhancement was present (not shown)
J. E. Vandevenne and A. Kastler
c
d
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Fig. 20.21 (a, b). Cavernous hemangioma is rare in the epidural space and presents with typical low signal on T2, hypo-intense to iso-intense signal on T1 and with avid enhancement (a, b). A specic characteristic of cavernous hemangioma is the possible multilevel extension and the association with an osseous malformation such as a vertebral hemangioma (b)
ab
20.5 Concluding Remarks
Important tumoral or infectious lesions may be missed if the extraspinal soft tissues are not scrutinized by the radiologist. Once a lesion is detected, the compartment of origin and the extension to neigboring compartments needs to be deter­mined using established classications. Many lesions can be correctly diagnosed based on imaging features alone, however when in doubt follow-up imaging or a biopsy can be deemed necessary.
Take-Home Messages
• Beware of satisfaction of search and use your radio­logical skills to detect extraspinal lesions on every CT and MRI of the spine you read.
• Add value by correctly grading and characterizing masses in and around the spine.
References
1. Reid A, Weig E, Dickinson K, Zafar F, Abid R, VanBeek M, Ferguson N. Hiding in plain sight: a retrospective review of unrecognized tumors during dermatologic surgery. Cureus. 2022;14(3):e23487. https://doi.org/10.7759/cureus.23487.
2. Busby LP, Courtier JL, Glastonbury CM. Bias in radiology: the how and why of misses and misinterpretations. Radiographics. 2018;38(1):236–47. https://doi.org/10.1148/rg.2018170107.
3. Ivan CV, Mullineux JH, Shah V, Verma R, Rajesh A, Stephenson JA. Peripheral vision: abdominal pathology missed outside the Centre of gaze. Br J Radiol. 2018;91(1091):20180142. https://doi.
org/10.1259/bjr.20180142.
4. Kulkarni TG, Das K.Poster: “ECR 2017/C-2433/The CT and MRI scout views: don’t forget to look!”
5. Creze M, Ghaouche J, Missenard G, Lazure T, Cluzel G, Devilder M, Briand S, Soubeyrand M, Meyrignac O, Carlier RY, Court C, Bouthors C.Understanding a mass in the paraspinal region: an ana­tomical approach. Insights Imaging. 2023;14(1):128. https://doi.
org/10.1186/s13244- 023- 01462- 1.
6. Boriani S, Weinstein JN, Biagini R. Primary bone tumors of the spine. Terminology and surgical staging. Spine (Phila Pa 1976). 1997;22(9):1036–44. https://doi.
org/10.1097/00007632- 199705010- 00020.
312
https://t.me/medicina_free
J. E. Vandevenne and A. Kastler
7. Chang SY, Ha JH, Seo SG, Chang BS, Lee CK, Kim H.Prognosis of single spinal metastatic tumors: predictive value of the spinal insta­bility neoplastic score system for spinal adverse events. Asian Spine J. 2018;12(5):919–26. https://doi.org/10.31616/asj.2018.12.5.919.
8. Fisher CG, DiPaola CP, Ryken TC, Bilsky MH, Shaffrey CI, Berven SH, Harrop JS, Fehlings MG, Boriani S, Chou D, Schmidt MH, Polly DW, Biagini R, Burch S, Dekutoski MB, Ganju A, Gerszten PC, Gokaslan ZL, Groff MW, Liebsch NJ, Mendel E, Okuno SH, Patel S, Rhines LD, Rose PS, Sciubba DM, Sundaresan N, Tomita K, Varga PP, Vialle LR, Vrionis FD, Yamada Y, Fourney DR.A novel classication system for spinal instability in neoplastic disease: an evidence-based approach and expert consensus from the spine oncology study group. Spine (Phila Pa 1976). 2010;35(22):E1221–
9. https://doi.org/10.1097/BRS.0b013e3181e16ae2.
9. Rodallec MH, Feydy A, Larousserie F, Anract P, Campagna R, Babinet A, Zins M, Drapé JL.Diagnostic imaging of solitary tumors of the spine: what to do and say. Radiographics. 2008;28(4):1019–
41. https://doi.org/10.1148/rg.284075156.
10. Tsukamoto S, Mavrogenis AF, Langevelde KV, Vucht NV, Kido A, Errani C.Imaging of spinal bone tumors: principles and practice. Curr Med Imaging. 2022;18(2):142–61. https://doi.org/10.2174/15
73405617666210301110446.
11. Van Goethem JW, van den Hauwe L, Ozsarlak O, De Schepper AM, Parizel PM.Spinal tumors. Eur J Radiol. 2004;50(2):159–76.
https://doi.org/10.1016/j.ejrad.2003.10.021.
12. Benndorf M, Bamberg F, Jungmann PM. The Lodwick classi­cation for grading growth rate of lytic bone tumors: a decision tree approach. Skelet Radiol. 2022;51(4):737–45. https://doi.
org/10.1007/s00256- 021- 03868- 8. Epub 2021 Jul 24
13. Mechri M, Riahi H, Sboui I, Bouaziz M, Vanhoenacker F, Ladeb M.Imaging of malignant primitive tumors of the spine. J Belg Soc Radiol. 2018;102(1):56. https://doi.org/10.5334/jbsr.1410.
14. Ariyaratne S, Jenko N, Iyengar KP, James S, Mehta J, Botchu R.Primary osseous malignancies of the spine. Diagnostics (Basel). 2023;13(10):1801. https://doi.org/10.3390/diagnostics13101801. PMID: 37238285; PMCID: PMC10217758
15. Patnaik S, Jyotsnarani Y, Uppin SG, Susarla R. Imaging features of primary tumors of the spine: a pictorial essay. Indian J Radiol Imaging. 2016;26(2):279–89. https://doi.
org/10.4103/0971- 3026.184413.
16. Riahi H, Mechri M, Barsaoui M, Bouaziz M, Vanhoenacker F, Ladeb M.Imaging of benign tumors of the osseous spine. J Belg Soc Radiol. 2018;102(1):13. https://doi.org/10.5334/jbsr.1380.
17. Ariyaratne S, Jenko N, Iyengar KP, James S, Mehta J, Botchu R. Primary benign neoplasms of the spine. Diagnostics. 2023;13(12):2006. https://doi.org/10.3390/diagnostics13122006.
Open Access This chapter is licensed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.
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Index
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A
Abusive head trauma (AHT), 94 Acute disseminated encephalomyelitis (ADEM), 195, 217, 218, 271 Acute hemorrhagic encephalomyelitis (AHEM), 217 Acute inammatory demyelinating polyneuropathy (AIDP), 280 Acute necrotizing encephalopathy (ANE), 158 Acute viral encephalitis, 212 Adrenomyeloneuropathy (AMN), 130 Alexander disease, 132 Aneurysm, 59 Anoxic brain injury, 220, 221 Anterior longitudinal ligament (ALL), 288 Apparent diffusion coefcient (ADC), 274 Aquaporin-4 (AQP4), 193 Arbovirus, 79, 80 Arterial ischemic stroke (AIS), 206 Arteriovenous malformation, 57, 58 Aspergillosis, 77 Astrocytomas, 44 Autoimmune and limbic encephalitis, 81, 82 Autoimmune CNS vasculitis, 84, 85
B
Bacterial abscess, 119, 126 Baló concentric sclerosis, 192, 193 Behcet’s disease, 119, 125 Benign Notochordal Cell Tumor (BNCT), 307 Blood mimics, 66, 67 Blunt cerebrovascular injury (BCVI), 290, 291 Brain abscess
differential diagnosis, 74
MRI features, 73–75 Brain MRI-based SIH score (bSIH), 15 Burst fracture, 288
C
Carbon monoxide (CO), 161, 162 Carotid artery-cavernous sinus stulas (CCF), 103, 104 Carotid space (CS), 245, 246 Cavernous malformations, 62, 64, 275 Central nervous system (CNS), 86, 211–213
brain abscess
differential diagnosis, 74
MRI features, 73–75 characteristics, 69, 70 HIV infection
aspergillosis, 77
IRIS, 77
toxoplasmosis, 77
tuberculosis, 77–79
inammatory disease, 81–85 meningitis
causes and complications, 71 differential diagnosis, 70
imaging features, 70–73 MRI technique, 70 parasitic diseases, 76 viral infections, 79–81
Central pontine myelinolysis (CPM), 215 Cerebral amyloid angiopathy, 61–63 Cerebral neoplasms
diagnosis, 45 gliomas in children
BRAF mutation, 46
overview, 46
radiological features, 46 gliomatosis cerebri, 45 histone H3-K27 altered tumors, 46 HPC, 47 IDH-mutant gliomas
clinical relevance and prognosis, 42
radiological features, 42, 43
types, 42 multinodular vacuolating neuronal tumor, 47 overview, 42 1p/19q-codeletion
astrocytomas, 44
clinical relevance and prognosis, 44
radiological features, 44, 45 SFT, 47 WHO classication, 41, 42
Cerebral spinal uid (CSF) leak
etiology, 14, 15 imaging, 15–18 TBI, 109 treatment, 17, 18 venous stula, 15
Cerebral venous sinus thrombosis, 58, 59 Cerebrospinal uid (CSF), 159 Cervical lymphadenopathy, 258, 259 Chiasmatic and hypothalamic gliomas, 8, 9 Cholesteatoma, 233 Cholesterol granuloma, 234, 235 Chordoma, 304 Chronic inammatory demyelinating polyneuropathy
(CIDP), 280 Clinically isolated syndrome (CIS), 191–192 Coagulopathy, 66 Combination anti-retroviral therapy (cART), 196 Communicating hydrocephalus, 21, 23, 25 Consciousness, 155 COVID-19 pandemic, 70
© The Editor(s) (if applicable) and The Author(s) 2024 J. Hodler et al. (eds.), Diseases of the Brain, Head and Neck, Spine 2024-2027, IDKD Springer Series,
https://doi.org/10.1007/978-3-031-50675-8
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Index
Cranial nerves (CNs)
anatomy, 168, 169 extracranial lesions
demyelinating diseases, 182 facial lesions, 180 granulomatous diseases, 182 Graves’ disease, 182 infectious diseases, 181, 182 muscle atrophy/dystrophy, 180 nerve sheath tumours, 183 orbital diseases, 180 orbital pseudotumor, 182 primary nerve lesions, 182, 183 secondary nerve involvement, 183, 184 suprahyoid level, 180 trauma, 184, 185 upper mediastinum, 185
vascular lesions, 181 imaging technique, 169–172 intraaxial lesions, 173
demyelinating disease, 172, 173
infectious diseases, 173
ischemic stroke, 172, 173
overview, 172
trauma, 172
vascular malformations, 172, 173 intracranial extraaxial lesions
aneurysm, 176
arterial dissection, 176
dermoid cysts, lipomas and neurenteric cysts, 176
epidermoid cysts, 175, 176
infectious diseases, 176, 177
meningiomas, 175
nerve sheath tumours, 174, 175
non-infectious inammatory diseases, 177
NVCS, 176
overview, 174
pineal tumours and cysts, 176
pituitary adenomas, 176
subarachnoid CSF encapsulation, 176
trauma, 177 skull base lesions
cavernous sinus, 179, 180
contrast enhanced 3D BB images, 178
foramina, ssures and canals, 177
infections and tumours, 178, 179
neuritis, 178
trauma, 178
Craniocervical junction (CCJ), 288 Craniopharyngiomas, 7
D
Degenerative cervical myelopathy (DCM), 268 Demyelinating disease, 172, 173, 182 Denver grading scale, 291 Diabetes insipidus (DI), 109 Diabetic ketoacidosis (DKA), 215 Diffuse axonal injury (DAI), 97, 99, 101, 103 Diffuse large B-cell lymphoma, 305 Drowning, 220, 221 Drug-induced encephalopathy, 135 Dural arteriovenous stulae (dAVF), 61
E
Encephalitis, 214, 215 Encephalomalacia, 109 Endovascular therapy (EVT), 30 Enlarged vestibular aqueduct syndrome (EVA), 232 Enteroviruses, 272 Ependymoma, 279, 280 Epidermoid cysts, 175, 176 Epidural blood patch (EBP), 17, 18 Epidural hematoma (EDH), 91–93 Epidural Spinal Cord Compression (ESCC) score, 299, 300 Epilepsy
denition, 137 epileptogenic tumors, 147–149 etiology, 137 focal epilepsy, 149–151 image indication, 138–141 MCD, 143–147
MTS, 141–143 Epileptogenic tumors, 147–149 Ethylene glycol poisoning, 161, 162 External auditory canal (EAC), 228 Extranodal extension (ENE), 253 Extrapontine myelinolysis (EPM), 215
F
Fabry disease, 132 Facial nerve palsy (FNP), 218, 219 Flaviviruses, 272
G
Galactocerebrosidase deciency, 132 GBMs, 119, 121 Giant cell tumor, 308 Gliomas
BRAF mutation, 46
overview, 46
radiological features, 46 Gliomatosis cerebri, 45 Globoid cell leukodystrophy (GLD), 130, 131 Glomus tympanicum, 233, 234 Granulomatous diseases, 182 Graves’ disease, 182 Guillain-Barré syndrome, 280 Gunshot wound, 107, 108
H
Head and neck spaces
carotid space, 245, 246
infrahyoid neck, 243–245
PVS, 247
RPS, 246, 247
suprahyoid neck
masticator space, 240 parotid space, 240, 241 PMS, 238, 239 PPS, 239 SLS, 242, 243 SMS, 242, 243
Head and neck squamous cell cancer (HNSCC)
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315
cervical lymphadenopathy, 258, 259 hypopharynx/larynx SCC, 257, 258 imaging methods
computed tomography, 252 magnetic resonance imaging, 252 MR/PET, 253 PET/CT, 252
ultrasound, 253 morbidity and mortality rates, 251 NCUP, 261, 262 NPC, 254 OCSCC, 255, 256 OPSCC, 256, 257 PNS, 259, 260 surveillance, 260, 261 TNM staging, 253
Hearing loss
anatomy, 228, 229 causes, 228 computed tomography, 229, 230 magnetic resonance imaging, 230 with mass
cholesteatoma, 233
cholesterol granuloma, 234, 235
glomus tympanicum, 233, 234
vestibular schwannomas, 232, 233 without mass
EVA, 232
labyrinthitis ossicans, 231
otospongiosis, 230, 231
superior semicircular canal dehiscence, 231, 232
Hemangioblastomas, 279 Hemangiopericytoma (HPC), 47 Hemorrhagic contusion, 289, 290 Hemorrhagic encephalitis, 66 Hepatic encephalopathy (HE), 133, 134, 197 Herniation syndrome, 159, 160 Herpes simplex virus, 79, 80 Herpes simplex virus (HSV) type 1, 212 Herpes simplex virus (HSV) type 2, 212, 213 HIV-associated neuron-cognitive disorder (HAND), 196 Human Immunodeciency Virus (HIV), 196, 273 Human papillomavirus (HPV), 251 Hydrocephalus, 219, 220
assessment, 19 brain CT, 19 cardiac-gated phase contrast MRI (PC-MRI), 19 causes, 19, 20 communicating hydrocephalus, 21, 23, 25 denition, 19 non-communicating (obstructive) hydrocephalus, 21, 23, 24 protocol recommendations, 20, 21 radiological ndings, 20, 22
Hyperextension, 288 Hyperexion injuries, 287 Hyperglycemic encephalopathy, 135 Hypertensive hemorrhage, 62, 63 Hypoglycemic encephalopathy, 134, 135 Hypoperfusion injury, 157 Hypopharynx/larynx SCC, 257, 258 Hypoxic-ischemic encephalopathy (HIE), 135
I
Idiopathic (iNPH), 23 IgG4-related disease, 82, 83 Immune reconstitution inammatory syndrome (IRIS), 77, 196
Infectious diseases, 173 Instability, 287 Internal auditory canal (IAC), 229 Intracranial hemorrhages (ICH), 208, 209, 216 Intracranial hypertension, 105, 106 Intracranial masses
extraaxial neoplasms, 114, 118, 119 intraaxial neoplasms, 114
bacterial abscess, 119, 126 Behcet’s disease, 119, 125 features, 119 GBMs, 119, 121 giant cavernoma, 119, 125 giant thrombosed aneurysm, 119, 124 lymphoma, 119, 122 neurocytomas, 119, 122 oligodendrogliomas, 119, 121 sarcoidosis, 119, 125 subacute stroke, 119, 123 T2/FLAIR mismatch, 119, 120
toxoplasmosis, 119, 126 metastatic disease, 117 multiple lesions, 116 neoplastic vs. non-neoplastic disease, 114–116 pattern recognition, 114 single lesions, 116, 117 time course of disease, 113, 114
Intracranial pressure (ICP), 159, 160 Intraparenchymal hemorrhage
aneurysm, 59 arteriovenous malformation, 57, 58 cavernous malformations, 62, 64 cerebral amyloid angiopathy, 61–63 cerebral venous sinus thrombosis, 58, 59 coagulopathy, 66 dAVF, 61 etiology, 55–57 hemorrhagic encephalitis, 66 hemorrhagic transformation, 59 hypertensive hemorrhage, 62, 63 imaging features, 55 intracranial infections, 60 intratumoral/peritumoral hemorrhage, 65 moyamoya disease, 59, 60 overview, 54, 55 PRES, 61 primary CNS vasculitis, 61 prognostic factors, 55 reversible cerebral vasoconstriction syndrome, 59, 60
Intratumoral/peritumoral hemorrhage, 65 Intraventricular hemorrhage (IVH), 95–97 Ischemic stroke, 59, 172, 173
K
Krabbe disease, 130, 131
L
Labyrinthitis ossicans, 231 Large vessel occlusion (LVO), 30 Leucine-rich glioma inactivated 1 (LGI1) antibody, 81, 82 Levator palatini muscle, 254 Ligamentous injury, 288, 289 Long-term epilepsy associated tumors (LEAT), 147 Lumbar puncture (LP), 70 Lumbar spine, 288