scholarly journals Dilated Virchow–Robin Spaces Mimicking a Brainstem Arteriovenous Malformation

2017 ◽  
Vol 08 (02) ◽  
pp. 291-293 ◽  
Author(s):  
Thomas J. Buell ◽  
Arjun Ramesh ◽  
Dale Ding ◽  
Daniel M. S. Raper ◽  
Ching-Jen Chen ◽  
...  

ABSTRACTVirchow–Robin spaces (VRS) are ubiquitous and commonly observed as the resolution of magnetic resonance imaging (MRI) continues to improve. The function of VRS and the etiology of their dilation is still a subject of research. Diagnosing dilated VRS (dVRS) can be challenging because they may appear similar to other pathologies such as cystic neoplasms, infectious cysts, and even arteriovenous malformations (AVMs) on certain MRI pulse sequences. We reported a unique case of brainstem dVRS mimicking an AVM. Furthermore, the extensive pontine involvement of our patient’s lesion is rarely described in neurosurgical literature. Understanding the imaging characteristics of dVRS is critical to accurately diagnose these lesions and avoid unnecessary tests and procedures.

1987 ◽  
Vol 66 (6) ◽  
pp. 830-834 ◽  
Author(s):  
John L. Doppman ◽  
Giovanni Di Chiro ◽  
Andrew J. Dwyer ◽  
Joseph L. Frank ◽  
Edward H. Oldfield

✓ Magnetic resonance imaging (MRI) was performed on 12 patients with spinal arteriovenous malformations (AVM's). Six lesions were intramedullary, five were dural, and one was in a posterior extramedullary location. Serpentine filling defects similar to the classic myelographic findings were demonstrated within the high-signal cerebrospinal fluid on T2-weighted coronal scans. The intramedullary nidus was identified by MRI as an area of low-signal intensity within the cord in all six intramedullary AVM's. Neither the dural nor the posterior extramedullary lesions showed intramedullary components. It is concluded that MRI may noninvasively provide the initial diagnosis of a spinal AVM and distinguish intramedullary from dural and extramedullary lesions.


2019 ◽  
Vol 22 (3) ◽  
pp. 425-431
Author(s):  
Neiandro Santos Galvão ◽  
Antonione Santos Bezerra Pinto ◽  
Alan Leandro Carvalho Farias ◽  
André Luiz Ferreira Costa ◽  
Sérgio Lúcio Pereira de Castro Lopes ◽  
...  

Ameloblastoma is an odontogenic tumor that shares clinical and imaging characteristics with other lesions of the jaws, such as odontogenic keratocyst, which makes the diagnosis difficult. However, in addition to radiographic and tomographic examinations, Magnetic Resonance Imaging (MRI) has been increasingly used, contributing with relevant additional information about the differentiation between solid and liquid components of the lesion. This case report was conducted to present two variations of ameloblastoma and discuss the radiographic, tomographic and MRI contribution in the differential diagnosis between ameloblastoma and odontogenic keratocyst.The signal intensity in T1-weighted MRI revealed internal fluid content in both cases, which was important in the differential diagnosis with other intraosseous lesions such as odontogenic keratocysts. This is probably due to the presence of keratin that increases the viscosity of the content and also for an intermediate signal intensity signal in T2-weighted MRI. Therefore, MRI revealed important internal characteristics of the reported lesions, which was very useful in the establishment of the differential diagnosis with other lesions.


Author(s):  
Jan Bogaert ◽  
Rolf Symons ◽  
Jeremy Wright

Cardiac magnetic resonance imaging (CMR) has rapidly evolved to become the modality of choice in the evaluation of a wide spectrum of cardiovascular disorders. This is mostly related to its multiparametric approach where the different features such as morphology (including deep tissue characterization), function, perfusion can be non-invasively studied using a series of (different) pulse sequences. Therefore, CMR may provide a ‘one stop shop’ approach to cardiac patients offering a complete cardiac evaluation by a single modality without the use of ionizing radiation. However, to maximize its clinical use, not all pulse sequences should be used in every patient. Moreover, minimizing time spent in the magnetic resonance imaging (MRI) machine is desirable in critically ill, unstable patients. Therefore, experienced cardiac imagers from radiology and cardiology should be present to provide on-site real-time assessment of the images and to determine which pulse sequences are necessary each patient. In this fashion, a complete CMR exam should be obtainable in less than 30 minutes for the vast majority of patients. The aim of this chapter is to describe the physics and practical aspects of CMR and then explore the available pulse sequences, so that the clinical utility of CMR can be maximized.


2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Seyma Yildiz ◽  
Zuhal Gucin ◽  
Ezgi Basak Erdogan

Myofibroblastoma of the breast (MFB) is a very rare benign stromal tumor. In recent years, increase in mammographic screenings has resulted in increased diagnosis of MFB. Most cases are old males and postmenopausal women. MFB may be confused as malignant, clinically, morphologically, or by imaging. Immunohistochemistry is essential for final diagnosis in these cases. We report a case of a pathologically diagnosed MFB in an 80-year-old male patient who had coexisting prostate cancer and describe its imaging characteristics, especially magnetic resonance imaging (MRI). In this paper, histopathological and MRI findings of the MFB were discussed.


Neurosurgery ◽  
1990 ◽  
Vol 27 (2) ◽  
pp. 214-219 ◽  
Author(s):  
Roberta P. Glick ◽  
James A. Tiesi

Abstract Between 1987 and 1988, we utilized magnetic resonance imaging (MRI) in the diagnosis of seven cases of “subacute” pituitary apoplexy. that is, intra-adenomatous pituitary hemorrhage associated with clinical symptoms atypical of acute pituitary apoplexy. These symptoms lasted longer than 24 hours and included visual changes in four patients, headache in five, and seizures, endocrine dysfunction, and oculomotor palsy in one each. Estimates of the ages of the hemorrhages were also possible based on characteristics on the MRI scan and ranged from 48 hours to more than 14 days. Four of our seven patients underwent transsphenoidal decompression at which time the presence of intratumoral hemorrhage was confirmed. The remaining three patients have been followed as outpatients with serial MRI examinations and have shown improvement in clinical symptoms and stabilization of the radiological picture. From our series of patients, it is now apparent that the MRI scan is an invaluable tool in identifying this subacute form of intra-adenomatous pituitary hemorrhage and has proven especially useful as a means of therapeutic planning and follow-up care in patients presenting with symptoms not typical of classic pituitary apoplexy.


2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Mohankumar Kurukumbi ◽  
Allison Jacobs

Peri-ictal magnetic resonance imaging (MRI) findings following seizure activity are a recognized phenomenon that is not well understood (Cole, 2004). Transient changes are not usually expected to be present in postictal MRI studies because of their rarity. Here, we present a unique case of peri-ictal MRI findings located in the occipital lobe, present in a 34-year-old female with recurrent occipital seizures occurring twice in four years. MRI changes completely resolved after both episodes with no residual focal damage. The peri-ictal occipital changes on MRI in this patient are unique because they have been captured on more than one occasion. Peri-ictal MRI findings are a known phenomenon with unknown pathophysiology, although attempts have been made to understand these findings. Though the MRI findings and presentation appear to be stroke-like or PRES-like, seizures should be kept in the differential for better treatment outcomes.


Neurosurgery ◽  
1985 ◽  
Vol 16 (6) ◽  
pp. 763-765 ◽  
Author(s):  
Gary J. DeFilipp ◽  
William A. Buchheit

Abstract Ten patients with neurosensory hearing loss and computed tomographic (CT) evidence of acoustic neuromas were evaluated with magnetic resonance imaging (MRI). Tumors ranged in size from 0.8 to 3.7 cm. With the use of spin echo pulse sequences, all tumors were identified by MRI and appeared as masses with signal intensities greater than that of cerebrospinal fluid and equal to or greater than that of brain stem. Two patients who previously had undergone operation for acoustic neuromas were evaluated with MRI. In one patient with CT evidence of tumor recurrence, the lesion could not be identified by MRI. MRI holds promise of becoming a primary diagnostic modality for the evaluation of acoustic neuromas.


2018 ◽  
Vol 10 (1S) ◽  
pp. 4-11
Author(s):  
E. M. Perepelova ◽  
V. A. Perepelov ◽  
M. S. Merkulova ◽  
V. E. Sinitsyn

With the development of current neuroimaging techniques, their role in diagnosing epilepsy is becoming more significant and that is not only in identifying the disease that plays a key role in  epileptogenesis, but also in assisting a clinician in the subsequent  formulation of the diagnosis, in correcting drug therapy, and, in  some cases, in addressing the issue of surgical treatment in the  patient. The priority technique in this case is magnetic resonance  imaging (MRI) that has high sensitivity and specificity in defining the  location of minor and more major lesions of the brain structure  and that includes a set of current sequences that can obtain  important diagnostic information about the functional state of the  brain. This article highlights the International League Against  Epilepsy guidelines for MRI in patients with suspected epilepsy,  assesses the use of and briefly characterizes both structural and  functional pulse sequences that are most commonly included in the  epileptological protocol. It considers major pathological processes  and evaluates anatomical and functional changes in the brain  structure, which play an important role in epileptogenesis.


2021 ◽  
Vol 15 ◽  
Author(s):  
Laura B. Eisenmenger ◽  
Jacqueline C. Junn ◽  
Daniel Cooke ◽  
Steven Hetts ◽  
Chengcheng Zhu ◽  
...  

Purpose: High-resolution vessel wall magnetic resonance imaging (VW-MRI) could provide a way to identify high risk arteriovenous malformation (AVM) features. We present the first pilot study of clinically unruptured AVMs evaluated by high-resolution VW-MRI.Methods: A retrospective review of clinically unruptured AVMs with VW-MRI between January 1, 2016 and December 31, 2018 was performed documenting the presence or absence of vessel wall “hyperintensity,” or enhancement, within the nidus as well as perivascular enhancement and evidence of old hemorrhage (EOOH). The extent of nidal vessel wall “hyperintensity” was approximated into five groups: 0, 1–25, 26–50, 51–75, and 76–100%.Results: Of the nine cases, eight demonstrated at least some degree of vessel wall nidus “hyperintensity.” Of those eight cases, four demonstrated greater than 50% of the nidus with hyperintensity at the vessel wall, and three cases had perivascular enhancement adjacent to nidal vessels. Although none of the subjects had prior clinical hemorrhage/AVM rupture, of the six patients with available susceptibility weighted imaging to assess for remote hemorrhage, only two had subtle siderosis to suggest prior sub-clinical bleeds.Conclusion: Vessel wall “enhancement” occurs in AVMs with no prior clinical rupture. Additional studies are needed to further investigate the implication of these findings.


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