Neuroradiology Cases

Neuroradiology Case Collection

Author of this site: Gavin Udstuen MD, Associate Professor of Neuroradiology, University of Cincinnati Physicians, UC Health, University of Cincinnati.

These cases are geared toward radiologists and trainees. They may be helpful in preparation for examinations or for tailoring of knowledge and interpretive skills. The images and discussions contain features and terminology that are not targeted to those without medical background and training.

-Vascular
            -ACA aneurysm
            -ruptured ACOM aneurysm with corpus callosum hematoma
            -Azygous ACA
            -Delayed L MCA aneurysm rupture
            -Carotid terminus aneurysm
            -L ICA aneurysm, initial neg angio
            -L PCOM w active extrav
            -SDH with PCOM aneurysm
            -IVH with PCOM aneurysm
            -IVH with PCOM aneurysm 2
            -unruptured R PCOM aneurysm
            -Giant petrous-cavernous aneurysm
            -Basilar aneurysm with fenestration
            -Basilar aneurysm- coiled
            -Basilar aneurysms- complex
            -Basilar Aneurysm- Ruptured
            -Basilar artery thrombosis
            -Basilar artery thrombosis 2
            -Basilar artery thrombosis 3
            -Pericallosal aneurysm
            -Thrombosed PTA Aneurysm
            -Mycotic aneurysm
            -Mycotic aneurysm2
            -Posttraumatic ACA pseudoaneurysm
            -Internal maxillary pseudoaneurysm
            -Dissecting VB aneurysm
            -PICA aneurysm
            -carotid terminus vascular malformation
            -CCF
            -Direct CCF
            -Direct CCF 2
            -Dural AV fistula- transvenous coil
            -Dural AV fistula- cavernous
            -Dural AVF 3
            -AVM
            -posterior fossa AVM w PICA aneurysm
            -epidural AVM
            -pial AVM
            -Cavernoma1
            -Cavernoma2
            -Cavernoma3
            -Cavernoma4
            -cavernomas and DVA
            -cavernoma and DVA 2
            -cavernoma and DVA 3
            -cavernoma pontine w acute hemorrhage
            -cavernoma 5
              -Cavernous hemangioma of orbit
            -Right ICA stenosis with ischemic changes
            -R A2 thrombosis w ACA infarct
            -MCA infarction
            -MCA infarction2
            -MCA infarction- dot sign
            -MCA infarction- dot sign
            -R M1 occlusion
            -Acute bilateral MCA infarcts
            -MCA infarct w penumbra
            -L MCA infarct w invalid perfusion data
            -R MCA infarct w perfusion
            -B MCA infarcts
            -motor strip infarction
            -Hemorrhagic cerebellar infarction
            -PICA infarct R VA occlusion
            -Subacute infarct
            -Subacute hypoxic ischemic encephalopathy
            -Moya Moya Disease
            -Moya Moya Disease 2
            -Superior sagittal sinus thrombosis
            -Superior sagittal sinus thrombosis2
            -Dural sinus thrombosis with hemorrhagic venous infarcts
            -Dural Sinus Thrombosis
            -Dural Sinus Thrombosis 2
            -Dural Sinus Thrombosis 3
            -Dural Sinus Thrombosis 4 with T1 shortening on MRV
            -Straight sinus thrombosis
            -Falcine sinus thrombosis
            -DVA with CVA
            -Capillary telangiectasia with DVA
            -Capillary telangiectasia
            -Laminar necrosis
            -Anoxic brain injury
            -Anoxic brain injury2
            -CADASIL 1
            -CADASIL 2
            -Thoracic outlet syndrome
              -Vein of galen malformation
              -Jugular Diverticulum
            -Hypertensive encephalopathy
            -PRES
            -PRES 2
            -PRES 3
            -PRES 4
            -PRES with hemorrhage and infarcts
            -Fibromuscular dysplasia
            -ACA vasculitis
            -Primary CNS vasculitis
            -severe atherosclerotic disease with multifocal stenosis
            -Spinal DAVF
            -Spinal cord infarction
            -type 2 glomus AVM spinal cord
            -type 2 glomus AVM spinal cord 2
              -Nonaneurysmal Subarachnoid Hemorrhage

   -Inflammatory/Demyelinating/Infectious
           -herpes encephalitis
           -atypical herpes encephalitis
           -HSV encephalitis 2
           -abscess
           -abscess2
           -abscess3
           -abscess4
           -abscess5
           -ventriculitis
           -ventriculitis2
           -thalamic abscess and ventriculitis
           -multiple abscesses and ventriculitis
           -temporal lobe abscess due to mastoiditis
           -meningoencephalitis and empyema
           -suppurative adenitis
           -SLE reactive adenopathy
           -septic emboli
           -toxoplasmosis
           -toxoplasmosis2
           -meningitis with mastoiditis
           -Idiopathic Hypertrophic Pachymeningitis
           -laryngopyocele
           -mucormycosis
           -periapical cyst
           -Cholesterol Cyst
           -bilateral cholesterol granulomas
           -orbital pseudotumor
           -orbital pseudotumor2
           -orbital pseudotumor3
           -sarcoid1
           -sarcoid2
           -sarcoid3
           -sarcoid4
           -sarcoid5
           -sarcoid6
           -sarcoid7
           -sarcoid orbit
           -thyroid related orbital disease
           -Wegener's granulomatosis dural
           -Reidel's thyroiditis
           -Ramsay Hunt Syndrome
           -Acute Disseminated Encephalomyelitis (ADEM)
           -ADEM 2
           -ADEM 3
           -CIDP
           -AIDP
             -cryptococcal meningitis
             -bacterial meningitis
             -meningoencephalitis
             -Subdural Empyemas
             -Listeria Meningitis with Vasculitis
             -malignant (necrotizing) otitis externa
             -Sphenoid Polyps
             -frontal sinus mucocele
             -maxillary sinus mucocele
             -antrochoanal polyp
             -OMU pattern obstructive sinusitis
             -invasive fungal sinusitis
             -Chronic maxillary sinusitis, odontogenic origin
             -odontogenic abscess
              -dentigerous cyst w oral antral fistula
              -dentigerous cyst w oral antral fistula 2
            -Lyme Disease
              -progressive multifocal leukoencephalopathy
              -progressive multifocal leukoencephalopathy 2
              -progressive multifocal leukoencephalopathy 3
               -Progressive Multifocal Leukoencephalopathy
   -optic neuritis due to MS
              -active MS +DWI no enhancement
              -Multiple Sclerosis, spinal cord with active lesion
              -Susac Syndrome
              -tumefactive demyelination
              -tumefactive demyelination 2
              -tumefactive demyelination 3
              -neuromyelitis optica
              -neuromyelitis optica 2
              -neuromyelitis optica 3
              -PML-IRIS
              -encephalitis NOS, ?IRIS
              -lupus cerebritis
              -cysticercosis
              -racemose cysticercosis
              -cysticercosis3
              -acute parotitis
              -acute parotitis 2
              -neck phlegmon
              -calcific longus colli tendonitis
              -vertebral osteomyelitis
              -discitis osteomyelitis epidural phlegmon
              -cervical discitis/osteomyelitis
              -septic facet disease
              -spinal osteomyelitis without discitis
              -thoracic epidural abscess
              -epidural abscess 2
              -lumbar epidural abscess
              -blastomycosis spondylitis
              -osteomyelitis, temporal bone
              -Central Skull Base Osteomyelitis
              -Labyrinthitis Ossificans
              -Meniere's Disease
              -Myringosclerosis
              -sphenoid sinus mucocele
              -TB adenitis
              -Histoplasmosis Supraclavicular
              -cryptococcal meningitis
              -cryptococcosis
              -zygomycetes encephalitis

        -Congenital
            -lissencephaly
            -schizencephaly
            -schizencephaly3
            -open schizencephaly
            -closed lipped schizencephaly
            -unilateral perisylvian syndrome
            -hemimegalencephaly
            -septo-optic dysplasia
            -Ruptured Dermoid
            -Suprasellar Dermoid
            -Dermoid 3 CPA
            -Mature nasopharyngeal teratoma
            -callosal agenesis
            -callosal agenesis, migrational anomaly, Dandy-Walker variant
            -band heterotopia
            -band heterotopia and AVM
            -Congenital Pedicle Duplication
            -Congenital Pedicle Absence
            -Congenital atlanto-occipital fusion with widened ADI
            -nodular heterotopia
            -nodular heterotopia2
            -persistent trigeminal artery1
            -persistent trigeminal artery2
            -aberrant internal carotid
            -persistent hypoglossal artery
            -aberrant RVA from arch
            -AICA from ICA
            -PICA from ECA
            -kissing carotids
            -internal carotid agenesis
            -ophthalmic origin from middle meningeal artery
            -jugular bulb dehiscence
            -3rd branchial cleft cyst
            -Thyroglossal Duct Cyst
            -2nd branchial cleft cyst
            -Mondini Malformation with Vestibular Aqueduct Syndrome
            -Vestibular Aqueduct Syndrome
            -Colloid cyst 1
            -Colloid cyst 2
            -Colloid cyst and meningioma
            -Colloid cyst and hippocampal infarcts
            -Dentigerous Cyst
            -Hemorrhagic pineal cyst
            -Rathke's Cleft cyst
            -Rathke's Cleft cyst 2
             -Chiari I malformation
            -Chiari II malformation
            -Chiari II malformation2
            -Chiari II malformation3
            -Chiari III malformation3
            -callosal agenesis with lipoma
            -Corpus Callosum Hypoplasia and lipoma
            -lipoma
            -intramedullary lipoma
            -Cistern Lipoma
            -lipomyelocele
            -complex spinal fusion anomalies
            -butterfly vertebra, aortic dissection
            -colpocephaly
            -plexiform neurofibroma (NF1)
            -optic glioma (NF1)
            -Neurofibromatosis type 2
            -Neurofibromatosis type 2(2)
            -Neurofibromatosis type 2(3)
            -Neurofibromatosis type 2(4)
            -Tuberous Sclerosis
            -Tuberous Sclerosis 2
            -Spinocerebellar Ataxia type 3
            -Fragile X Ataxia
            -hamartoma amygdala
            -Sturge Weber Syndrome
            -Sturge Weber Syndrome2
            -Sturge Weber variant
            -Hereditary Hemorrhagic Telangiectasia
            -Fahr's Disease
            -rhombencephalosynapsis
            -fibrous dysplasia1
            -fibrous dysplasia2
            -platybasia and basilar invagination
            -occult occipital encephalocele
            -venolymphatic malformation, orbit
            -ectopic neurohypophysis

       -Trauma
            -skull fxs
            -dissection1
            -dissection2
            -B vertebral dissection
            -dissection with acute stroke
            -grade 4 ICA dissection
            -LVA Pseudoaneurysm
            -CTA brain dead
            -long t bone fx with IM dislocation
            -long t bone fx with IM dislocation 2
            -nasoethmoid encephalocele (acquired)
            -shear
            -multiple injuries
            -severe head injury
            -isodense SDH
            -acute on chronic SDH
            -acute SDH w edema
            -mult shears
            -DAI
            -subacute hemorrhagic contusions
            -fornix shear
            -EDH
            -EDH with active extrav
            -nonreducible TMJ disc dislocation
            -foraminal soft disc extrusion
            -cervical intradural disc extrusion
            -lumbar sequestered disc extrusion
            -Hirayama's Disease
            -Hirayama's Disease 2
            -lumbar SDH
            -occipital condyle fracture with widened AO joint
            -spinal cord transection
            -C5 flexion teardrop fracture
            -C5 burst fracture w VA dissection
            -tooth 8 fracture
            -diving ranula
            -burn injuries
            -distraction injuries C1-2 and C6-7
            -distraction injuries thoracic
            -distraction injuries thoracic and cervical with L1 burst
            -perched facets
            -C6-7 with facet perch/lock
            -C2 fracture with rotatory subluxation, RVA occlusion
            -C2 Hangman's fx
            -fixed rotatory subluxation C1-2
            -complex tsp fx/disloc
            -C7 fx w cord contusion and hemorrhage
            -cystic myelomalacia
            -cystic myelomalacia 2
            -reducible TMJ disc dislocation
            -TMJ disc posterior subluxation
            -traumatic ACA pseudoaneurysm

Images obtained prior to 2002 were contributed by current and former staff of the University of Cincinnati Neuroradiology department, some on camera film, with patient information marked over or otherwise obscured. Subsequent images were entirely obtained from the UCMC PACS system by Gavin Udstuen MD with all protected health information removed automatically by the system at the time of capture. Issues with images and links should be forwarded to udstueg@ucmail.uc.edu.

Disclaimer: The viewer is solely responsible for verification of the information presented. Diagnosis given is considered to be the most likely but not the only consideration for each case, and no claims are made of the validity of an individual diagnosis or of the information presented. In general, references are not listed since the concepts are those found in standard reference texts and the reader is encouraged to compare this information with his/her own knowledge resources. The information provided is not intended for use in diagnosis or treatment of any disease.

FULL SITE