By Girish Fatterpekar, Thomas P. Naidich, Peter M. Som
Useful and clinically concentrated, mind and backbone Imaging - a name within the instructing records sequence - offers you over three hundred fascinating and well-presented circumstances that can assist you larger diagnose any affliction of the mind and backbone. professional within the box, Dr. Girish Fatterpekar, MD makes use of a logical association all through, making referencing tough diagnoses more straightforward than ever earlier than. unique discussions of ultra-modern modalities and applied sciences retain you modern, and demanding diagnostic questions probe your wisdom of the fabric. This certain, case-based source will give you an effective way to sharpen your diagnostic abilities and learn for board assessments.
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Extra resources for Brain and Spine
Diagnosis: Openlip schizencephaly with partial agenesis of corpus callosum. Case 12 DEMOGRAPHICS/CLINICAL HISTORY The patient is a 22-year-old man with weakness of the extremities. FINDINGS Sagittal T1WI (Fig. 1) demonstrates a syrinx extending from the craniocervical junction up to the upper thoracic spine. Sagittal T2WI (Fig. 2) demonstrates downward displacement of peg-shaped tonsils. The classic haustral pattern of the syrinx can be appreciated. Diagnosis: Chiari I malformation with syringohydromyelia.
Joubert Syndrome: Segmented split vermis and an elongated fourth ventricle will be seen. Enlarged, horizontally oriented superior cerebellar peduncles are seen. A deficient dorsal midbrain due to a lack of decussation of the superior cerebellar peduncles is also noted. ” Dandy-Walker Spectrum: A deficient inferior vermis will be seen. The fourth ventricle will be seen to be communicating with a large posterior fossa cyst with characteristic elevation of the torcular herophili. Characteristic Clinical Features Suggested Readings Characteristic Radiologic Findings Altman NR, Naidich TP, Braffman BH: Posterior fossa malformations, AJNR Am J Neuroradiol 13:691–724, 1992.
The cerebellar folia appear continuous across the midline in the absence of central vermis. A diamond-shaped fourth ventricle instead of the normal crescent-shaped fourth ventricle is seen. Less Common Radiologic Manifestations A thorough evaluation for septo-optic dysplasia, dysgenesis of corpus callosum, fusion of thalami, hydroce phalus, cortical malformations, and multiple suture 28 Case 14 29 Figure 1. Axial T1WI demonstrates cerebellar folia to be continuous across the midline. Vermis is not seen.
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