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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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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