Imaging in Neurology

Lipoma

KEY FACTS Terminology Intracranial lipoma (ICL) Mass of mature adipose tissue (congenital malformation, not true neoplasm) Imaging Well-delineated lobulated extraaxial mass with fat attenuation/intensity CT: -50 to -100 Hounsfield units (HU) (fat density); Ca++ varies from none to extensive MR:…

Callosal Dysgenesis

KEY FACTS Terminology Partial or complete absence of corpus callosum (CC), hippocampal commissure, or anterior commissure (AC); can be isolated or associated with additional cerebral malformations Spectrum of congenital CC structural abnormalities Total agenesis (absence from birth of all anatomically…

Chiari 2

KEY FACTS Terminology Complex hindbrain malformation Virtually 100% associated with neural tube closure defect, usually lumbar myelomeningocele (MMC) Imaging Crowded posterior fossa, widened tentorial incisura, tectal beaking, inferior vermian displacement Cascade or waterfall of cerebellum/brainstem downward Uvula/nodulus/pyramid of vermis →…

Chiari 1

KEY FACTS Terminology Chiari 1 malformation (CM1): Constellation of findings (not disease, not simply measurement) No clear consensus definition of what constitutes CM1 Traditional: Elongated, peg-shaped cerebellar tonsils extend below foramen magnum (FM) into upper cervical spinal canal 5-mm criterion…