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Bagian/SMF Radiologi
FK Unpad / RS dr. Hasan Sadikin
Bandung
NEURORADIOLOGY (NEUROIMAGING)
Plain Film
CT Scan (Computed tomography)
MRI (Magnetic Resonance
Imaging)
Angiography / DSA (Digital
Subtraction Angiography)
Sonography / USG / Color Doppler
Nuclear Medicine
PLAIN FILM/CONVENTIONAL
RADIOLOGY
Sutures
Calvarium
Sella
Dorsum sellae
Sinus sphenoidalis
STRAIGHT POSTEROANTERIOR
VIEW
Odontoid
Middle fossa
Foramen ovale ( V 3 )
Foramen spinosum ( mma )
Sphenoid sinus
I . SINGLE LUSCENT DEFECT IN
THE SKULL
DDX : - Metastases
- Myeloma
- Hystiocytocis
- Hyperparathyroidism
- Cushing's
- Osteomyelitis
- Radiation
III. INCREASED SKULL DENSITY
DDX : - Osteoma
- Hyperostosis frontalis
- Meningioma
- Fibrous dysplasia
- Paget's disease
- Metastasis
- Calcified cephalhematoma
IV. INTRACRANIAL CALCIFICATION
A. Physiologic can occur in
1. Pineal
2. Habenula
3. Basal ganglia
4. Choroid
5. Dura
B. Phatologic calcifications
1. Tumors
a. O1igodendriglioma (90%)
b. Craniopharyngioma (70%)
c. Ependymoma (60%)
d. Choroid plexus papilloma (25%)
e. Low-grade astrocytoma (20%)
f. Meningioma (10%)
g. Other (Dermoid, pineal tumor,
lipoma)
B. Phatologic calcifications
3. Vascular :
a. Atherosclerotic disease
b. Aneurysm
c. Arteriovenous malformation
5. Neurocutaneous
syndromes
a. Neurofibromatosis
b. Sturge-Weber syndrome
c. Tuberous sclerosis
6. Post trauma
C. Basal Ganglia Calcifications
DDX :
Endocrine : hypothyroidism,
pseudohypoparathyroidism
Infectious : CMV, toxoplasmosis,
cysticercosis
Toxic/Anoxic : CO, lead, radiation
Congenital : Tuberosclerosis,
Fahr's disease
V. Large Sella
DDX :
Tumor : Adenoma,
craniopharyngioma, optic nerve
glioma
Aneurysm
Increase intracranial pressure
Empty sella
CEREBROVASCULAR DISEASE
I. Cerebral Infarction
a. Etiology
1. Atherosclerosis (large
vessels)
2. Atherosclerosis (small
vessels)
3. Hypoxia / anoxia
4. Dissection
CEREBROVASCULAR DISEASE
I. Cerebral Infarction
a. Etiology
5. Fibromuscular dysplasia
6. Vasculitis
7. Basal arteriovascular occlusiv disease
8. Venous thrombosis
9. Miscellaneous; vasospasm, trauma
b. Imaging in ischemia / infarction :
- Vascular distribution
- Evidence of cytotoxic edema
- Involvement of cortex
- Hemorrhagic transformation
Intraparenchymal hematoma
5. Blood dyscrasia
6. Anticoagulant
7. Drug abuse
8. Infarct
9. Amyloid angiopathy
10. Idiopathic
III. Spontaneous Intracranial
Hemorrhage;
Subarachnoid and extra-axial
1. Subarachnoid hemorrhage (SAH)
2. Extra-axial hemorrhage (SDH, EDH)
1. Capillary telangiectasis
2. Cavernous angioma (hemangioma)
3. Venous angioma
4. Arteriovenous malformation (AVM)
5. Occult cerebrovascular malformation
(cryptic AVM)
6. Vein of galen aneurysm
CRANIAL TRAUMA
1. Imaging
Skull film, CT, MRI
2. Type of Injuries
a. Direct
b. Indirect
c. Skull fractures
CRANIAL TRAUMA