Neuroradiology: Key Differential Diagnoses and Clinical Questions - 1st Edition - ISBN: 9781437717211, 9780323248914

Neuroradiology: Key Differential Diagnoses and Clinical Questions

1st Edition

Expert Consult - Online and Print

Authors: Juan Small Pamela Schaefer
eBook ISBN: 9780323248914
eBook ISBN: 9781455748693
Hardcover ISBN: 9781437717211
Imprint: Saunders
Published Date: 17th September 2012
Page Count: 472

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Neuroradiology: Key Differential Diagnoses and Clinical Questions equips you to make efficient, accurate diagnoses and prepare for imaging exams with hundreds of high-quality, unknown cases in neuroradiology. Drs. Juan Small and Pamela Schaefer draw upon Massachusetts General Hospital’s vast case collection to help you master the skills you need for interpreting imaging of the head, neck, brain, and spine.

Key Features

  • Apply systematic pattern analysis techniques to distinguish similar-looking pathological entities from one another.
  • Avoid diagnostic pitfalls by recognizing significant variations in the clinical presentation of various diseases.
  • See how diagnostic ambiguities are resolved by viewing corresponding gross pathologic and histologic images.
  • Benefit from the volume and exceptional quality of Massachusetts General Hospital’s patient case load.
  • Access the full text and images online, perform rapid searches, and more at

Table of Contents


Case 1 Computed Tomography Hyperdense Lesions, 3

Case 2 T1 Hyperintense Lesions, 7

Case 3 Multiple Susceptibility Artifact Lesions, 13

Case 4 Ring-Enhancing Lesions, 19

Case 5 Leptomeningeal Enhancement, 25

Case 6 Dural Enhancement, 29

Case 7 Lesions Containing Fat, 35

Case 8 Extraaxial Lesions, 43

Case 9 Bilateral Central Gray Matter Abnormality, 53

Case 10 Temporal Lobe Lesions, 63

Case 11 Temporal Lobe Cystic Lesions, 67

Case 12 Cerebellopontine Angle Cisterns, 73

Case 13 Lateral Ventricular Lesions, 81

Case 14 Third Ventricular Lesions, 87

Case 15 Fourth Ventricular Lesions, 93

Case 16 Suprasellar Cystic Lesions, 99

Case 17 Pineal Region, 107

Case 18 Cranial Nerve Lesions, 113

Case 19 Lytic Skull Lesions, 119

Case 20 Skull Fracture Versus Sutures, 125

Case 21 Clivus Lesions, 129

Case 22 Hyperdense Cerebellum, 135

Case 23 T2-Hyperintense Pontine Abnormalities, 141

Case 24 Cerebral Cortical Neurodegeneration, 147

Case 25 Cerebral Subcortical Neurodegeneration, 155

Case 26 Epidermoid Versus Arachnoid Cyst, 163

Case 27 Cyst With A Mural Nodule, 167

Case 28 Ecchordosis Physaliphora Versus Chordoma, 171


Case 29 Atlantooccipital And Atlantoaxial Separation, 179

Case 30 Basilar Invagination And Platybasia, 187

Case 31 Enhancing Intramedullary Spinal Cord Lesions, 195

Case 32 Enhancing Intramedullary Conus Lesions, 207

Case 33 Solitary Enhancing Intradural, Extramedullary Lesions, 211

Case 34 Multiple Enhancing Intradural, Extramedullary Lesions, 219

Case 35 Cystic Intradural Extramedullary Lesions, 225

Case 36 Nerve Root Enlargement, 233

Case 37 Posterior Element Lesions, 239

Case 38 Sacral Masses, 243

Case 39 Disk Infection Versus Inflammatory/Degenerative Changes, 249

Case 40 Vertebral Compression Fractures, 253


Case 41 Periauricular Cystic Lesions, 259

Case 42 Cystic Lateral Neck Masses, 269

Case 43 Infrahyoid Neck Cystic Lesions, 277

Case 44 Prestyloid Parapharyngeal Space, 285

Case 45 Post Styloid Parapharyngeal Space, 289

Case 46 Floor Of Mouth, 293

Case 47 Thyroglossal Duct Abnormalities, 297

Case 48 Anterior Skull Base Masses, 301

Case 49 Petrous Apex, 309

Case 50 External Auditory Canal, 315

Case 51 Middle Ear, 321

Case 52 Lesions Of The Facial Nerve, 325

Case 53 Lytic/Cystic Mandibular Lesions, 329

Case 54 Jugular Foramen Lesions, 333

Case 55 Optic Nerve Mass, 339

Case 56 Dilated Superior Ophthalmic Vein/Asymmetric Cavernous Sinus Enhancement, 343

Case 57 Lacrimal Gland, 347

Case 58 Nasal Cavity Lesions, 353

Case 59 Solitary Parotid Mass, 359

Case 60 Bilateral Parotid Masses, 363

Case 61 Retropharyngeal Space, 369


Case 62 Intraventricular Posterior Fossa Tumors, 381

Case 63 Pediatric Cerebellar Tumors, 385

Case 64 Pediatric Extraaxial Posterior Fossa Tumors, 389

Case 65 Midline Posterior Fossa Extraaxial Cystic Lesions, 393

Case 66 Occipital Cephalocele, 399

Case 67 Holoprosencephaly, 403

Case 68 Leukodystrophies, 411

Case 69 Congenital Arterial Anastamosis, 417

Case 70 Odontoid: Acute Versus Chronic, 421

Case 71 Pediatric Nasofrontal Mass, 425

Case 72 Pediatric Globe Lesions, 429



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About the Author

Juan Small

Affiliations and Expertise

Assistant Professor Section Head, Neuroradiology Division Lahey Hospital and Medical Center

Pamela Schaefer

Affiliations and Expertise

Associate Professor of Radiology, Massachusetts General Hospital, Boston, Massachusetts


"This book is primarily a case book of unknowns, many of which are listed together in an attempt to make the reader formulate a differential diagnosis. It does not mirror the typical text-based differential diagnoses text books, but rather provides a collection of imaging cases with similar features, and then provides a differential diagnosis for those findings...Overall, the selection of cases is good and by addressing a wide spectrum of neuroradiology including paediatrics, spinal imaging and head and neck imaging, it does cover most of the commonest conditions that would be seen...It is well written book, which is nicely laid out and the image quality is high in all sections."

RAD, February 2013