Diseases of the Brain, Head & Neck, Spine: Diagnostic by Jürg Hodler, Gustav K. von Schulthess, Christoph L.

By Jürg Hodler, Gustav K. von Schulthess, Christoph L. Zollikofer

Written through the world over well known specialists, this quantity is a suite of chapters facing imaging prognosis and interventional cures in neuroradiology and ailments of the backbone. the several themes are disease-oriented and surround the entire suitable imaging modalities together with X-ray know-how, nuclear medication, ultrasound and magnetic resonance, in addition to image-guided interventional innovations. It represents a different adventure for citizens in radiology in addition to for skilled radiologists wishing to be up to date at the present kingdom of the art.

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How Should the Patient with Hemorrhagic Stroke Be Investigated? The first step is to triage patients into those likely to have an underlying structural lesion carrying a risk of rebleeding, those likely to have a “non-structural” cause that requires urgent diagnosis and treatment and those with a low incidence of an underlying lesion and therefore do not require urgent interventions. This process starts with the initial unenhanced CT brain scan and is summarised in the flow diagram below. e. whether it is within the brain (intracerebral hemorrhage) or in an extracerebral compartment (subarachnoid, intraventricular or subdural).

Abnormal T2 hyperintensity within the medial portions of the thalami, periaqueductal gray matter, and mamillary bodies is the hallmark imaging feature of this disease. Post-contrast T1-weighted images are recommended for patients with known chronic alcoholic consumption, as these may reveal abnormal enhancement of the mamillary bodies in the absence of an abnormal T2 signal [31]. White Matter Disease Associated with Radiation Therapy and Chemotherapy sent very shortly after the initiation of radiation therapy.

Occasionally, the lesions involve the optic nerve or spinal cord, similar to MS [26]. Progressive Multifocal Leukoencephalopathy Progressive multifocal leukoencephalopathy (PML) is overwhelmingly a disease of the immunocompromised Kelly K. Koeller patient and most (55-85%) cases are related to AIDS. There is a wide age range of involvement, with the peak age of presentation in the sixth decade. The disease is caused by reactivation of a papovavirus (JC virus) that selectively attacks the oligodendrocyte, leading to demyelination.

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