Imaging the cranial nerves and skull base Annual Meeting/Handouts... · 1/7/2014 13 Lucas JW, Zada...

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1/7/2014 1 Imaging the cranial nerves and skull base January 18, 2014 Sarasota, FL Joshua P. Klein, M.D., Ph.D. Departments of Neurology and Radiology Brigham and Women’s Hospital and Harvard Medical School American Society of Neuroimaging 37 th Annual Meeting NO DISCLOSURES American Society of Neuroimaging 37 th Annual Meeting Imaging the cranial nerves CT: thin slice for bones and foramina MRI: 1) steady state free precession (SSFP) 2) thin slice T1 post-contrast

Transcript of Imaging the cranial nerves and skull base Annual Meeting/Handouts... · 1/7/2014 13 Lucas JW, Zada...

Page 1: Imaging the cranial nerves and skull base Annual Meeting/Handouts... · 1/7/2014 13 Lucas JW, Zada G. Semin Neurol 2012 Meningioma axial T1-post TOF MRA Lucas JW, Zada G. Semin Neurol

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Imaging the cranial nerves and skull base

January 18, 2014 • Sarasota, FL

Joshua P. Klein, M.D., Ph.D.Departments of Neurology and Radiology

Brigham and Women’s Hospital and Harvard Medical School

American Society of Neuroimaging37th Annual Meeting

NO DISCLOSURES

American Society of Neuroimaging37th Annual Meeting

Imaging the cranial nerves

CT: thin slice for bonesand foramina

MRI: 1) steady state free precession (SSFP)2) thin slice T1 post-contrast

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StatDx

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StatDx

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FOFOFR

SOF

OCACP

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FR

SOF

OCACP

VC

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FOFOFR

SOF

OC

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GG

IACs

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HCs

JC

TMJ

TM

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Olfactory nerves Meningioma

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PCom aneurysm Carotid-cavernous fistula

Jha RM, Klein JP. Semin Neurol 2012

Trigeminal ganglion in Meckel cave

Jha RM, Klein JP. Semin Neurol 2012

Trigeminal nerve pathology

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Facial and vestibulocochlear nerves

facial sup vest

infcochlear vest

ANTERIOR POSTERIOR

Cochlea

Facial

Vestibular

Jha RM, Klein JP. Semin Neurol 2012

Vestibular schwannoma

Jha RM, Klein JP. Semin Neurol 2012

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Jha RM, Klein JP. Semin Neurol 2012

Jha RM, Klein JP. Semin Neurol 2012

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XII

VertVert

Vert

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Vodopivec I, Klein JP, Prasad S. Neurol Clin Pract 2013

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Pituitary microadenomasag T1-post cor T1-post

Lucas JW, Zada G. Semin Neurol 2012

Lucas JW, Zada G. Semin Neurol 2012

Pituitary macroadenoma, nonfunctionalsag T1-post cor T1-post

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Craniopharyngiomasag T1-post cor T1-post

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Rathke cleft cystsag T1-post cor T1-post

Lucas JW, Zada G. Semin Neurol 2012

Meningioma, sphenoidsag T1-post cor T1-post

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Meningiomaaxial T1-post TOF MRA

Lucas JW, Zada G. Semin Neurol 2012

Metastatic breast carcinomasag T1-post cor T1-post

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Pituitary apoplexy, acute hemorrhage

T1 T1

T1-post T1-post

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Aneurysm, sup. hypophyseal artery

Vascular anatomy - carotid

anterior posterior

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Aneurysm, sup. hypophyseal artery

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Chordoma