Laurie A. Loevner - Brain Imaging: Case Review Series (Case Review)

Brain Imaging
CASE REVIEW

Series Editor

David M. Yousem, MD, MBA

Professor of Radiology

Director of Neuroradiology

Russell H. Morgan Department of Radiology Science

The Johns Hopkins Medical Institution

Baltimore, Maryland

Other Volumes in the CASE REVIEW Series

Breast Imaging

Cardiac Imaging

Gastrointestinal Imaging, Second Edition

General and Vascular Ultrasound, Second Edition

Genitourinary Imaging, Second Edition

Head and Neck Imaging, Second Edition

Musculoskeletal Imaging, Second Edition

Nuclear Medicine

Obstetric and Gynecologic Ultrasound, Second Edition

Pediatric Imaging

Spine Imaging, Second Edition

Thoracic Imaging

Vascular and Interventional Imaging

CASE REVIEW

SECOND EDITION

Laurie A. Loevner, MD

Professor of Radiology, Otorhinolaryngology: Head and Neck Surgery, and Neurosurgery

Department of Radiology

University of Pennsylvania Medical Center, Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania

CASE REVIEW SERIES

1600 John F. Kennedy Blvd.

Suite 1800

Philadelphia, PA 19103-2899

BRAIN IMAGING: CASE REVIEW

Second Edition ISBN: 978-0-323-03179-0

Copyright 2009, 1999 by Mosby, Inc., an affiliate of Elsevier Inc.

All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Permissions may be sought directly from Elseviers Rights Department: phone: (+1) 215 239 3804 (US) or (+44) 1865 843830 (UK); fax: (+44) 1865 853333; e-mail: .

NOTICE

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our knowledge, changes in practice, treatment, and drug therapy may become necessary or appropriate. Readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of the practitioner, relying on his or her own experience and knowledge of the patient, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the Author assumes any liability for any injury and/or damage to persons or property arising out of or related to any use of the material contained in this book.

Library of Congress Cataloging-in-Publication Data

Loevner, Laurie A.

Brain imaging : case review / Laurie A. Loevner.2nd ed.

p. ; cm(Case review series)

With cross-references to: Neuroradiology / Robert I. Grossman, David M. Yousem.

2nd ed. 2003.

Includes bibliographical references and indexes.

ISBN 978-0-323-03179-0

1. BrainImagingCase studies. I. Grossman, Robert I. Neuroradiology. II. Title. III. Series.

[DNLM: 1. BrainRadiographyCase Reports. 2. BrainRadiographyExamination Questions. WL 18.2 L826b 2009]

RC386.6.D52L64 2009

616.804754076dc22 2008040445

Aquisitions Editor: Rebecca S. Gaertner

Project Manager: David Saltzberg

Design Direction: Steven Stave

For Steve, Ben, and Alex.

to infinity and back

I have been very gratified by the popularity and positive feedback that the authors of the Case Review series have received on the publication of their volumes. Reviews in journals and word-of-mouth comments have been uniformly favorable. The authors have done an outstanding job in filling the need for an affordable, easy-to-read, case-based learning tool that supplements THE REQUISITES series, and volumes in the Case Review series are ideal for oral board preparation and subspecialty certification tests.

Although some students learn best in a noninteractive study book mode, others need the anxiety or excitement of being quizzedbeing put on the hot seat. The Case Review formatthat is, a limited number of images needed to construct a differential diagnosis presented with a few clinical and imaging questionswas designed to simulate the Boards experience (the only difference is that the Case Review books give you the correct answer and immediate feedback). Cases are scaled from relatively easy (Opening Round) to very difficult (Challenger) to test the limit of the readers knowledge. A brief commentary, a link back to THE REQUISITES volume, and up-to-date references also are provided.

Because of the popularity of the series we have been rolling out the second editions, with the expectation that the second editions will bring the material to the state-of-the-art, introduce new modalities and new techniques, and provide new and even more graphic examples of pathology.

Brain Imaging by Dr. Laurie A. Loevner is the latest of the second editions. Laurie has labored extensively to provide almost 90% new cases, color images, and examples of the latest imaging modalities. She has worked assiduously for many months to perfect the book in the way that she has said would earn me an A+ grade. Brain Imaging is the best selling of all of the volumes in the Case Review series, and I can tell you that the second edition is well worth the wait. Enjoy.

I am pleased to present for your imminent pleasure the latest volume of the second editions of the Case Review series, joining the previous second editions of Head and Neck Imaging, by David M. Yousem and Carol Motta; Genitourinary Imaging, by Ronald J. Zagoria, William W. Mayo-Smith, and Julia R. Fielding; Obstetric and Gynecologic Ultrasound, by Karen L. Reuter and T. Kemi Babagbemi; General and Vascular Ultrasound, by William D. Middleton; Spine Imaging, by Brian Bowen, Alfonso Rivera, and Efrat Saraf-Lavi; Musculoskeletal Imaging, by Joseph Yu; and Gastrointestinal Imaging, by Peter J. Feczko and Robert D. Halpert.

David M. Yousem, MD, MBA

When I finished the first edition of this book I said I felt a sense of amazement, wonder, and ecstasy. Having finished the second edition, I again feel tremendously amazed, wonderful, and ecstatic too... but I must confess I also feel an extraordinary sense of relief! It is nine years and two kids later, and it has been an equally delightful, crazy, and interesting journey getting here. The completion of this manuscript continues to be among the highlights of my academic career.

This book provides insight into disease processes that affect the brain and the central nervous system through the interpretation of a spectrum of imaging studies. In addition to conventional MR and CT imaging, this edition also focuses on using advanced imaging techniques that have evolved over the last decade, including spectroscopy, diffusion imaging, perfusion imaging, functional imaging, CTA, MRA, and conventional catheter angiography to discriminate one entity from among the other possible diagnoses. In this second edition, close to 90% of the cases are new, and approximately 45 new diseases are presented that were not covered in the first edition. Because the book is organized to present a spectrum of diseases in a case-by-case format, you can pick it up and read it when you find those free moments (without losing your place), or you may read it for hours on end if you choose to (and I hope you do)!