Imaging in Neurovascular Disease: A Case-Based Approach

✍ Scribed by Waleed Brinjikji, Timo Krings

• Publisher: Thieme Medical Publishers Inc
• Year: 2019
• Tongue: English
• Leaves: 242
• Edition: 1
• Category: Library

✦ Synopsis

Unique case-based reference presents high-yield images and expertise focused on vascular neuroradiology

Imaging in Neurovascular Disease: A Case-Based Approach by Waleed Brinjikji and Timo Krings is unique in its approach, detailing diagnostic and interventional neuroradiology cases based on radiologic findings. The book explores the key role vascular imaging can play in treatment decision making, prognostication, and improving the understanding of the pathophysiology of neurovascular diseases.

Spread over 11 chapters, this book covers a full spectrum of neurovascular diseases spanning the age continuum, starting with acute ischemic stroke, concluding with spinal vascular disease. All vascular neuroradiology cases follow a consistent format. After a succinct introduction describing the clinical scenario with relevant case images, the authors present key facts about the disease and the integral role of different neurovascular imaging procedures in disease management. Imaging findings are discussed in depth, with insightful clinical pearls on image-guided procedures and tips on managing potential pitfalls.

Key Highlights

• Almost 800 high-quality noninvasive images, such as MR angiography/MR imaging, CT angiography/CT perfusion, with angiography where applicable, elucidate a spectrum of findings
• Analysis of the imaging appearance of a diverse array of common to rare neurovascular diseases provides diagnostic and treatment insights
• Each case concludes with the most important points clinicians need to know, high-yield facts about a specific cerebrovascular disease, and suggested readings for further exploration

This unique case-based book is essential reading for radiology, neurology and neurosurgery residents. It will greatly benefit neurovascular disease specialists including radiologists, neurosurgeons and neurologists as well as interested in furthering their knowledge on the use of neuroimaging to guide neurointerventional and neurosurgical procedures to treat cerebrovascular disease.

This book includes complimentary access to a digital copy on https://medone.thieme.com.

✦ Table of Contents

Imaging in Neurovascular Disease: A Case-Based Approach
Title Page
Copyright
Dedication
Contents
Foreword
Preface
Abbreviations
1. Acute Ischemic Stroke
1.1 Hyperdense Vessel Sign
1.1.1 Clinical Case
1.1.2 Description of Imaging Findings and Diagnosis
1.1.3 Background
1.1.4 Imaging Findings
1.1.5 What the Clinician Needs to Know
1.1.6 High-Yield Facts
Further Reading
1.2 ASPECTS Score and CT Signs of Early Ischemia
1.2.1 Clinical Case
1.2.2 Description of Imaging Findings and Diagnosis
1.2.3 Background
1.2.4 Imaging Findings
1.2.5 What the Clinician Needs to Know
1.2.6 High-Yield Facts
Further Reading
1.3 CT Angiography in Acute Stroke including Imaging of Collateral Supply
1.3.1 Clinical Case
1.3.2 Description of Imaging Findings and Diagnosis
1.3.3 Background
1.3.4 Imaging Findings
1.3.5 What the Clinician Needs to Know
1.3.6 High-Yield Facts
Further Reading
1.4 CT Perfusion in Acute Stroke
1.4.1 Clinical Case
1.4.2 Description of Imaging Findings and Diagnosis
1.4.3 Background
1.4.4 Imaging Findings
1.4.5 What the Clinician Needs to Know
1.4.6 High-Yield Facts
Further Reading
1.5 MRI in Acute Ischemic Stroke
1.5.1 Clinical Case
1.5.2 Description of Imaging Findings and Diagnosis
1.5.3 Background
1.5.4 Imaging Findings
1.5.5 What the Clinician Needs to Know
1.5.6 High-Yield Facts
Further Reading
1.6 Post-Stroke Imaging with CT
1.6.1 Clinical Case
1.6.2 Description of Imaging Findings and Diagnosis
1.6.3 Background
1.6.4 Imaging Findings
1.6.5 What the Clinician Needs to Know
1.6.6 High-Yield Facts
Further Reading
2. Cervical Vascular Disease
2.1 Carotid Artery Atherosclerosis: CTA and Ultrasound
2.1.1 Clinical Case
2.1.2 Description of Imaging Findings and Diagnosis
2.1.3 Background
2.1.4 Imaging Findings
2.1.5 What the Clinician Needs to Know
2.1.6 High-Yield Facts
Further Reading
2.2 Carotid Vessel Wall Imaging for Atherosclerosis
2.2.1 Clinical Case
2.2.2 Description of Imaging Findings and Diagnosis
2.2.3 Background
2.2.4 Imaging Findings
2.2.5 What the Clinician Needs to Know
2.2.6 High-Yield Facts
Further Reading
2.3 Spontaneous Carotid Artery Dissection
2.3.1 Clinical Case
2.3.2 Description of Imaging Findings and Diagnosis
2.3.3 Background
2.3.4 Imaging Findings
2.3.5 What the Clinician Needs to Know
2.3.6 High-Yield Facts
Further Reading
2.4 Connective Tissue Diseases
2.4.1 Clinical Case
2.4.2 Description of Imaging Findings and Diagnosis
2.4.3 Background
2.4.4 Imaging Findings
2.4.5 What the Clinician Needs to Know
2.4.6 High-Yield Facts
Further Reading
2.5 Blunt Cerebrovascular Injury
2.5.1 Clinical Case
2.5.2 Description of Imaging Findings and Diagnosis
2.5.3 Background
2.5.4 Imaging Findings
2.5.5 What the Clinician Needs to Know
2.5.6 High-Yield Facts
Further Reading
2.6 Inflammatory Carotid Arteriopathies
2.6.1 Clinical Case
2.6.2 Description of Imaging Findings and Diagnosis
2.6.3 Background
2.6.4 Imaging Findings
2.6.5 What the Clinician Needs to Know
2.6.6 High-Yield Facts
Further Reading
2.7 Cervical Vascular Causes of Posterior Circulation Ischemia
2.7.1 Clinical Case
2.7.2 Description of Imaging Findings and Diagnosis
2.7.3 Background
2.7.4 Imaging Findings
2.7.5 What the Clinician Needs to Know
2.7.6 High-Yield Facts
Further Reading
3. Intracranial Steno-Occlusive Disease
3.1 Moyamoya Disease
3.1.1 Clinical Case
3.1.2 Description of Imaging Findings and Diagnosis
3.1.3 Background
3.1.4 Imaging Findings
3.1.5 What the Clinician Needs to Know
3.1.6 High-Yield Facts
Further Reading
3.2 Intracranial Atherosclerosis
3.2.1 Clinical Case
3.2.2 Description of Imaging Findings and Diagnosis
3.2.3 Background
3.2.4 Imaging Findings
3.2.5 What the Clinician Needs to Know
3.2.6 High-Yield Facts
Further Reading
3.3 Intracranial Dissection
3.3.1 Clinical Case
3.3.2 Description of Imaging Findings and Diagnosis
3.3.3 Background
3.3.4 Imaging Findings
3.3.5 What the Clinician Needs to Know
3.3.6 High-Yield Facts
Further Reading
3.4 Reversible Cerebral Vasoconstriction Syndrome (RCVS)
3.4.1 Clinical Case
3.4.2 Description of Imaging Findings and Diagnosis
3.4.3 Background
3.4.4 Imaging Findings
3.4.5 What the Clinician Needs to Know
3.4.6 High-Yield Facts
Further Reading
3.5 Primary CNS Vasculitis
3.5.1 Clinical Case
3.5.2 Description of Imaging Findings and Diagnosis
3.5.3 Background
3.5.4 Imaging Findings
3.5.5 What the Clinician Needs to Know
3.5.6 High-Yield Facts
Further Reading
4. Intracranial Aneurysms
4.1 Imaging of Unruptured Saccular Aneurysms
4.1.1 Clinical Case
4.1.2 Description of Imaging Findings and Diagnosis
4.1.3 Background
4.1.4 Imaging Findings
4.1.5 What the Clinician Needs to Know
4.1.6 High-Yield Facts
Further Reading
4.2 Imaging of Ruptured Aneurysms
4.2.1 Clinical Case
4.2.2 Description of Imaging Findings and Diagnosis
4.2.3 Background
4.2.4 Imaging Findings
4.2.5 What the Clinician Needs to Know
4.2.6 High-Yield Facts
Further Reading
4.3 Imaging of Non-Saccular Aneurysms
4.3.1 Clinical Case
4.3.2 Description of Imaging Findings and Diagnosis
4.3.3 Background
4.3.4 Imaging Findings
4.3.5 What the Clinician Needs to Know
4.3.6 High-Yield Facts
Further Reading
4.4 Vessel Wall Imaging for Intracranial Aneurysms
4.4.1 Clinical Case
4.4.2 Description of Imaging Findings and Diagnosis
4.4.3 Background
4.4.4 Imaging Findings
4.4.5 What the Clinician Needs to Know
4.4.6 High-Yield Facts
Further Reading
4.5 Post-Aneurysm Treatment Imaging
4.5.1 Clinical Case
4.5.2 Description of Imaging Findings and Diagnosis
4.5.3 Background
4.5.4 Imaging Findings
4.5.5 What the Clinician Needs to Know
4.5.6 High-Yield Facts
Further Reading
5. Cerebral Arteriovenous Malformations (AVMs) and Dural Arteriovenous Fistulas (dAVFs)
5.1 Evaluating AVM Angioarchitecture
5.1.1 Clinical Case
5.1.2 Description of Imaging Findings and Diagnosis
5.1.3 Background
5.1.4 Imaging Findings
5.1.5 What the Clinician Needs to Know
5.1.6 High-yield Facts
Further Reading
5.2 Evaluating the Ruptured Brain AVM
5.2.1 Clinical Case
5.2.2 Description of Imaging Findings and Diagnosis
5.2.3 Background
5.2.4 Imaging Findings
5.2.5 What the Clinician Needs to Know
5.2.6 High-yield Facts
Further Reading
5.3 Evaluating Unruptured AVMs and the Peri-AVM Environment
5.3.1 Clinical Case
5.3.2 Description of Imaging Findings and Diagnosis
5.3.3 Background
5.3.4 Imaging Findings
5.3.5 What the Clinician Needs to Know
5.3.6 High-yield Facts
Further Reading
5.4 Proliferative Angiopathy
5.4.1 Clinical Case
5.4.2 Description of Imaging Findings and Diagnosis
5.4.3 Background
5.4.4 Imaging Findings
5.4.5 What the Clinician Needs to Know
5.4.6 High-yield Facts
Further Reading
5.5 AVMs in CM-AVM, HHT, and Wyburn-Mason Syndrome
5.5.1 Clinical Case
5.5.2 Description of Imaging Findings and Diagnosis
5.5.3 Background
5.5.4 Imaging Findings
5.5.5 What the Clinician Needs to Know
5.5.6 High-yield Facts
Further Reading
5.6 Cranial Dural AVF Angioarchitecture and Classification
5.6.1 Clinical Case
5.6.2 Description of Imaging Findings and Diagnosis
5.6.3 Background
5.6.4 Imaging Findings
5.6.5 What the Clinician Needs to Know
5.6.6 High-yield Facts
Further Reading
5.7 Cranial dAVF Characteristics on MRI and CT
5.7.1 Clinical Case
5.7.2 Description of Imaging Findings and Diagnosis
5.7.3 Background
5.7.4 Imaging Findings
5.7.5 What the Clinician Needs to Know
5.7.6 High-yield Facts
Further Reading
5.8 Time-resolved (Dynamic) Imaging for Shunting Lesions
5.8.1 Clinical Case
5.8.2 Description of Imaging Findings and Diagnosis
5.8.3 Background
5.8.4 Imaging Findings
5.8.5 What the Clinician Needs to Know
5.8.6 High-yield Facts
Further Reading
5.9 Cavernous Carotid Fistulas
5.9.1 Clinical Case
5.9.2 Description of Imaging Findings and Diagnosis
5.9.3 Background
5.9.4 Imaging Findings
5.9.5 What the Clinician Needs to Know
5.9.6 High-yield Facts
Further Reading
6. Pediatric Neurovascular Disease
6.1 Pediatric Aneurysms
6.1.1 Clinical Case
6.1.2 Description of Imaging Findings and Diagnosis
6.1.3 Background
6.1.4 Imaging Findings
6.1.5 What the Clinician Needs to Know
6.1.6 High-yield Facts
Further Reading
6.2 Pediatric Dural Arteriovenous Fistulae
6.2.1 Clinical Case
6.2.2 Description of Imaging Findings and Diagnosis
6.2.3 Background
6.2.4 Imaging Findings
6.2.5 What the Clinician Needs to Know
6.2.6 High-yield Facts
Further Reading
6.3 Pediatric Pial Arteriovenous Fistula
6.3.1 Clinical Case
6.3.2 Description of Imaging Findings and Diagnosis
6.3.3 Background
6.3.4 Imaging Findings
6.3.5 What the Clinician Needs to Know
6.3.6 High-yield Facts
Further Reading
6.4 Pediatric Venous Occlusive Disease
6.4.1 Clinical Case
6.4.2 Description of Imaging Findings and Diagnosis
6.4.3 Background
6.4.4 Imaging Findings
6.4.5 What the Clinician Needs to Know
6.4.6 High-yield Facts
Further Reading
6.5 Vein of Galen Malformation
6.5.1 Clinical Case
6.5.2 Description of Imaging Findings and Diagnosis
6.5.3 Background
6.5.4 Imaging Findings
6.5.5 What the Clinician Needs to Know
6.5.6 High-yield Facts
Further Reading
6.6 Pediatric Arterial Acute Ischemic Stroke
6.6.1 Clinical Case
6.6.2 Description of Imaging Findings and Diagnosis
6.6.3 Background
6.6.4 Imaging Findings
6.6.5 What the Clinician Needs to Know
6.6.6 High-yield Facts
Further Reading
6.7 Pediatric Spinal Vascular Malformation
6.7.1 Clinical Case
6.7.2 Description of Imaging Findings and Diagnosis
6.7.3 Background
6.7.4 Imaging Findings
6.7.5 What the Clinician Needs to Know
6.7.6 High-yield Facts
Further Reading
7. Venous Occlusive Diseases
7.1 Deep Venous Thrombosis
7.1.1 Clinical Case
7.1.2 Description of Imaging Findings and Diagnosis
7.1.3 Background
7.1.4 Imaging Findings
7.1.5 What the Clinician Needs to Know
7.1.6 High-yield Facts
Further Reading
7.2 Cortical Vein and Dural Venous Sinus Thrombosis
7.2.1 Clinical Case
7.2.2 Description of Imaging Findings and Diagnosis
7.2.3 Background
7.2.4 Imaging Findings
7.2.5 What the Clinician Needs to Know
7.2.6 High-yield Facts
Further Reading
7.3 Venous Stenosis and Pseudotumor Cerebri
7.3.1 Clinical Case
7.3.2 Description of Imaging Findings and Diagnosis
7.3.3 Background
7.3.4 Imaging Findings
7.3.5 What the Clinician Needs to Know
7.3.6 High-yield Facts
Further Reading
7.4 Cavernous Sinus Thrombosis
7.4.1 Clinical Case
7.4.2 Description of Imaging Findings and Diagnosis
7.4.3 Background
7.4.4 Imaging Findings
7.4.5 What the Clinician Needs to Know
7.4.6 High-yield Facts
Further Reading
7.5 Venous Causes of Pulsatile Tinnitus
7.5.1 Clinical Case
7.5.2 Description of Imaging Findings and Diagnosis
7.5.3 Background
7.5.4 Imaging Findings
7.5.5 What the Clinician Needs to Know
7.5.6 High-yield Facts
Further Reading
8. Angiographically Occult Vascular Lesions
8.1 Cavernous Malformations
8.1.1 Clinical Case
8.1.2 Description of Imaging Findings and Diagnosis
8.1.3 Background
8.1.4 Imaging Findings
8.1.5 What the Clinician Needs to Know
8.1.6 High-yield Facts
Further Reading
8.2 Symptomatic Developmental Venous Anomaly
8.2.1 Clinical Case
8.2.2 Description of Imaging Findings and Diagnosis
8.2.3 Background
8.2.4 Imaging Findings
8.2.5 What the Clinician Needs to Know
8.2.6 High-yield Facts
Further Reading
8.3 Capillary Telangiectasia
8.3.1 Clinical Case
8.3.2 Description of Imaging Findings and Diagnosis
8.3.3 Background
8.3.4 Imaging Findings
8.3.5 What the Clinician Needs to Know
8.3.6 High-yield Facts
Further Reading
9. Small Vessel Disease
9.1 ABRA/Amyloid Spectrum
9.1.1 Clinical Case
9.1.2 Description of Imaging Findings and Diagnosis
9.1.3 Background
9.1.4 Imaging Findings
9.1.5 What the Clinician Needs to Know
9.1.6 High-yield Facts
Further Reading
9.2 Susac’s Syndrome
9.2.1 Clinical Case
9.2.2 Description of Imaging Findings and Diagnosis
9.2.3 Background
9.2.4 Imaging Findings
9.2.5 What the Clinician Needs to Know
9.2.6 High-yield Facts
Further Reading
9.3 Leukoaraiosis
9.3.1 Clinical Case
9.3.2 Description of Imaging Findings and Diagnosis
9.3.3 Background
9.3.4 Imaging Findings
9.3.5 What the Clinician Needs to Know
9.3.6 High-yield Facts
Further Reading
10. Intracranial Hemorrhage
10.1 Aneurysmal Subarachnoid Hemorrhage
10.1.1 Clinical Case
10.1.2 Description of Imaging Findings and Diagnosis
10.1.3 Background
10.1.4 Imaging Findings
10.1.5 What the Clinician Needs to Know
10.1.6 High-yield Facts
Further Reading
10.2 Non-Aneurysmal Perimesencephalic Hemorrhage
10.2.1 Clinical Case
10.2.2 Description of Imaging Findings and Diagnosis
10.2.3 Background
10.2.4 Imaging Findings
10.2.5 What the Clinician Needs to Know
10.2.6 High-yield Facts
Further Reading
10.3 Sulcal Subarachnoid Hemorrhage
10.3.1 Clinical Case
10.3.2 Description of Imaging Findings and Diagnosis
10.3.3 Background
10.3.4 Imaging Findings
10.3.5 What the Clinician Needs to Know
10.3.6 High-yield Facts
Further Reading
10.4 Isolated Intraventricular Hemorrhage
10.4.1 Clinical Case
10.4.2 Description of Imaging Findings and Diagnosis
10.4.3 Background
10.4.4 Imaging Findings
10.4.5 What the Clinician Needs to Know
10.4.6 High-yield Facts
Further Reading
10.5 Spontaneous Intraparenchymal Hemorrhage
10.5.1 Clinical Case
10.5.2 Description of Imaging Findings and Diagnosis
10.5.3 Background
10.5.4 Imaging Findings
10.5.5 What the Clinician Needs to Know
10.5.6 High-yield Facts
Further Reading
11. Spinal Vascular Disease
11.1 Spinal Cord Infarction
11.1.1 Clinical Case
11.1.2 Description of Imaging Findings and Diagnosis
11.1.3 Background
11.1.4 Imaging Findings
11.1.5 What the Clinician Needs to Know
11.1.6 High-yield Facts
Further Reading
11.2 Spinal Dural Arteriovenous Fistula (MRI Findings)
11.2.1 Clinical Case
11.2.2 Description of Imaging Findings and Diagnosis
11.2.3 Background
11.2.4 Imaging Findings
11.2.5 What the Clinician Needs to Know
11.2.6 High-yield Facts
Further Reading
11.3 Imaging Appearance of Other Spinal Vascular Malformations
11.3.1 Clinical Case
11.3.2 Description of Imaging Findings and Diagnosis
11.3.3 Background
11.3.4 Imaging Findings
11.3.5 What the Clinician Needs to Know
11.3.6 High-yield Facts
Further Reading
11.4 Spinal Subarachnoid Hemorrhage
11.4.1 Clinical Case
11.4.2 Description of Imaging Findings and Diagnosis
11.4.3 Background
11.4.4 Imaging Findings
11.4.5 What the Clinician Needs to Know
11.4.6 High-yield Facts
Further Reading
11.5 Spinal Cord Cavernoma
11.5.1 Clinical Case
11.5.2 Description of Imaging Findings and Diagnosis
11.5.3 Background
11.5.4 Imaging Findings
11.5.5 What the Clinician Needs to Know
11.5.6 High-yield Facts
Further Reading
Index