Magnetic resonance imaging differential diagnosis of brainstem lesions in children

World Journal of Radiology
Carlo Cosimo QuattrocchiDaniela Longo

Abstract

Differential diagnosis of brainstem lesions, either isolated or in association with cerebellar and supra-tentorial lesions, can be challenging. Knowledge of the structural organization is crucial for the differential diagnosis and establishment of prognosis of pathologies with involvement of the brainstem. Familiarity with the location of the lesions in the brainstem is essential, especially in the pediatric population. Magnetic resonance imaging (MRI) is the most sensitive and specific imaging technique for diagnosing disorders of the posterior fossa and, particularly, the brainstem. High magnetic static field MRI allows detailed visualization of the morphology, signal intensity and metabolic content of the brainstem nuclei, together with visualization of the normal development and myelination. In this pictorial essay we review the brainstem pathology in pediatric patients and consider the MR imaging patterns that may help the radiologist to differentiate among vascular, toxico-metabolic, infective-inflammatory, degenerative and neoplastic processes. Helpful MR tips can guide the differential diagnosis: These include the location and morphology of lesions, the brainstem vascularization territories, gray and white matter distri...Continue Reading

References

Apr 1, 1994·Neuroradiology·K S CaldemeyerM K Edwards
Dec 1, 1993·Neuropathology and Applied Neurobiology·J B Cavanagh
Jan 1, 1993·Journal of Neuropathology and Experimental Neurology·M SparacoJ M Powers
Jul 1, 1997·Neurotoxicology and Teratology·S Leong, K W Ashwell
Oct 23, 1997·Neuroradiology·L T BilaniukM Needle
Dec 22, 1999·Journal of the Neurological Sciences·T A YousryM Filippi
Jan 14, 2000·Archives of Neurology·M WasayP Van Ness
Sep 8, 2000·Stroke; a Journal of Cerebral Circulation·C OppenheimC Marsault
Dec 16, 2000·Journal of Neurology, Neurosurgery, and Psychiatry·M OdakaK Hirata
Oct 3, 2001·Surgical Neurology·M CaldarelliC Di Rocco
Nov 28, 2001·Current Opinion in Neurology·J S GuillamoJ Y Delattre
Dec 13, 2002·Brain : a Journal of Neurology·Jean-Sébastien GuillamoUNKNOWN Réseau NF France
Apr 25, 2003·Neuroradiology·H ToiS Nagahiro
Sep 5, 2006·Journal of Child Neurology·Andrew C SteerAndrew J Kornberg
Apr 6, 2007·Diagnostic Microbiology and Infectious Disease·Laura ReynaudGuglielmo Borgia
Jun 16, 2007·AJNR. American Journal of Neuroradiology·H ProschD Prayer
Nov 8, 2007·Neurosurgery·Nicole J UllrichLiliana Goumnerova
Nov 13, 2007·Journal of Neuroradiology. Journal De Neuroradiologie·A AkhaddarM Boucetta
Feb 29, 2008·Annals of Neurology·Rezwan GhassemiUNKNOWN Canadian Pediatric Demyelinating Disease Study Group
Mar 6, 2008·Neuroimaging Clinics of North America·Andrea Rossi
Mar 20, 2008·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Benjamin Y Huang, Mauricio Castillo
May 20, 2008·Seminars in Roentgenology·Joana Ramalho, Mauricio Castillo
Aug 21, 2008·Current Neurology and Neuroscience Reports·Dorothee ChabasEmmanuelle Waubant
Oct 9, 2009·Developmental Medicine and Child Neurology·Artemis D GikaAntonia Clarke
Apr 14, 2010·Epilepsia·Aphrodite DracopoulosO Carter Snead
Apr 17, 2010·AJNR. American Journal of Neuroradiology·C C QuattrocchiG Fariello
May 11, 2010·Current Opinion in Neurology·Gefei F WangKangsheng Li
May 21, 2010·Seminars in Ultrasound, CT, and MR·M Angeles Fernández-GilJ P Mora-Encinas
May 21, 2010·Seminars in Ultrasound, CT, and MR·Juan A Guzmán-De-VilloriaConcepción Ferreiro-Argüelles
May 21, 2010·Seminars in Ultrasound, CT, and MR·Juan A Guzmán-De-VilloriaPilar Fernández-García
Mar 10, 2011·Annals of Neurology·Chris H PolmanJerry S Wolinsky
May 31, 2011·Seminars in Fetal & Neonatal Medicine·Graziella UzielMassimo Zeviani
Sep 2, 2011·Journal of Medical Genetics·Sha TangLee-Jun C Wong
Sep 13, 2011·Pediatric Neurology·Kayal VijayakumarPrab Prabhakar
Sep 13, 2011·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Satoshi TsutsumiIkuko Ogino
Oct 1, 2011·Current Neurology and Neuroscience Reports·Burk JubeltPadma Veerapaneni
Mar 17, 2012·Seminars in Neurology·Lee-Jun C Wong

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Jan 8, 2020·Critical Care : the Official Journal of the Critical Care Forum·Sarah BenghanemTarek Sharshar
Nov 18, 2017·The Neuroradiology Journal·Yashar MoharamzadElham Shobeiri

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