Clinical Neuroradiology
Clinical Neuroradiology
Frederik Barkhof • Hans Rolf JägerMajda M. Thurnher • Àlex RoviraEditors
Clinical Neuroradiology
The ESNR Textbook
With 1665 Figures and 249 Tables
EditorsFrederik BarkhofDepartment of Radiology andNuclear MedicineVU University Medical Centre (VUmc)Amsterdam, The Netherlands
UCL Institutes of BiomedicalEngineering and NeurologyLondon, UK
Hans Rolf JägerUCL Institute of NeurologyThe National Hospital for Neurology andNeurosurgery and University CollegeHospital (UCH)London, UK
Department of BrainRepair and RehabilitationNeuroradiological Academic UnitUCL Institute of NeurologyLondon, UK
Lysholm Department of NeuroradiologyNational Hospital for Neurology andNeurosurgeryLondon, UK
Imaging DepartmentUniversity College London HospitalsLondon, UK
Majda M. ThurnherSection of Neuroradiology andMusculoskeletal RadiologyDepartment of Biomedical Imaging andImage-guided TherapyUniversity Hospital ViennaVienna, Austria
Àlex RoviraDepartment of Radiology and NuclearMedicine Vall d’HebronUniversity HospitalProfessor of Radiology andNeuroimmunologyAutonomous University of BarcelonaVall d’Hebron Research Institute (VHIR)Barcelona, Spain
ISBN 978-3-319-68535-9 ISBN 978-3-319-68536-6 (eBook)ISBN 978-3-319-68537-3 (print and electronic bundle)https://doi.org/10.1007/978-3-319-68536-6
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Preface
The ESNR textbook Clinical Neuroradiology is inspired by the fine traditionof teaching by the European Society of Neurology, with many chapters writtenby teachers of their ECNR courses. Contrary to classical encyclopedic text-books, Clinical Neuroradiology offers a more practical approach that willallow the reader tailoring the neuroradiological examination to the clinicalsituation and integrating the findings in a meaningful manner to informdiagnosis, prognosis, and treatment planning/evaluation. Each chapter startswith the clinical presentation and relevant pathology background of the par-ticular conditions, and then discusses the protocol for the examination,followed by a description of the imaging findings that are summarized inchecklist form, and sample reports, thus providing useful guidance for clinicalreporting. Treatment options are also discussed, in particular how imaging canbe used to assess response to therapy and its side effects.
While the focus is on diagnostic neuroradiology, interventional neuroradiol-ogy is discussed as well, with a focus on understanding the indications and typesof procedures available for vascular and spine disorders. We present a total of76 chapters in 13 sections including pediatric neuroradiology and neuromusculardiseases, alongside more classical topics such as tumors, infections, CSF flowdisturbances, inflammation, epilepsy, intocications and trauma. Information ispresented in a practical manner including tables of differential diagnoses andchapters on normal aging and incidentalfindings. Being an online book, chapterswill be updated regularly to maintain the state-of-the-art information, allowingeven for the introduction of new chapters. We hope this book will servepracticing neuroradiologists and students attending the ECNR courses.
We are indebted to the hard work of many colleagues who made this bookpossible. We are grateful for the inspiration given to us by our mentors andcolleagues including Jaap Valk, Ivan Moseley, Jordi Ruscalleda, MarcoLeonardi, Massimo Gallucci, and Pierre Lasjaunias, among many others, forwhom clinical reasoning and teaching were essential elements ofneuroradiology.
Frederik BarkhofHans Rolf Jäger
Majda M. Thurnher
Àlex Rovira
v
Contents
Volume 1
Part I Indications, Technique, and Anatomy . . . . . . . . . . . . . . . . . 1
1 Clinical Neuroradiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Frederik Barkhof and Àlex Rovira
2 Neuroanatomy for the Neuroradiologist . . . . . . . . . . . . . . . . 9Christen D. Barras, Tarek A. Yousry, and Frederik Barkhof
3 Incidental Findings on Neuroimaging and NormalVariants That May Mimic Disease . . . . . . . . . . . . . . . . . . . . . 41Meike W. Vernooij and Tarek A. Yousry
4 Cranial Nerves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63Sven Haller, Frederik Barkhof, Robin Smithuis, and BernhardSchuknecht
Part II Cerebrovascular Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
5 Cranial Vessel Embryology and Imaging Anatomy . . . . . . . 95Pedro Vilela
6 Major Artery Ischemic Stroke . . . . . . . . . . . . . . . . . . . . . . . . 137Rüdiger von Kummer and Aad van der Lugt
7 Small Vessel Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167Hans Rolf Jäger and Beatriz Gomez-Anson
8 Rarer Systemic Causes of Ischemic Stroke . . . . . . . . . . . . . . 203Patricia Svrckova and Aad van der Lugt
9 Imaging of Spontaneous Intracerebral Hemorrhage . . . . . . 223Sven Dekeyzer, Massimo Muto, Carlo Augusto Mallio, andPaul M. Parizel
10 Intracranial Vascular Malformations . . . . . . . . . . . . . . . . . . . 255Luisa Biscoito
vii
11 Imaging and Management in SubarachnoidHemorrhage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 299René van den Berg
12 Imaging of Cerebral Venous and Sinus Thrombosis . . . . . . . 325Pedro Vilela
Part III Trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 353
13 Traumatic Brain Injury: Imaging Strategy . . . . . . . . . . . . . . 355Sven Dekeyzer, Luc van den Hauwe, Thijs Vande Vyvere, andPaul M. Parizel
14 Spine and Spinal Cord Trauma . . . . . . . . . . . . . . . . . . . . . . . 401Jasmina Boban, Majda M. Thurnher, and Johan W. VanGoethem
Part IV CSF Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 429
15 Imaging of CSF Spaces: Anatomy, Physiology, andHydrodynamics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 431Mark S. Igra, Charles Anthony Józef Romanowski, andStavros Michael Stivaros
16 Hydrocephalus in Children . . . . . . . . . . . . . . . . . . . . . . . . . . . 451Ian Craven
17 Obstructive Hydrocephalus in Adults . . . . . . . . . . . . . . . . . . 465Joanna Bladowska and Marek J. Sąsiadek
18 Communicating Hydrocephalus: Normal PressureHydrocephalus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 489
Àlex Rovira
19 Imaging of Spinal CSF Disorders: Syringomyelia . . . . . . . . . 519Julija Pavaine and Dominic Thompson
20 Imaging of Idiopathic Intracranial Hypertension . . . . . . . . . 545Anna Zimny and Marek J. Sąsiadek
21 CSF Hypotension and CSF Leaks . . . . . . . . . . . . . . . . . . . . . 557Joanna Bladowska, Daniel J. Warren, Mario Muto, andCharles Anthony Józef Romanowski
22 Radiological Assessment of Hydrocephalus Treatment andTreatment-related Complications . . . . . . . . . . . . . . . . . . . . . . 579Patrick John McMullan and Charles Anthony JózefRomanowski
viii Contents
Part V Infectious Brain Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 599
23 Neuroimaging in Bacterial and Mycobacterial Infectionsof the Brain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 601Majda M. Thurnher
24 Fungal and Parasitic Infections . . . . . . . . . . . . . . . . . . . . . . . 625Tomás Freddi, Laiz Laurade Godoy, Fabricio GuimaraesGoncalves, César Augusto Alves, and Prasad Hanagandi
25 Infections in Immunocompromised Individuals . . . . . . . . . . 661Majda M. Thurnher
26 Imaging in Viral CNS Infections . . . . . . . . . . . . . . . . . . . . . . 691Tomás Freddi, Laiz Laura de Godoy, Fabricio GuimaraesGoncalves, César Augusto Alves, and Prasad Hanagandi
Volume 2
Part VI Inflammatory and Autoimmune Brain Diseases . . . . . . 725
27 Multiple Sclerosis and Variants . . . . . . . . . . . . . . . . . . . . . . . 727
Àlex Rovira and Frederik Barkhof
28 Neuromyelitis Optica Spectrum Disorders (NMOSD) . . . . . 769
Jens Wuerfel, Àlex Rovira, Friedemann Paul, and FrederikBarkhof
29 Acute Disseminated Encephalomyelitis and OtherAcute Parainfectious Syndromes . . . . . . . . . . . . . . . . . . . . . . 787
Cristina Auger and Àlex Rovira
30 Vasculitis and Other Inflammatory Disorders . . . . . . . . . . . . 809Esther Sánchez Aliaga
31 Autoimmune-Mediated Encephalitis . . . . . . . . . . . . . . . . . . . 849H. Urbach, P. T. Meyer, and G. Jamneala
Part VII Epilepsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 861
32 Neuroradiological Evaluation of Patients with Seizures . . . . 863Nuria Bargalló, Xavier Setoain, and Mar Carreño
33 Temporal Lobe Epilepsy (TLE) and Neuroimaging . . . . . . . 891Juan Alvarez-Linera
34 Neuroimaging Evaluation in Neocortical Epilepsies . . . . . . . 915Nadia Colombo, Nuria Bargalló, and D. Redaelli
Contents ix
35 Long-Term Epilepsy-Associated Tumors . . . . . . . . . . . . . . . . 951H. Urbach
36 Status Epilepticus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 965Silvana Sarria-Estrada and Manuel Toledo
37 Surgical and Post-surgical Evaluation of Epilepsy . . . . . . . . 991Paolo Vitali, Cristina Rosazza, and Nadia Colombo
Part VIII Tumor and Tumorlike Conditions . . . . . . . . . . . . . . . . . . 1025
38 Clinical Presentations, Differential Diagnosis, andImaging Work-Up of Cerebral Mass Lesions . . . . . . . . . . . . 1027Francesca Benedetta Pizzini, Stefanie Thust, andHans Rolf Jäger
39 Glial Tumors and Primary CNS Lymphoma . . . . . . . . . . . . . 1051Philipp Kickingereder and Sotirios Bisdas
40 Neuronal and Mixed Glioneuronal Tumors . . . . . . . . . . . . . . 1075Francesco Carletti
41 Imaging Techniques for Neurosurgical Planning ofTumor Resection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1105Adam Kenji Yamamoto
42 Extra-axial Tumors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1115Stefanie Thust and Atul Kumar
43 Tumors of the Sellar and Parasellar Region . . . . . . . . . . . . . 1151Fabrice Bonneville, Margaux Roques, and Francesco Carletti
44 Skull-Base Tumors and Related Disorders . . . . . . . . . . . . . . 1183JanW. Casselman, Stephanie Vanden Bossche, Elias Pretorius,and Bert De Foer
45 CNS Involvement in Non-CNS Tumors . . . . . . . . . . . . . . . . . 1217Marion Smits
Part IX Dementia and Neurodegenerative Diseases . . . . . . . . . 1249
46 Neurodegenerative Disorders: Classification andImaging Strategy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1251Sven Haller, Valentina Garibotto, and Frederik Barkhof
47 Neuroimaging in Normal Brain Aging . . . . . . . . . . . . . . . . . . 1277Meike W. Vernooij and Frederik Barkhof
48 Neuroimaging in Dementia . . . . . . . . . . . . . . . . . . . . . . . . . . . 1295Sven Haller and Frederik Barkhof
49 Neuroimaging in Movement Disorders . . . . . . . . . . . . . . . . . 1327Sven Haller, Valentina Garibotto, and Stefan Schwarz
x Contents
Part X Toxic and Acquired Metabolic Conditions . . . . . . . . . . . . 1363
50 Exogenous Toxins and CNS Injuries . . . . . . . . . . . . . . . . . . . 1365Zoran Rumboldt, Hrvoje Vavro, and Martina Špero
51 Radiological Findings of Drug-Induced NeurotoxicDisorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1403Claudia Godi and Andrea Falini
52 Radiation and Chemotherapy Induced Injury . . . . . . . . . . . 1431Antonella Castellano and Nicoletta Anzalone
53 Acquired Metabolic Diseases . . . . . . . . . . . . . . . . . . . . . . . . . 1459Charlie Chia-Tsong Hsu and Timo Krings
54 Posterior Reversible Encephalopathy Syndrome (PRES) . . . 1499Claudia Godi and Andrea Falini
Volume 3
Part XI Pediatric Neuroradiology . . . . . . . . . . . . . . . . . . . . . . . . . . . 1513
55 Brain Developmental Malformations . . . . . . . . . . . . . . . . . . . 1515Marinos Kontzialis, Asim F. Choudhri, and Thierry A. G. M.Huisman
56 Intrauterine Imaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1541Nadine Girard and Jean-François Hak
57 Neonatal Hypoxia-Ischemia . . . . . . . . . . . . . . . . . . . . . . . . . . 1585Maria I. Argyropoulou, Vasiliki C. Mouka, and Vasileios G.Xydis
58 Imaging in Spine and Spinal Cord DevelopmentalMalformations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1609Andrea Rossi
59 Leukodystrophies and Inherited Metabolic Conditions . . . . 1641Saipriya Ramji, Frederik Barkhof, and Kshitij Mankad
60 Phakomatoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1677Vanessa Pfahler and Birgit Ertl-Wagner
61 Pediatric Stroke and Radiological Approach . . . . . . . . . . . . . 1705Richard Roger Warne, Saipriya Ramji, and Wui K. Chong
62 Pediatric Tumor Neuroradiology . . . . . . . . . . . . . . . . . . . . . . 1743Sotirios Bisdas and Felice D’Arco
63 Perinatal Infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1821Vasileios G. Xydis, Vasiliki C. Mouka, andMaria I. Argyropoulou
Contents xi
Part XII Spine and Spinal Cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1849
64 Spine and Cord Imaging Anatomy . . . . . . . . . . . . . . . . . . . . . 1851Gianluigi Guarnieri, Mario Muto, and Letterio Salvatore Politi
65 Degenerative Disorders of the Spine . . . . . . . . . . . . . . . . . . . . 1873Teresa Popolizio and Roberto Izzo
66 Inflammatory and Infectious Disorders of the Spine . . . . . . . 1919Marcel Wolf and Marc-André Weber
67 Neuroimaging in Inflammatory and InfectiousDiseases of the Spinal Cord . . . . . . . . . . . . . . . . . . . . . . . . . . . 1949Philippe Demaerel and Sarah Cappelle
68 Osteoporosis and Metabolic Spine Disease . . . . . . . . . . . . . . 1973Teresa Popolizio and Roberto Izzo
69 Percutaneous Image-Guided Spine Treatment . . . . . . . . . . . 1995Mario Muto, Francesco Giurazza, Gianluigi Guarnieri, andStefano Marcia
70 Tumors of the Spine and Spinal Cord . . . . . . . . . . . . . . . . . . 2031Majda M. Thurnher
71 Imaging of Vascular Disorders of the Spine andSpinal Cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2067Civan Islak and Naci Kocer
Part XIII Peripheral Nervous System and NeuromuscularDisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2101
72 Dystrophic Myopathies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2103Leroy ten Dam and Marianne de Visser
73 Toxic and Drug-Induced Myopathies . . . . . . . . . . . . . . . . . . . 2129Soeren Andrew Peters and Rudolf Andre Kley
74 Neuroimaging in Non-dystrophic Myopathies . . . . . . . . . . . . 2145Susana Quijano-Roy and Robert Yves Carlier
75 Imaging of Inflammatory Myopathies . . . . . . . . . . . . . . . . . . 2185Umesh A. Badrising and Hermien E. Kan
76 Magnetic Resonance Imaging of the Peripheral Nerve . . . . . 2199Roberto Gasparotti and Michela Leali
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2235
xii Contents
About the Editors
Frederik Barkhof Department of Radiology and Nuclear Medicine, VUUniversity Medical Centre (VUmc), Amsterdam, The Netherlands
UCL Institutes of Biomedical Engineering and Neurology, London, UK
Frederik Barkhof received his M.D. from VU University, Amsterdam (NL), in1988, and defended his Ph.D. thesis in 1992, for which he received the PhilipsPrize for Radiology (1992) and the Lucien Appel Prize for Neuroradiology(1994). Since 2001, he serves as a Full Professor in Neuroradiology in theDepartment of Radiology and Nuclear Medicine at VUmc. In 2015, he wasappointed Full Professor of Neuroradiology at the institutes of BiomedicalEngineering and Neurology at UCL in London (UK) to translate novel imag-ing techniques and became a fellow of the Royal College of Radiology.
Professor Barkhof was the Chairman of the Dutch Society of Neuroradiol-ogy and the MAGNIMS study group for many years. He leads the QueenSquare MS Centre Trial Unit, involved in the analysis of multicenter drugtrials. He serves on the editorial boards of Radiology, Brain,Multiple SclerosisJournal, Neuroradiology, and Neurology. In 2018 he received the John DystelPrize by the AAN and NMSS for his significant contributions to MS research.In 2019, he became a senior fellow of the ISMRM.
Barkhof’s research interests focus on childhood white matter disease,multiple sclerosis (spinal cord MRI, gray matter, atrophy, and histopathologycorrelations), aging (white matter lesions and microbleeds), and dementia(structural, functional, and molecular MR and PET). He has (co)authored
xiii
more than 1000 papers referenced in PubMed, and is listed among the 3000most influential scientists worldwide by Thompson-Reuters. He is the authorof the books Neuroimaging in Dementia and Clinical Applications of Func-tional Brain MRI.
Cumulatively, he has received in excess of €25 million in grant money fromvarious national and international funding agencies and has performed con-tract research for all major pharmaceutical companies, with a cumulativecontract value exceeding €15 million. More than 40 Ph.D. students havegraduated under his supervision and 3 of them have subsequently attained afull professorship.
Hans Rolf Jäger UCL Institute of Neurology, The National Hospital forNeurology and Neurosurgery and University College Hospital (UCH),London, UK
Department of Brain, Repair and Rehabilitation, Neuroradiological AcademicUnit, UCL Institute of Neurology, London, UK
Lysholm Department of Neuroradiology, National Hospital for Neurology andNeurosurgery, London, UK
Imaging Department, University College London Hospitals, London, UK
Rolf Jäger studied Medicine at the Universities of Freiburg, Germany, andMontpellier, France (as recipient of a bursary from the French government).He obtained his M.D. with “magna cum laude” at the University of Freiburgin 1983.
After 3 years in Internal Medicine, he underwent training in Radiology atthe Hammersmith Hospital, London, and obtained the Fellowship of the RoyalCollege of Radiologists in 1991. Subsequently, he trained in Neuroradiology atthe National Hospital for Neurology and Neurosurgery, Queen Square,London, and in Interventional Neuroradiology with Pierre Lasjaunias atHôpital Bicêtre, Paris.
Rolf Jäger became Consultant Neuroradiologist at the National Hospital forNeurology and Neurosurgery in 1997, with joint academic appointments at theUCL Institute of Neurology, where he was promoted to Full Professor inNeuroradiology in 2014.
xiv About the Editors
During the course of his career, Rolf Jäger has been implementing advancedMR imaging techniques, such as gadolinium-based perfusion techniques,hemorrhage-sensitive imaging (T2� and SWI), carotid plaque imaging, intra-cranial vessel wall imaging, and ASL perfusion imaging and angiography.
He thereby created platforms for clinical translational research, the resultsof which made seminal contributions to the understanding of disease processesand influenced patient management.
His clinical interest and research focus are cerebrovascular diseases, braintumors, as well as neuro-infection (in particular HIV), and neurodegenerativediseases.
He has been the imaging lead of several national and international multi-center clinical trials in these fields with an overall grant funding of £5.6million.
Rolf Jäger has built strong research collaborations with leading academicinstitutions in Europe, the USA, and South America, and regularly supervisesvisiting fellows from these institutions. He has supervised 16 Ph.D. students atthe UCL Institute of Neurology.
He has published 180 peer-reviewed articles, including several publicationsin the New England Journal of Medicine, Lancet Neurology, and Brain.
He has published 1 book and 25 book chapters and is editor of theNeuroimaging Section of Grainger and Allison’s Diagnostic Radiology.
Rolf Jäger was Chairman of the Publications Committee of the EuropeanSociety of Neuroradiology from 2004 to 2009 and has been a regular memberof the teaching faculty of the European Course of Neuroradiology, as well aseducational speaker at the European Congress of Radiology (ECR) since 2003.
As an internationally sought-after speaker. he has given 60 invited talks inthe past 5 years.
Majda M. Thurnher Section of Neuroradiology and MusculoskeletalRadiology, Department of Biomedical Imaging and Image-guided Therapy,University Hospital Vienna, Vienna, Austria
Majda Thurnher is Associate Professor of Radiology at theMedical Universityof Vienna since 2001. Her primary focus is on neuroradiology, especially CNSinfections, demyelinating diseases, and spinal imaging.
Her published work includes 70 scientific articles and 40 book chapters.She has contributed as a reviewer and editorial board member to numerous
About the Editors xv
national and international journals, including guest editorship of special issuesof European Radiology and Neuroimaging Clinics of North America. She waseditorial board member of European Radiology and American Journal ofNeuroradiology AJNR, and is currently editorial board member of Neurora-diology, and Associate Editor of Journal of Neuroradiology.
She has delivered more than 370 invited lectures at national and interna-tional meetings, and has been a regular member of the program planningcommittees for the European Congress of Radiology (ECR) European Societyof Neuroradiology (ESNR) annual meeting, and Co-director of the EuropeanCourse in Neuroradiology (ECNR).
At the ECR 2011, Professor Thurnher gave a prestigious “Pierre and MarieCurie Honorary Lecture.”
She has been invited as a Guest Professor at numerous European andAmerican universities, and became the very first recipient of “The JohnsHopkins Milosh Petrovich Travel Grant” in 2008.
She was awarded the European School of Radiology “ESOR TeachingAward” in 2013 and 2017. Thurnher is the Honorary Member of severalneuroradiological societies.
Thurnher has served as President of the European Society ofNeuroradiology-Diagnostic and Interventional (ESNR) from 2014 to 2016,and is currently a CEO of the European Board of Neuroradiology (EBNR).
Àlex Rovira Department of Radiology and Nuclear Medicine Vall d’HebronUniversity Hospital, Professor of Radiology and Neuroimmunology, Autono-mous University of Barcelona, Vall d’Hebron Research Institute (VHIR),Barcelona, Spain
Àlex Rovira is a full-time neuroradiologist, who gained his M.D. in 1983 at theAutonomous University of Barcelona. After formal training in Radiology atVall d’Hebron University Hospital (Barcelona), he undertook a visiting fel-lowship at Shands Hospital (Gainesville, University of Florida) in 1989. In1990, he became staff neuroradiologist at the Section of Neuroradiology atVall d’Hebron Hospital (Barcelona, Spain). Rovira is Director of the Section ofNeuroradiology at University Hospital Vall d’Hebron, Barcelona (Spain). Heis also Professor of Radiology and Neuroimmunology at the AutonomousUniversity of Barcelona.
xvi About the Editors
He is specialized in diagnostic neuroradiology and head and neck radiol-ogy, with particular interest in demyelinating diseases, stroke, neuro-oncology,hepatic encephalopathy, and head and neck tumors.
Rovira was past President of the European Society of Neuroradiology,member of the MAGNIMS (European Multicenter Collaborative ResearchNetwork on MRI in MS), member of the Executive Committee of the SpanishSociety of Radiology, and member of the World Federation of Neuroradiolog-ical Societies. He is on the editorial boards of the American Journal ofNeuroradiology, Neuroradiology, and the MS Forum, and member of theInternational Advisory Board on Clinical Trials in MS. He also served asPresident of the Spanish Society of Neuroradiology (2009–2015), on theLucien Appel Prize Award Jury of the European Society of Neuroradiology(2006–2012), as Editor of Neuroradiology in the Spanish Journal of Radiol-ogy, as Director of the 10th and 11th Cycles of the Pierre Lasjaunias EuropeanCourse of Neuroradiology (2008–2012), and as Chairman of MAGNIMS(2012–2018). Rovira has authored or coauthored more than 330 articles,30 book chapters or monographs, and more than 400 invited conferencepresentations. He has an H-index of 56.
He has been invited as Visiting Professor at the University of Toronto, atMcGill University (Montreal), at Lysholm Department of Neuroradiology(UCL, London), at Ottawa University, and at the University of North Carolina(Chapel Hill). In 2019, he will become honorary member of the PaulistaSociety of Radiology and of the Polish Society of Radiology.
About the Editors xvii
About the Section Editors
Hans Rolf Jäger UCL Institute of Neurology, The National Hospital forNeurology and Neurosurgery and University College Hospital (UCH),London, UK
Department of Brain, Repair and Rehabilitation, Neuroradiological AcademicUnit, UCL Institute of Neurology, London, UK
Lysholm Department of Neuroradiology, National Hospital for Neurology andNeurosurgery, London, UK
Imaging Department, University College London Hospitals, London, UK
xix
Àlex Rovira Department of Radiology and Nuclear Medicine, Vall d’HebronUniversity Hospital, Professor of Radiology and Neuroimmunology, Autono-mous University of Barcelona, Vall d’Hebron Research Institute (VHIR),Barcelona, Spain
Majda M. Thurnher Section of Neuroradiology and Musculoskeletal Radi-ology, Department of Biomedical Imaging and Image-guided Therapy, Uni-versity Hospital Vienna, Vienna, Austria
Johan Van Goethem Associate Professor of Neuro-imaging and BiomedicalImaging Techniques, University of Antwerp, Antwerp, Belgium
Senior Staff Member, AZ Nikolaas, Sint-Niklaas, Belgium
Consultant, Antwerp University Hospital, Antwerp, Belgium
President, European Society of Neuroradiology, Regensdorf, Switzerland
xx About the Section Editors
Charles Romanowski Consultant Neuroradiologist and Honorary ClinicalSenior Lecturer in Neuroradiology, Sheffield Teaching Hospital NHS Foun-dation Trust, University of Sheffield, Sheffield, UK
Department of Neuroradiology, Royal Hallamshire Hospital, Sheffield, UK
Nuria Bargalló Radiology Department, Clinic Image Diagnostic Center(CDIC), Hospital Clinic of Barcelona and Magnetic Resonance Image CoreFacility, IDIBAPS, Barcelona, Spain
Andrea Rossi Head, Neuroradiology Unit, IRCCS Istituto Giannina Gaslini,Genoa, Italy
About the Section Editors xxi
Rudiger Von Kummer Universitätsklinikum Carl Gustav Carus, Dresden,Germany
Institut und Poliklinik für Neuroradiologie, Dresden, Saxonia, Germany
Sven Haller CIRD – Centre d’Imagerie Rive Droite, Genève, Switzerland
Department of Surgical Sciences, Radiology, Uppsala University, Uppsala,Sweden
Faculty of Medicine, University of Geneva, Geneva, Switzerland
Mike Wattjes Department of Diagnostic and Interventional Neuroradiology,Hannover Medical School, Hannover, Germany
xxii About the Section Editors
Andrea Falini Professor of Neuroradiology, IRCCS San Raffaele ScientificInstitute and Vita-Salute San Raffaele University, Milan, Italy
Mario Muto Department High Technology, Neuroradiology, Cardarelli Hos-pital, Naples, Italy
Tarek A. Yousry University College London, London, UK
About the Section Editors xxiii
Contributors
Juan Alvarez-Linera Neuroradiology, Hospital Ruber Internacional,Madrid, Spain
César Augusto Alves Neuroradiology Division, Children’s Hospital of Phil-adelphia, Philadelphia, PA, USA
Nicoletta Anzalone Neuroradiology Unit and CERMAC, Vita-Salute SanRaffaele University and IRCCS San Raffaele Scientific Institute, Milan, Italy
Maria I. Argyropoulou Department of Clinical Radiology and Imaging,Medical School, University of Ioannina, Ioannina, Greece
Cristina Auger Department of Radiology, Hospital Universitari Valld’Hebron, Barcelona, Spain
Umesh A. Badrising Department of Neurology, K5Q, Leiden UniversityMedical Centre, Leiden, The Netherlands
Nuria Bargalló Radiology Department, Clinic Image Diagnostic Center(CDIC), Hospital Clinic of Barcelona and Magnetic Resonance Image CoreFacility, IDIBAPS, Barcelona, Spain
Frederik Barkhof Department of Radiology and Nuclear Medicine, VUUniversity Medical Centre (VUmc), Amsterdam, The Netherlands
UCL Institutes of Biomedical Engineering and Neurology, London, UK
Christen D. Barras Department of Radiology, Royal Adelaide Hospital,Adelaide, SA, Australia
South Australian Health and Medical Research Institute, The University ofAdelaide, Adelaide, SA, Australia
Luisa Biscoito Neuroradiology Department, University Hospital SantaMaria, Lisbon, Portugal
Sotirios Bisdas The National Hospital for Neurology and Neurosurgery,University College London Hospitals NHS Trust, London, UK
Great Ormond Street Hospital for Children, London, UK
Institute of Neurology, University College London, London, UK
Eberhard Karls University, Tübingen, Germany
xxv
Lysholm Department of Neuroradiology, London, UK
Department of Brain Repair and Rehabilitation, Queen Square Institute ofNeurology, UCL, London, UK
Clinical Lead Neurooncology, Institute of Healthcare Engineering, UniversityCollege London, London, UK
Joanna Bladowska Department of General Radiology, Interventional Radi-ology and Neuroradiology, Wroclaw Medical University, Wroclaw, Poland
Jasmina Boban Faculty of Medicine, Department of Radiology, Universityof Novi Sad, Novi Sad, Serbia
Fabrice Bonneville Department of Neuroradiology, Hôpital Pierre PaulRiquet, CHU Purpan, Toulouse, France
Stephanie Vanden Bossche Department of Radiology, AZ St-Jan Brugge-Oostende, Bruges, Belgium
Department of Radiology, AZ Jan Palfijn, Ghent, Belgium
Sarah Cappelle Department of Radiology, University Hospitals KU Leuven,Leuven, Belgium
Francesco Carletti Lysholm Department of Neuroradiology, NationalHospital for Neurology and Neurosurgery (NHNN), and University CollegeHospital (UCH), London, UK
Robert Yves Carlier Hôpitaux Universitaires Paris-Ile-de-France Ouest,Raymond Poincaré Hospital, Garches, France
INSERM U 1179, University of Versailles Saint-Quentin-en-Yvelines(UVSQ), Versailles, France
Service d’Imagerie Médicale, Hôpital Raymond Poincaré, Garches, France
MarCarreño Epilepsy Unit, Neurology Department, Neuroscience Institute,Hospital Clinic of Barcelona and IDIBAPS, Barcelona, Spain
Jan W. Casselman Department of Radiology, AZ St-Jan Brugge-Oostende,Bruges, Belgium
Department of Radiology, AZ St-Augustinus, Antwerp, Belgium
Ghent University, Ghent, Belgium
Antonella Castellano Neuroradiology Unit and CERMAC, Vita-Salute SanRaffaele University and IRCCS San Raffaele Scientific Institute, Milan, Italy
Wui K. Chong UCL Institute of Child Health, London, UK
Asim F. Choudhri Department of Radiology, University of Tennessee HealthScience Center, Memphis, TN, USA
Department of Neurosurgery, University of Tennessee Health Science Center,Memphis, TN, USA
Department of Ophthalmology, University of Tennessee Health Science Cen-ter, Memphis, TN, USA
xxvi Contributors
Le Bonheur Neuroscience Institute, Le Bonheur Children’s Hospital, Mem-phis, TN, USA
Nadia Colombo Neuroradiology Department, Centro Regionale Chirurgiadell’Epilessia “Claudio Munari”, ASST Grande Ospedale MetropolitanoNiguarda Cà Granda, Milano, Italy
Ian Craven Department of Neuroradiology, Leeds Teaching Hospitals,Leeds, UK
Felice D’Arco Great Ormond Street Hospital for Children, London, UK
Guy’s and St Thomas’ NHS foundation Trust, London, UK
Bert De Foer Department of Radiology, AZ St-Augustinus, Antwerp,Belgium
Laiz Laura de Godoy Neuroradiology Section, Hospital das Clínicas-HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo,Brazil
Marianne de Visser Department of Neurology, Academic Medical Centre,University of Amsterdam, Amsterdam, The Netherlands
Sven Dekeyzer Department of Radiology, Antwerp University Hospital(UZA), Edegem, Belgium
Philippe Demaerel Department of Radiology, University Hospitals KU Leu-ven, Leuven, Belgium
Birgit Ertl-Wagner Department of Medical Imaging, The Hospital for SickChildren, University of Toronto, Toronto, ON, Canada
Andrea Falini Neuroradiology, IRCCS San Raffaele Scientific Institute andVita-Salute San Raffaele University, Milan, Italy
Tomás Freddi Hcor - Hospital do Coração, São Paulo, Brazil
Valentina Garibotto Faculty of Medicine, Geneva University, Geneva,Switzerland
Division of Nuclear Medicine andMolecular Imaging, Department of MedicalImaging and Informatics, Geneva University Hospitals, Geneva, Switzerland
Roberto Gasparotti Neuroradiology Unit, University Hospital SpedaliCivili di Brescia, Brescia, Italy
Department of Medical and Surgical Specialties, Radiological Sciences andPublic Health, Section of Neuroradiology, University of Brescia, Brescia, Italy
Nadine Girard Service de Neuroradiologie Diagnostique etInterventionnelle, Hôpital la Timone, APHM, Marseille, France
CNRS, CRMBM, UMR 7339, Aix-Marseille Université, Marseille, France
Francesco Giurazza Vascular and Interventional Radiology Department,Cardarelli Hospital, Naples, Italy
Contributors xxvii
Claudia Godi Neuroradiology Department, Division of Neuroscience,IRCCS San Raffaele Scientific Institute, Milan, Italy
Beatriz Gomez-Anson Hospital Santa Creu i Sant Pau, Universitat Auto-noma, Barcelona, Spain
Fabricio Guimaraes Goncalves Neuroradiology division, Children’s Hos-pital of Philadelphia, Philadelphia, PA, USA
Gianluigi Guarnieri Department High Technology, Neuroradiology,Cardarelli Hospital, Naples, Italy
Jean-François Hak Service de Neuroradiologie Diagnostique etInterventionnelle, Hôpital la Timone, APHM, Marseille, France
Sven Haller CIRD – Centre d’Imagerie Rive Droite, Geneva, Switzerland
Department of Surgical Sciences, Radiology, Uppsala University, Uppsala,Sweden
Faculty of Medicine, University of Geneva, Geneva, Switzerland
Prasad Hanagandi Department of Diagnostic Imaging, Division of PediatricNeuroradiology, Sidra Medical and Research Center, Doha, Qatar
Charlie Chia-Tsong Hsu Division of Neuroradiology, Department of Med-ical Imaging, Gold Coast University Hospital, Southport, QLD, Australia
Division of Neuroradiology, Queensland Diagnostic Imaging, Healius HealthCare, Varsity Lakes, QLD, Australia
Thierry A. G. M. Huisman Edward B. Singleton Department of Radiology,Texas Children’s Hospital, Houston, TX, USA
Mark S. Igra Department of Neuroradiology, Leeds Teaching HospitalsNHS Trust, Leeds, UK
Civan Islak Department of Radiology, Division of Neuroradiology,Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
Roberto Izzo Department of Radiology, Fondazione IRCCS “Casa Sollievodella Sofferenza“, San Giovanni Rotondo, Foggia, Italy
Diagnostic and Interventional Neuroradiology, Cardarelli Hospital, Naples,Italy
Hans Rolf Jäger UCL Institute of Neurology, The National Hospital forNeurology and Neurosurgery and University College Hospital (UCH),London, UK
Department of Brain, Repair and Rehabilitation, Neuroradiological AcademicUnit, UCL Institute of Neurology, London, UK
Lysholm Department of Neuroradiology, National Hospital for Neurology andNeurosurgery, London, UK
Imaging Department, University College London Hospitals, London, UK
G. Jamneala Department of Neuroradiology, Faculty of Medicine, MedicalCenter – University of Freiburg, Freiburg, Germany
xxviii Contributors
Hermien E. Kan C.J. Gorter Center for High Field MRI, Department ofRadiology, C3Q, Leiden University Medical Centre, Leiden, The Netherlands
Philipp Kickingereder Department of Neuroradiology, Heidelberg Univer-sity Hospital, Heidelberg, Germany
Rudolf Andre Kley Department of Neurology and Clinical Neurophysiol-ogy, St. Marien-Hospital Borken, Borken, Germany
Department of Neurology, Heimer Institute for Muscle Research, UniversityHospital Bergmannsheil, Ruhr-University Bochum, Bochum, Germany
Naci Kocer Department of Radiology, Division of Neuroradiology,Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
Marinos Kontzialis Section of Neuroradiology, Department of Radiologyand Nuclear Medicine, Rush University Medical Center, Chicago, IL, USA
Timo Krings Joint Department of Medical Imaging, Toronto Western Hos-pital and University Health Network, Toronto, ON, Canada
Atul Kumar Department of Neurodegenerative Disease, UCL Institute ofNeurology and Division of Neuropathology, London, UK
Michela Leali Radiology resident, University of Brescia, Brescia, Italy
Carlo Augusto Mallio Department of Diagnostic Imaging, CampusBiomedico University, Rome, Italy
Kshitij Mankad Department of Neuroradiology, Institutes of Neurology andHealthcare Engineering, University College London, London, UK
Stefano Marcia Neuroradiology Department, Santissima Trinità Hospital,Cagliari, Italy
Patrick John McMullan Department of Neurosurgery, Sheffield TeachingHospitals NHS Foundation Trust, Sheffield, UK
P. T. Meyer Department of Nuclear Medicine, Faculty of Medicine, MedicalCenter – University of Freiburg, Freiburg, Germany
Vasiliki C. Mouka Department of Clinical Radiology and Imaging, MedicalSchool, University of Ioannina, Ioannina, Greece
Mario Muto Department High Technology, Neuroradiology, Cardarelli Hos-pital, Naples, Italy
Massimo Muto Department of Neurosciences and Reproductive andOdontostomatological Sciences, University of Napels Federico II, Napels,Italy
Paul M. Parizel Department of Radiology, Antwerp University Hospital(UZA), Edegem, Belgium
Friedemann Paul Clinical and Experimental Multiple Sclerosis ResearchCenter and NeuroCure Clinical Research Center, Department of Neurology,Charité-Universitätsmedizin, Berlin, Germany
Contributors xxix
Julija Pavaine Department of Paediatric Radiology, Royal Manchester Chil-dren’s Hospital, The University of Manchester, Manchester Academic HealthScience Centre, Manchester, UK
Soeren Andrew Peters Radiologie Herne, Herne, Germany
Vanessa Pfahler Department of Radiology, Ludwig-Maximilians-UniversityMunich, Munich, Germany
Francesca Benedetta Pizzini Neuroradiology, Department of Diagnosticsand Pathology, Verona University Hospital, Verona, Italy
Letterio Salvatore Politi IRCCS Istituto Clinico Humanitas, HumanitasUniversity, Milan, Italy
Teresa Popolizio Department of Radiology, Fondazione IRCCS “CasaSollievo della Sofferenza”, San Giovanni Rotondo, Foggia, Italy
Section of Neuroradiology. Department of Radiology, S. Giovanni RotondoHospital, Foggia, Italy
Elias Pretorius Morton and Partners Radiologists, Cape Town, South Africa
Susana Quijano-Roy Unit of Neuromuscular Disorders, Departments ofPediatric Neurology, Intensive Care and Rehabilitation, Assistance Publiquedes Hôpitaux de Paris (APHP) Hôpitaux Universitaires Paris-Ile-de-FranceOuest, Garches, France
INSERM U 1179, University of Versailles Saint-Quentin-en-Yvelines(UVSQ), Versailles, France
Saipriya Ramji Department of Neuroradiology, Imperial College HealthcareNHS Trust, London, UK
D. Redaelli Neuroimaging Laboratory Scientific Institute IRCCS EugenioMedea, Lecco, Italy
Charles Anthony Józef Romanowski Department of Neuroradiology, Shef-field Teaching Hospitals NHS Foundation Trust, University of Sheffield,Sheffield, UK
Margaux Roques Department of Neuroradiology, Hôpital Pierre PaulRiquet, CHU Purpan, Toulouse, France
Cristina Rosazza Neuroradiology Department, Fondazione IRCCS IstitutoNeurologico Carlo Besta, Milano, Italy
Andrea Rossi IRCCS Istituto Giannina Gaslini Children’s Hospital, Genoa,Italy
Àlex Rovira Department of Radiology and Nuclear Medicine Vall d’HebronUniversity Hospital, Professor of Radiology and Neuroimmunology, Autono-mous University of Barcelona, Vall d’Hebron Research Institute (VHIR),Barcelona, Spain
xxx Contributors
Zoran Rumboldt Department of Radiology, University of Rijeka School ofMedicine, Rijeka, Croatia
Department of Radiology and Radiological Science, Medical University ofSouth Carolina, Charleston, SC, USA
Telemedicine Clinic, Barcelona, Spain
Esther Sánchez Aliaga Radiology and Nuclear Medicine, VU UniversityMedical Centre, Amsterdam, The Netherlands
Silvana Sarria-Estrada MR Unit, Radiology Department, Vall d’HebronUniversity Hospital, Barcelona, Spain
Marek J. Sąsiadek Department of General Radiology, Interventional Radi-ology and Neuroradiology, Wroclaw Medical University, Wroclaw, Poland
Bernhard Schuknecht Diagnostic, Vascular and Interventional Neuroradi-ology, Medical Radiological Institute, Zurich, Switzerland
Stefan Schwarz Department of Radiology, Neuroradiology, University Hos-pital of Wales, Cardiff and Vale University Health Board, Cardiff, UK
Cardiff University Brain Research Imaging Centre (CUBRIC), School ofPsychology, Cardiff University, Cardiff, UK
Radiological Sciences, Division of Clinical Neuroscience, School of Medi-cine, Nottingham, UK
Sir PeterMansfield ImagingCentre,University ofNottingham,Nottingham,UK
Xavier Setoain Nuclear Medicine Department, Clinic Image DiagnosticCenter (CDIC), Hospital Clinic of Barcelona and CIBER-BBN, Barcelona,Spain
Robin Smithuis Department of Radiology, Alrijne Hospital, Leiderdorp, TheNetherlands
Marion Smits Department of Radiology and Nuclear Medicine, ErasmusMC, University Medical Centre, Rotterdam, The Netherlands
Martina Špero Department of Radiology, Dubrava University Hospital,University of Zagreb, Zagreb, Croatia
StavrosMichael Stivaros RoyalManchester Children’s Hospital, Universityof Manchester, Manchester, UK
Patricia Svrckova Department of Neuroradiology, National Hospital forNeurology and Neurosurgery, University College Hospitals London, London,UK
Leroy ten Dam Department of Neurology, Academic Medical Centre, Uni-versity of Amsterdam, Amsterdam, The Netherlands
Dominic Thompson Department of Paediatric Neurosurgery, Great OrmondStreet Hospital, London, UK
Contributors xxxi
Majda M. Thurnher Section of Neuroradiology and Musculoskeletal Radi-ology, Department of Biomedical Imaging and Image-guided Therapy, Uni-versity Hospital Vienna, Vienna, Austria
Stefanie Thust Department of Brain, Repair and Rehabilitation, Neuroradio-logical Academic Unit, UCL Institute of Neurology, London, UK
Lysholm Department of Neuroradiology, National Hospital for Neurology andNeurosurgery, London, UK
Imaging Department, University College London Hospitals, London, UK
Manuel Toledo Epilepsy Unit, Neurology Department, Vall d’Hebron Uni-versity Hospital, Barcelona, Spain
H. Urbach Department of Neuroradiology, Faculty of Medicine, MedicalCenter – University of Freiburg, Freiburg, Germany
Luc van den Hauwe Department of Radiology, Antwerp University Hospital(UZA), Edegem, Belgium
Department of Radiology, AZ KLINA, Brasschaat, Belgium
Aad van der Lugt Department of Radiology and Nuclear Medicine, ErasmusMC, University Medical Center Rotterdam, Rotterdam, The Netherlands
Johan W. Van Goethem Department of Radiology, Antwerp UniversityHospital and AZ Nikolaas, Edegem, Belgium
Belgium and Algemeen Ziekenhuis Nikolaas, Sint-Niklaas, Belgium
Thijs Vande Vyvere Department of Radiology, Antwerp University Hospital(UZA), Edegem, Belgium
Antwerp Surgical Training and Anatomy Research Centre (ASTARC), Uni-versity of Antwerp, Antwerp, Belgium
Hrvoje Vavro Department of Radiology, Dubrava University Hospital, Uni-versity of Zagreb, Zagreb, Croatia
Telemedicine Clinic, Barcelona, Spain
Meike W. Vernooij Department of Epidemiology, Department of Radiologyand Nuclear Medicine, Erasmus MC University Medical Center, Rotterdam,The Netherlands
Pedro Vilela Hospital Beatriz Ângelo, Loures – Lisbon, Portugal
Hospital da Luz, Lisbon, Portugal
Hospital Garcia de Orta, Almada, Portugal
Diagnostic and Interventional Neuroradiology Graduate Consultant, Hospitalda Luz, Lisbon, Portugal
Paolo Vitali Department of Neuroradiology, IRCCS Mondino Foundation,Pavia, Italy
René van den Berg Department of Radiology and Nuclear Medicin Amster-dam UMC, University of Amsterdam, Amsterdam, The Netherlands
xxxii Contributors
Rüdiger von Kummer Institute and Policlinic of Diagnostic and Interven-tional Neuroradiology, University Hospital Carl Gustav Carus, Dresden,Germany
Richard Roger Warne Department of Medical Imaging, Perth Children’sHospital, Perth, WA, Australia
Envision Medical Imaging, Perth, WA, Australia
Daniel J. Warren Department of Neuroradiology, Leeds General Infirmary,Leeds, UK
Marc-André Weber Institute of Diagnostic and Interventional Radiology,University Medical Center Rostock, Rostock, Germany
Marcel Wolf Department of Neuroradiology, University of Heidelberg, Hei-delberg, Germany
Jens Wuerfel MIAC AG and Department of Biomedical Engineering, Uni-versity Basel, Basel, Switzerland
NeuroCure Clinical Research Center, Charité-Universitaetsmedizin, Berlin,Germany
Vasileios G. Xydis Department of Clinical Radiology and Imaging, MedicalSchool, University of Ioannina, Ioannina, Greece
Adam Kenji Yamamoto Lysholm Department of Neuroradiology, NationalHospital for Neurology and Neurosurgery, London, UK
Department of Brain Repair and Rehabilitation, UCL Queen Square Instituteof Neurology, London, UK
Tarek A. Yousry University College London, London, UK
Anna Zimny Department of General Radiology, Interventional Radiologyand Neuroradiology, Wroclaw Medical University, Wroclaw, Poland
Contributors xxxiii