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Neuroradiology

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01-12-2010 | Diagnostic Neuroradiology

Added value of contrast-enhanced CISS imaging in relation to conventional MR images for the evaluation of intracavernous cranial nerve lesions

Authors: Akiko Yagi, Noriko Sato, Ayako Takahashi, Hideo Morita, Makoto Amanuma, Keigo Endo, K. Takeuchi

Published in: Neuroradiology | Issue 12/2010

Abstract

Introduction

The normal cranial nerves (CNs) of the cavernous sinus can be clearly demonstrated using contrast-enhanced constructive interference in steady-state (CISS) magnetic resonance imaging (MRI). This study used the method to evaluate pathological CNs III, IV, V₁, V₂, and VI in cavernous sinuses affected by inflammatory and neoplastic diseases.

Methods

MR images from 17 patients with diseases involving the cavernous sinuses and/or causing neuropathy in CNs III–VI were retrospectively evaluated. The patients were divided into inflammatory (n = 11) and neoplastic (n = 6) groups. We defined CNs as abnormal when they exhibited enlargement or enhancement. CNs were evaluated using both contrast-enhanced CISS and T1-weighted MRI.

Results

In the inflammatory group, abnormal CNs were identified by contrast-enhanced CISS MRI in 13 of 25 symptomatic CNs (52%) in eight patients, but in only two CNs (8%) in two patients by contrast-enhanced T1-weighted MRI. In the neoplastic group, both sequences of contrast-enhanced CISS and T1-weighted MRI detected abnormalities in the same three of eight symptomatic CNs (37.5%), i.e., the three CNs were all in the same patient with adenoid cystic carcinoma.

Conclusion

Contrast-enhanced CISS MRI is useful for detecting CN abnormalities in inflammatory pathological conditions of the cavernous sinuses.

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Title: Added value of contrast-enhanced CISS imaging in relation to conventional MR images for the evaluation of intracavernous cranial nerve lesions
Authors: Akiko Yagi
Noriko Sato
Ayako Takahashi
Hideo Morita
Makoto Amanuma
Keigo Endo
K. Takeuchi
Publication date: 01-12-2010
Publisher: Springer-Verlag
Published in: Neuroradiology / Issue 12/2010
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI: https://doi.org/10.1007/s00234-010-0690-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Added value of contrast-enhanced CISS imaging in relation to conventional MR images for the evaluation of intracavernous cranial nerve lesions

Abstract

Introduction

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

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