AJDRAJNR - American Journal of Neuroradiology

This Article
Right arrow Abstract Freely available
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Tokumaru, A. M.
Right arrow Articles by Kusano, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Tokumaru, A. M.
Right arrow Articles by Kusano, S.

Intracranial Meningeal Involvement in Churg-Strauss Syndrome

Aya M. Tokumarua, Tatsuo Obatab, Shinya Kohyamaa, Tatsumi Kajia, Hiromi Okizukaa, Kimihiro Suzukib and Shoichi Kusanoa

a Department of Radiology, National Defense Medical College, Saitama, Japan
b Department of Internal Medicine, National Defense Medical College, Saitama, Japan



View larger version (147K):

[in a new window]
  		FIG 1. MR findings in a 54-year-old woman with CSS.

A, Axial T2-weighted image (3500/120/2 [TR/TE/excitations]) shows a hypointense plaquelike lesion (arrows) involving dura of the left cavernous sinus and superior ophthalmic fissure.

B, Axial T1-weighted image (600/15/1) shows that the lesion (arrows) is isointense to brain.

C, Axial contrast-enhanced T1-weighted image (600/15/1) shows abnormal enhancement of the lesion (arrows) around the left cavernous sinus and the superior ophthalmic fissure.

D, Coronal T2-weighted image (3500/120/2) shows hypointense nodules (small arrows) in the bilateral lateral recess of the fourth ventricle. Dilatation of the lateral ventricle is shown (large arrows).

E, Axial contrast-enhanced T1-weighted image (600/15/1) shows enhancing nodular lesions in the fourth ventricle, extending to bilateral lateral recess (arrows).

F, Coronal contrast-enhanced T1-weighted image (600/15/1) shows enhancing nodular lesions (arrows) in the fourth ventricle that extend to the bilateral lateral recess.

G, Axial T2-weighted image (3500/120/2) shows hypointense lesion (arrow) along the anterior falx cerebri.

H, Axial contrast-enhanced T1-weighted image (600/15/1) shows thickened enhancement along the anterior falx cerebri (arrow).

I, Axial contrast-enhanced T1-weighted image (600/15/1), obtained 9 months after treatment with steroids and immunosuppressants, shows reduction of the abnormal enhancing lesions around the left cavernous sinus and superior ophthalmic fissure (arrows).

J, Axial contrast-enhanced image (600/15/1), obtained at the same time as that shown in panel I, shows nodular lesions (arrows) smaller than those at treatment.

K, Axial contrast-enhanced image (600/15/1), obtained at the same time as those shown in panels I and J, shows a decrease in degree of enhancement along the falx cerebri (arrow) and improvement of the hydrocephalus.





Copyright © 2009 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X