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Imaging the cranial nerves: part II: primary and secondary neoplastic conditions and neurovascular conflicts

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Abstract

There have been unprecedented improvements in cross-sectional imaging in the last decades. The emergence of volumetric CT, higher field MR scanners and higher resolution MR sequences is largely responsible for the increasing diagnostic yield of imaging in patients presenting with cranial nerve deficits. The introduction of parallel MR imaging in combination with small surface coils allows the depiction of submillimetric nerves and nerve branches, and volumetric CT and MR imaging is able to provide high quality multiplanar and curved reconstructions that can follow the often complex course of cranial nerves. Seeking the cause of a cranial nerve deficit is a common indication for imaging, and it is not uncommon that radiologists are the first specialists to see a patient with a cranial neuropathy. To increase the diagnostic yield of imaging, high-resolution studies with smaller fields of view are required. To keep imaging studies within a reasonable time frame, it is mandatory to tailor the study according to neuro-topographic testing. This review article focuses on the contribution of current imaging techniques in the depiction of primary and secondary neoplastic conditions affecting the cranial nerves as well as on neurovascular conflicts, an increasingly recognized cause of cranial neuralgias.

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Author notes

  1. Alexandra Borges

    Present address: , Rua da Junqueira 292, 2°, 1300-340, Lisboa, Portugal

Authors and Affiliations

  1. Radiology Department, Instituto Português de Oncologia Francisco Gentil- Centro de Lisboa, Rua Professor Lima Basto, 1093, Lisboa Codex, Portugal

    Alexandra Borges

  2. Department of Radiology, A. Z. St Jan Brugge and A. Z. St Augustinus Antwerpen Hospitals, Antwerp, Belgium

    Jan Casselman

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  1. Alexandra Borges
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  2. Jan Casselman
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Correspondence to Alexandra Borges.

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Borges, A., Casselman, J. Imaging the cranial nerves: part II: primary and secondary neoplastic conditions and neurovascular conflicts. Eur Radiol 17, 2332–2344 (2007). https://doi.org/10.1007/s00330-006-0572-z

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  • DOI: https://doi.org/10.1007/s00330-006-0572-z

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