Neuroradiology/Head And Neck Flashcards
MC primary ADULT brain tumor
“MAO”
MENINGIOMA
“MAO”: 1. Meningioma, 2. Astrocytoma, 3. Oligo
MC MALIGNANT ADULT Brain Tumor
GLIOBLASTOMA MULTIFORME (GBM)
Six Facial Nerve Branches?
“I love Going To Manila Philippines”
“Go To Manila normally enhance”
Intracanalicular Labyrinthe Geniculate - normally enhance Tympanic - normally enhance Mastoid - normally enhance Parotid
Foramen Rotundum and Foramen Ovale nerve contents
“RotaMax and Ovaman”
Foramen Rotundum
- Maxillary branch of the trigeminal nerve
Foramen Ovale
- Mandibular branch of the trigeminal nerve
San level nagpipierce ang stensen’s duct sa buccinator?
Upper (maxillary) 2nd molar
Not a COLLISION TUMOR?
GLIOSARCOMA
Origin of Ependymoma and Medulloblastoma?
“FERM”
Ependymoma sa FLOOR galing
Medulloblastoma sa ROOF galing
Bukol na may tiger stripe pattern?
LDD
Disease na may eye of the tiger sign?
PKAN and Organophosphate poisoning
Mass na pwede sabay sella/suprasella at pineal gland?
Germinoma
MC overall cancer of infants
NEUROBLASTOMA
Lesion na may hair on end spicules ng periosteal bone?
NEUROBLASTOMA (neuro is head so related sa hair)
Pwede din sa Ewing’s
Neck cyst na related sa mga WIND BLOWING instrument user?
LARYNGOCOELE
Neck cyst na may tail sign?
Diving ranula
- Ang ranula sa sublingual space lang (bulk)
- pag diving , nag dive siya sa submandibular at minsan sa
parapharyngeal space - SIMPLE RANULA
- anterior and above the mylohyoid
- DIVING RANULA
- posterior to the mylohyoid
Chromosome affected in VHL?
3 letters ang VHL
- Kaya CHROMOSOME 3
Location ng 1st branchial cleft cyst?
Periparotid
LI,M.D. - Hernia specialist
Lateral to the inferior epigastric vein: INDIRECT HERNIA
Medial to the inferior epigastric vein: DIRECT HERNIA
Most important nerve sa carotid space ?
Vagus nerve (Cranial Nerve 10)
MC, 2nd MC and 3rd MC cause of proptosis?
- Pseudotumor
- Cavernous Hemangioma
- Orbital Lymphoma
Leukemia masses are called?
Chloromas
Big Five (Pituitary Brain tumors)
“MaMe AsAn Ca”
mommy asan ka?
Macroadenoma, Meningioma, Aneurysm, Astrocytoma, Craniopharyngioma
MC complication of chronic sinusitis?
Polyps
Difference of Craniopharyngioma and Rathke Cleft Cyst?
Calcification
MC nonglial tumor in children?
Craniopharyngioma
Largest and most developed sinus group at birth
“ME First”
Maxillary sinus
MC primary intraocular malignancy in adult?
Uveal Melanoma
Direction of myelination ng brain?
“My Bestfriend IS a 20y/o CutiePie”
Myelination Back to Front Inferior to Superior 20 weeks myelination Central to Peripheral
DureT Hemorrhage (type of brain herniation)
Descending Transtentorial Herniation
MEN Type 1: “PPP”
MEN Type 2a (Sipple Syndrome): “PPM”
MEN Type2b (Mucosal Neuroma Syndrome): “PMM”
I: “PPP”
- Pituitary, Parathyroid, Pancreas
2a: “PPM”
- Parathyroid hyperplasia
- Pheochromocytoma (50%)
- Medullary carcinoma of thyroid (almost 100%)
2b: “PMM”
- Pheochromocytoma
- Medullary carcinoma of thyroid
- Mucosal neuroma = oral + intestinal neurogangliomatosis; pathognomonic (Marfanoid facies)
Swiss cheese sign (neuro)
Central Neurocytoma
5 components of the Ostiomeatal Unit
“AEIOU” or “BUHIM”
- hiAtus semilunaris
- Ethmoid bulla
- Infundibulum
- maxillary Ostium
- Uncinate process (removed during FESS)
OR
- ethmoid Bulla
- Uncinate process (removed during FESS)
- Hiatus semilunaris
- Infundibulum
- Maxillary ostium
Extra-axial hemorrhage which crosses midline but does not cross suture lines?
EPIDURAL hemorrhage
Extra-axial hemorrhage which DOES NOT CROSS MIDLINE
but crosses suture lines?
SUBDURAL and SUBGALEAL hematoma
Pneumocephalus type described as:
- Unilateral, solitary
- Biconvex
- Does not move with changes in head position
Epidural pneumocephalus
Pneumocephalus type described as:
- Bilateral
- Crescentic
- Moves
- Air-fluid levels
- Surrounds cortical veins
Subdural pneumocephalus
MC cause of Temporal lobe epilepsy
Mesial Temporal Sclerosis
DDx for CPA mass (give 4)
- Schwannoma
- Meningioma
- Metastasis
- Vascular
Frontal lobe mass with CALCIFICATION
Oligodendroglioma
Butterfly tumors (4)
- GBM
- Lymphoma
- Mets
- Tumefactive Demyelination
DDx for “Cyst + Mural nodule” brain lesions (give 6)
- Ganglioglioma
- Mets
- GBM
- Pilocytic Astrocytoma
- Hemangioblastoma
- Pleomorphic Xanthoastrocytoma
MC CP cistern mass
Vestibular Schwannoma
MC suprasellar tumor of childhood
Craniopharyngioma
MC non-glial neoplasm in childhood
Craniopharyngioma
MC intracranial germ cell tumor?
Germinoma
MC pineal parenchymal tumor
Pineocytoma
MC primary intraventricular neoplasm in young and middle aged adults
Central Neurocytoma
2nd MC cause of tumor related temporal lobe epilepsy
DNET
MC cause of tumor related temporal lobe epilepsy
Ganglioglioma
3rd MC glial neoplasm
Oligodendroglioma
3rd MC posterior fossa tumor
Ependymoma
MC malignant posterior fossa tumor of childhood
Medulloblastoma
MC malignant CNS neoplasm of childhood?
MEDULLOBLASTOMA
2nd MC overall pediatric brain tumor?
Medulloblastoma (MC is Astrocytoma)
WHO Grade IV lesions (give 4)
“GaGo Pekpek Mo APAT”
- GBM
- Gliosarcoma
- Pineoblastoma
- Medulloblastoma
“GaGo Pekpek Mo APAT”
WHO Grade III (give 4)
- Anaplastic Astrocytoma
- Choroid Plexus CA
- Malignant Meningioma
- Pineal Parenchymal Tumor of Indeterminate Differentiation
“AnaCho Mame PP aT TATLO”
(anak ko mommy pipi at tatlo)
WHO Grade II (give 8)
“DALAWANG Pi-L-O-E-C-A Gamit PangGangbang”
- Pilomyxoid Astrocytoma
- Low Grade Diffuse Astrocytoma
- Oligodendroglioma
- Ependymoma
- Central Neurocytoma
- Atypical Meningioma
- Germinoma
- Pineal Parenchymal Tumor of Indeterminate Differentiation
- Ganglioma
“DALAWANG Pi-L-O-E-C-A Gamit PangGangbang”
WHO Grade I
- Typical Meningioma
- Pilocytic Astrocytoma
- SEGA
- Subependymoma
- Myxopapillary Ependymoma
- Choroid Plexus Papilloma
- Ganglioglioma
- DNET
- Dysplastic Cerebellar Gangliocytoma
- Schwannoma
- Neurofibroma
- Pineocytoma
- Craniopharyngioma
- Hemangioblastoma
Neurofibromatosis 1
Plexiform Neurofibroma (pathognomonic)
Neurofibromatosis 2
Bilateral Vestibular Schwannoma (pathognomonic)
Alobar Holoprosencephaly
Falx cerebri - absent Interhemispheric fissure - absent Septum pellucidum - absent Ventricles - Monoventricle Thalami, Basal ganglia - fused
Semilobar Holoprosencephaly
Falx cerebri - partial
Interhemispheric fissure - partial
Septum pellucidum - absent
Ventricles - rudimentary occipital and temporal horns (H-shaped)
Thalami, Basal ganglia - partially separated
Lobar Holoprosencephaly
Falx cerebri - well formed
Interhemispheric fissure - present, some anteroinferior fusion
Septum pellucidum - absent
Ventricles - squared off, dysplastic frontal horn
Thalami, Basal ganglia - separated