Cross Sectional Imaging of Solitary Lesions of the Neurocranium

Abstract

Background Although a wide range of processes along the neurocranium are of a benign nature, there are often difficulties in the differential diagnosis.

Method In the review CT/MRI scans of the head were evaluated retrospectively regarding solitary lesions along the neurocranium. The majority of the lesions were histologically proven.

Results The purpose of the review is to present typical pathologies of the neurocranium and provide a systematic overview based on 12 entities, their locations, prevalence and radiological characteristics.

Conclusion Processes, which primarily originate from the neurocranium have to be differentiated from secondary processes infiltrating the neurocranium. For this important diagnostic feature, MRI is typically essential, while the definitive diagnosis is often made on the basis of the medical history and the typical appearance on computer tomography.

Key Points 

• There are often difficulties in the precise differential diagnosis of solitary lesions along the neurocranium. Typical solitary pathologies of the neurocranium based on 12 entities were presented. Both magnetic resonance imaging and computed tomography are often essential for an exact differential diagnosis.

Citation Format

• Schäfer M, Koch A, Streitparth F et al. Cross Sectional Diagnosis of Solitary Lesions of the Neurocranium. Fortschr Röntgenstr 2017; 189: 1135 – 1144

Key words

CT - MR imaging - solitary lesions of the neurocranium

• References

• 1 Lloret I, Server A, Taksdal I. Calvarial lesions: A radiological approach to diagnosis. Acta Radiol 2009; 50: 531-542
• 2 Garfinkle J, Melancon D, Cortes M. et al. Imaging pattern of calvarial lesions in adults. Skeletal Radiol 2011; 40: 1261-1273
• 3 Amaral L, Chiurciu M, Almeida JR. et al. MRI Imaging for evaluation of lesions of the cranial vault: a pictorial essay. Arq Neuropsiquiatr 2003; 61: 521-532
• 4 Ortiz O, Schochet S, Bastug D. Imaging evaluation and clinicopathologic correlation of mass lesions involving the calvaria. Part I: congenital and traumatic lesions. Int J Neuroradiol 1999; 5: 96-108
• 5 Miller TT. Bone tumors and tumorlike conditions: analysis with conventional radiography. Radiology 2008; 246: 662-674
• 6 Lang FF, Macdonald K, Fuller GN. et al. Primary extradural meningiomas: a report of nine cases and review of the literature from the era of computerized tomography scanning. J Neurosurg 2000; 93: 940-950
• 7 Pfatschenbacher A. Intraosseus meningioma: a case report and differential diagnosis. Fortschr Röntgenstr 2000; 172: 303-304
• 8 Daffner RH, Yakulis R, Maroon JC. Intraosseous Meningioma. Skeletal Radiol 1998; 27: 108-111
• 9 Spraul CW, Gareis O, Lang GK. Primary extradural meningioma of the orbits: a report of a patient and review of the literature. Klin Monatsbl Augenheilkd 1996; 209: 322-327
• 10 Elder JB, Atkinson R, Zee Ch-S. et al. Primary intraosseous meningioma. Neurosurg Focus 2007; 23: 1-9
• 11 Arana E, Diaz C, Latorre FF. et al. Primary intra-osseous meningiomas. Acta Radiol 1996; 37: 937-942
• 12 Arana E, Marti-Bonmati L. CT and MRI Imaging of focal calvarial lesions. Am J Roentgenol 1999; 172: 1683-1688
• 13 Oostvogel CW, Hüttenbrink KB. Pathogenesis of osteoma of the skull. Laryngorhinootologie 1991; 70: 87-89
• 14 Avrahami I, Even I. Osteoma of the inner table of the skull. Clin Radiol 2000; 55: 435-438
• 15 Murphey MD, Fairbairn KJ, Parman LM. et al. Musculoskeletal angiomatous lesions: radiologic-pathologic correlation. Radiographics 1995; 15: 893-917
• 16 Politi M, Romeike BFM, Papanagiotou P. et al. Intraosseous hemangioma of the skull with dural tail sign: radiologic features with pathologic correlation. Am J Neuroradiol 2005; 26: 2045-2052
• 17 Bastug D, Ortiz O, Schochet S. Haemangiomas in the calvaria: imaging findings. Am J Roentgenol 1995; 164: 683-687
• 18 Smirniotopuolos JG, Chiechi MV. Teratomas, dermoides and epidermoides of head and neck. Radiographics 1995; 15: 1437-1455
• 19 Hanft SJ, Komotar RJ, Raper DM. et al. Epidermoid tumors of the temporal lobe as epileptogenic foci. J Clin Neurosci 2011; 18: 1396-1399
• 20 Arana E, Latorre FF, Revert A. et al. Intradiploic epidermoid cysts. Neuroradiology 1996; 38: 306-311
• 21 Lisle DA, Monsour PA, Maskiell CD. Imaging of craniofacial fibrous dysplasia. J Med Imaging Radiat Oncol 2008; 52: 325-332
• 22 Ozaki T, Lindner N, Blasius S. Dedifferentia­ted chondrosarcoma in Albright syndrome. A case report and review of the literature. J Bone Joint Surg Am 1997; 79: 1545-1551
• 23 DiCaprio MR, Enneking WF. Fibrous dysplasia. Pathophysiology, evaluation and treatment. J Bone Joint Surg Am 2005; 87: 1848-1864
• 24 Fechner RE, Mills StE. (Hrsg) Tumor of the bones and Joints. Atlas of tumor pathology. Am Reg Pathol; 1992: 147-151
• 25 Willatt JMG, Quaghebeur G. Calvarial masses of infants and children. A radiological approach.. Clin Radiol 2004; 59: 474-486
• 26 Chung EM, Murphey MD, Specht CS. et al. Pediatric orbit tumors and tumorlike lesions: osseous lesions of the orbit. Radiographics 2008; 28: 1193-1214
• 27 Jee W-H, Choi K-H, Choe B-Y. Fibrous dysplasia: MRI imaging characteristics with radiopathologic correlation. Am J Roentgenol 1996; 167: 1523-1527
• 28 Ryu J, Cheong JH, Kim JH. et al. Delayed infection following cranioplasty. J Kor Neurotraumatol Soc 2005; 1: 110-113
• 29 Davies BM, Jones A, Patel HC. Implementation of a care bundle and evaluation of risk factors for surgical site infection in cranial neurosurgery. Clin Neurol Neurosurg 2016; 144: 121-125
• 30 Carter RMS, Anslow P. Imaging of the Calvarium. Semin Ultrasound CT MRI 2009; 30: 465-491
• 31 Kumar YP, Agrawal J, Mohanlakshmi J. et al. Langerhans cell histiocytosis revisited: Case report with review. Contemp Clin Dent 2015; 6: 432-436
• 32 Azouz EM, Saigal G, Rodriguez MM. et al. Langerhans’ cell histiocytosis: pathology, imaging and treatment of skeletal involvement. Pediatr Radiol 2005; 35: 103-115
• 33 Okamoto K, Ito J, Furusawa T. et al. Imaging of calvarial eosinophil granuloma. Neuroradiology 1999; 41: 723-728
• 34 Leonidas JC, Guelfguat M. Valderrama. Langerhans' cell histiocytosis. Lancet 2003; 361: 1293-1295
• 35 David R, Oria RA, Kumar R. et al. Radiologic features of eosinophilic granuloma of bone. Am J Roentgenol 1989; 153: 1021-1026
• 36 Mitra I, Duraiswamy M, Benning J. et al. Imaging of focal calvarial lesions. Clin Radiol 2016; 71: 389-398
• 37 Krasnokutsky M. The button sequestrum sign. Radiology 2005; 236: 1026-1027
• 38 Guermazi A, Lafitte F, Miaux Y. et al. The dural tail sign d beyond meningioma. Clin Radiol 2005; 60: 171-188
• 39 Yalcin O, Yildirim T, Kizilkilic O. et al. CT and MRI findings in calvarial non-infectious lesions. Diagn Interv Radiol 2007; 13: 68-74
• 40 Hosking D, Meunier PJ, Ringe JD. et al. Paget's disease of bone: diagnosis and management. Brit Med J 1996; 312: 491-494
• 41 Cortis K, Micallef K, Mizzi A. Imaging Paget’s disease of bone d from head to toe. Clin Radiol 2011; 66: 662-672
• 42 Mitsuya K, Nakasu Y, Horiguchi S. et al. Metastatic skull tumours: MRI features and a new conventional classification. J Neurooncol 2011; 104: 239-245
• 43 Stark AM, Eichmann T, Mehdorn HM. Skull metastases: clinical features, differential diagnosis, and review of the literature. Surg Neurol 2003; 60: 219-226
• 44 Egelhoff JC, Zalles C. Unusual CNS presentation of neuroblastoma. Pediatr Radiol 1996; 26: 51-54
• 45 Baur-Melnyk A, Buhmann S, Durr HR. et al. Role of MRI for the diagnosis and prognosis of multiple myeloma. Eur J Radiol 2005; 55: 56-63
• 46 Duyndam DAC, Biesma DH, Van Heesewijk JPM. Primary non-Hodgkin lymphoma of the cranial vault: MRI features before and after treatment. Clin Radiol 2002; 57: 948-950
• 47 Kantarci M, Erdem T, Alper F. et al. Imaging characteristics of diffuse primary cutaneous B-cell lymphoma of the cranial vault with orbital and brain invasion. Am J Neuroradiol 2003; 24: 1324-1326