Magnetic resonance imaging of the cerebello-pontine angle

A variety of extra-axial lesions occurring at the cerebello-pontine angle was examined by magnetic resonance imaging (MRI). Differences in spin sequence characteristics were found between neurilemmomas and meningiomas, with neurilemmomas exhibiting a greater increase in T2 than meningiomas. The T1 images were of less value in differentiating between neurilemmomas and meningiomas but were of value in the diagnosis of vascular lesions, due to the decreased T1 of blood clot. The T1 images were also of value in the assessment of tumour size and in the diagnosis of an epidermoid cyst. Extension of tumour into the internal auditory meatus was seen on MRI with acoustic neuromas and with one other lesion. The transverse perspective was of greatest value in lesion assessment. The coronal perspective was useful in certain situations but the sagittal perspective was of minimal clinical value.