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Published on: May 19, 2020
Uncommon and Miscellaneous Inflammatory Disorders of the Brain and Spine
John D Comer1, Aristides A Capizzano1
1Division of Neuroradiology, Department of Radiology, University of Michigan Health System, 1500 East Medical Center Drive, B2-A209 UH, Ann Arbor, MI 48109, USA.
Abstract:
Inflammatory disorders of the brain and spine have a highly variable MRI appearance, often demonstrating significant overlap in imaging features. The resulting diagnostic dilemma is particularly challenging when considering the more uncommon neuroinflammatory entities. Diligent examination of the salient clinical presentation and signal alteration on imaging examination is necessary when considering neuroinflammation as a diagnostic possibility and may aid in raising suspicion for a particular neuroinflammatory entity. This article reviews a selection of uncommon and miscellaneous inflammatory disorders of the brain and spine to raise awareness of the clinical and imaging features that may assist in this challenging diagnostic task.
Insights
Diagnosing uncommon brain and spine inflammatory disorders is challenging due to overlapping MRI features. This review highlights key clinical and imaging findings to aid in identifying these rare neuroinflammatory conditions.
Area of Science:
- Neurology
- Radiology
- Neuroimmunology
Background:
- Neuroinflammatory disorders present diverse and overlapping MRI findings, complicating diagnosis.
- Uncommon inflammatory conditions of the brain and spine pose significant diagnostic challenges.
- Accurate diagnosis requires careful correlation of clinical presentation with imaging characteristics.
Purpose of the Study:
- To review uncommon and miscellaneous inflammatory disorders affecting the brain and spine.
- To enhance awareness of the clinical and imaging features of these rare conditions.
- To assist clinicians in the diagnostic process for neuroinflammatory entities.
Main Methods:
- Review of selected uncommon inflammatory brain and spine disorders.
- Analysis of characteristic clinical presentations.
- Evaluation of specific MRI signal alterations and imaging patterns.
Main Results:
- Significant overlap in imaging features among various neuroinflammatory disorders.
- Clinical presentation is crucial for raising suspicion of specific entities.
- Distinctive, though sometimes subtle, imaging findings can guide diagnosis.
Conclusions:
- Recognizing uncommon neuroinflammatory disorders requires a high index of suspicion.
- Integrating clinical data with detailed MRI analysis is essential for accurate diagnosis.
- This review provides a framework for identifying challenging cases of brain and spine inflammation.
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