Enhancing leptomeningeal lesions

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Enhancing leptomeningeal lesions. Meningioma, neurosarcoidosis, Metastases. Fully referenced neurology checklist.

Extra-axial

  • Meningioma
  • neurosarcoidosis
  • Metastases

Leptomeningeal (pia-arachnoid)

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Linear pachymeningeal (dura-arachnoid)

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Superficial gyral

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Nodular subcortical

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Deeper lesions

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Other causes

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References

  1. Smirniotopoulos JG, Murphy FM, Rushing EJ, Rees JH, Schroeder JW. Patterns of contrast enhancement in the brain and meninges. Radiographics 2007; 27:525-551.
  2. Gleissner B, Chamberlain MC. Neoplastic meningitis. Lancet Neurol 2006; 5:443-452.
  3. Gaa J, Weidauer S. Unusual differential diagnosis of leptomeningeal enhancement: moyamoya disease. JNNP 2004; 75:1170.
  4. Kurokawa R, Kurokawa M, Isshiki S, et al. Dural and leptomeningeal diseases: anatomy, causes, and neuroimaging findings. Radiographics 2023; 43:e230039.

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