Gadolinium-based contrast agents (GBCA): enhancement patterns

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

Gadolinium-based contrast agents (GBCA): enhancement patterns. Post-operative. Fully referenced neurology checklist.

Pachymeningeal (dural) enhancement: causes

  • Post-operative
  • Spontaneous intracranial hypotension (SIH)
  • Carcinomatous meningitis

Leptomeningeal (pia-arachnoid) enhancement: causes

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Leptomeningeal versus pachymeningeal enhancement: types

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Extra-axial enhancement: causes

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Superficial gyral enhancement: causes

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Nodular subcortical enhancement: causes

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Ring enhancement: 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. Kioumehr F, Dadsetan MR, Feldman N, et al. Postcontrast MRI of cranial meninges: leptomeningitis versus pachymeningitis. J Comput Assist Tomogr 1995; 19:713-720.

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