Head and Neck Imaging by Gaurang Vrindavan Shah Jeffrey Robert Wesolowski Jeanie M. Choi

Author:Gaurang Vrindavan Shah,Jeffrey Robert Wesolowski,Jeanie M. Choi
Language: eng
Format: epub
Publisher: Thieme Medical Publishing Inc.
Published: 2016-04-11T04:00:00+00:00

Pearls & Pitfalls

The diagnosis is apparent on clinical criteria and endoscopic findings. The goal of imaging is to evaluate infiltration of deeper structures and staging.

Sometimes the mucosal extent of the tumor is underestimated on imaging. Knowledge of the endoscopic findings is very helpful in imaging assessment.

Case 57

Clinical Presentation

A 17-year-old boy presents with abrupt right-sided weakness after a recent football game.

Further Work-up

Imaging Findings

(A) Noncontrast brain CT demonstrates a subacute infarct involving the left basal ganglia (curved arrow). (B–D) CT angiogram of the neck was also performed and shows a focal area of luminal narrowing involving the left internal carotid artery (ICA) (B, D, arrows), which has a normal lumen distally (C, circle). The right ICA is unremarkable (B, C, arrowheads).

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