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Neuroradiology

NEURORADIOLOGY RESIDENT CORE CURRICULUM

A self-guided tour

The American Board of Radiology oral examinations in neuroradiology consist of presentation of 8-15 filmed examples of common pathologies encountered during residency. In order to provide residents with an appropriate exposure to the typical diagnoses seen on this examination, the neuroradiology section is providing a list of common entities that should be reviewed during the residency tenure. The diagnoses are formatted in a convenient checklist. The resident is encouraged to examine patient material, neuroradiology teaching file material, conference cases, or diagnoses in textbooks throughout the four years. At the completion of the residency, the resident should have examined each of the following entities with appropriate modality focus (i.e., CT, MRI, angiography).

This list is not intended to be comprehensive. The resident should refer to the training goals and learning objectives document available in the reading room and in the Department administrative offices.

I. Intracranial

Meningitis
Abscess
Subdural empyema
Herpes encephalitis
Subacute sclerosing panencephalitis (SSPE)
Creutzfeldt-Jakob
Sarcoidosis
Tuberculosis
Toxoplasmosis
HIV encephalitis
Progressive multifocal leukoencephalopathy
Cryptococcal meningitis
Multiple sclerosis
Acute disseminated encephalomyelitis
Small vessel atherosclerotic disease
Diffuse axonal injury
Contusion
Central pontine myelinolysis
Adrenoleukodystrophy
Canavan’s disease
Traumatic contusions
Subarachnoid hemorrhage
Subdural hematoma
Epidural hematoma
Cingulate herniation
Tentorial herniation
Depressed skull fracture
Carotid dissection
Astrocytoma
Glioblastoma multiforme
Oligodendroglioma
Ependymoma
Central neurocytoma
Ganglioma
Primitive neuroectodermal tumor
Dysembryoplastic neuroectodermal tumor
Lymphoma
Metastases
Choroid plexus tumors
Medulloblastoma
Ependymoma
Brainstem glioma
Juvenile pilocytic astrocytoma
Hemangioblastoma  Pituitary adenoma
Craniopharyngioma
Rathke’s cleft cyst
Meningioma
Arachnoid cyst
Hypothalamic glioma
Hamartoma
Germinoma
Chordoma
Pituitary hemorrhage (apoplexy)
Pineal germ cell tumor
Pineocytoma
Vestibular schwannoma
Epidermoid
Seventh nerve schwannoma
Aneurysm
Choroid plexus papilloma
Moya Moya Syndrome
Nasopharyngeal carcinoma
Cerebral infarction (including DWI)
Intracerebral hematoma
Colloid cyst
Subependymal giant cell Astrocytoma
Capillary telangiectasia
Cavernoma
Arteriovenous malformation
Vein of Galen malformation
Atherosclerotic stenosis
Vasculitis
Venous thrombosis
Cephaloceles
Chiari malformation (I-IV)
Dysgenesis of the corpus callosum
Lipoma
Lissencephaly
Cortical dysplasia
Heterotopia
Schizencephaly
Holoprosencephaly
Septo-optic dysplasia
Dandy-Walker complex
Neurofibromatosis Type I and Type II
Tuberous sclerosis
Sturge-Weber-Dimitri syndrome
Von Hippel-Lindau
Ataxia-telangiectasia
Osler-Weber Rendu syndrome
Basal cell nevus syndrome

II. Head and Neck

Dermal sinus tract
Encephalocele
Choanal atresia
Acute sinusitis
Chronic sinusitis
Polyposis
Mucocele
Osteoma
™Antrochoanal polyp
Juvenile angiofibroma
Inverted papilloma
Squamous cell carcinoma of the sinus
Esthesioneuroblastoma
Lymphoma
Metastases
Midline granuloma
Squamous cell carcinoma of the pharyngeal mucosal space
Dermoid/epidermoid
Lingual thyroid
Hemangioma
Parapharyngeal pleomorphic adenoma
Tornwaldt cyst
Masticator tumor
Masticator infection
Lymphoepithelial cyst
Parotid pleomorphic adenoma
Warthin’s tumors
Adenocystic carcinoma
Mucoepidermoid carcinoma
Salivary lymphoma
Carotid body tumor
Schwannoma
Nodal metastases
Retropharyngeal abscess
Supraglottic carcinoma
Glottic carcinoma
Subglottic carcinoma
Post-treatment larynx
Laryngeal fracture
Thyroglossal duct cyst
Cystic hygroma
Laryngocele
Second branchial cleft cyst
Transverse temporal bone fracture
Longitudinal temporal bone fracture
CSF otorrhea/rhinorrhea
Cerebellopontine angle schwannoma
Cerebellopontine angle meningioma
Cerebellopontine angle epidermoid
Glomus tympanicum
Dehiscent jugular vein
Chronic otitis media
Mastoiditis
Cholesteatoma
Malignant external otitis
Cholesterol granuloma
Lacrimal gland lymphoma
Lacrimal gland pleomorphic adenoma
Orbital subperiosteal abscess
Orbital metastases
Orbital lymphoma
Orbital pseudotumor
Rhabdomyosarcoma
Intraconal hemangioma
Grave’s orbitopathy
Carotid cavernous fistula
Optic nerve glioma
Optic nerve meningioma
Intra-ocular melanoma
Intra-ocular metastases
Retinoblastoma
Primary hyperplastic primary vitreous
Orbital fracture
Retinal detachment

III. Spine

Vertebral body fracture
Epidural hematoma
Cord Contusion
Traumatic disc herniation
Spondylolisthesis
Syringomyelia
Root avulsion
Disc degeneration
Disc herniation
Spinal stenosis
Postoperative epidural scar
Arachnoiditis
Discitis
Osteomyelitis
Multiply sclerosis of the cord
Hemangioma of the vertebral body  Osteoblastoma
Chordoma
Metastases
Lymphoma
Spinal nerve sheath tumor
Spinal meningioma
Spinal lymphoma
Cord Ependymoma
Cord astrocytoma
Cord hemangioblastoma
Cord metastases
Spinal arachnoid cyst
Spinal vascular malformation
Spinal cavernoma
Diastematomyelia
Lipomyelomeningocele
Tethered cord
Intradural lipoma

IV. Differential diagnostic sets*

White matter disease
Parasellar lesion
Anterior III ventricle lesion
Posterior III ventricle lesions
Supraventricular lesions
Causes for intracerebral hemorrhage
Cerebellopontine angle lesions
Petrous apex lesions
Ring enhancing lesions  Intravertebral calcification
Paranasal sinus masses™ Intraconal orbital lesions
Extraconal orbital lesion
Lesions in AIDS
Stages of cerebral infarction™ Cystic lesions of the neck
Intramedullary spinal lesions
Extradural spinal lesions
Intradural extramedullary lesions
Intraocular orbital lesions

*The resident should be facile in discussing an approach to these common presentations.