Head & Neck Neuroradiology Fellowship Practice Cases

<div class="entry-content">
		<div id="tve_flt" class="tve_flt tcb-style-wrap"><div id="tve_editor" class="tve_shortcode_editor tar-main-content"><div class="thrv_wrapper thrv_text_element">This course includes the 54 essential cases a radiologist needs to master to confidently diagnose head and neck conditions on MRI and CT.<a href="https://mrionline.com/remote-fellowships/" class="">Browse all Radiology Remote Fellowships</a><h2 class="" dir="ltr">Desired Outcomes</h2>Upon completion of this activity, participants should be better able to:<ul class=""><li dir="ltr">Interpret essential pathologies for neuroradiology (head/neck) for MRI and CT</li><li dir="ltr">Diagnose neuroradiology (head/neck) conditions for MRI and CT</li></ul>Bibliography: Suggested reading resources and references can be found within each case discussion.<h2 class="" dir="ltr">Credit Information</h2>Accreditation StatementMRI Online is accredited by the Accreditation Council for Continuing Medical Education (ACCME)to provide continuing medical education for physicians.Credit Designation StatementMRI Online designates this Enduring activity for a maximum of 29.5&#160;AMA PRA Category 1 Credits&#8482;.&#160;Physicians should claim only the credit commensurate with the extent of their participation in the activity.This activity is valid for credit from November 6, 2023 to November 6, 2026.Content is reviewed and updated on an ongoing basis.<h2 class="" dir="ltr"></h2><h2 class="" dir="ltr">CME Planning Committee</h2>Suresh K. Mukherji, MD, MBA, FACRProfessor of Radiology, University of IllinoisProfessor of Radiation Oncology, Robert Wood Johnson Medical School, Rutgers UniversityFaculty, Otolaryngology Head Neck Surgery, Michigan State UniversityNational Director of Head &amp; Neck RadiologyProScan ImagingStephen J. Pomeranz, MDChief Medical Officer and FounderProScan ImagingFounderMRI OnlineDavid M. Yousem, MBA, MDProfessor of RadiologyVice Chairman and Associate DeanJohns Hopkins UniversityDaniel Arnold, MBACEO and Co-FounderMRI OnlineKathy Bennett, MSA, MSProgram ManagerMRI OnlinePaul BohartSenior Content ManagerMRI OnlineJennifer A. Hall, MSDirector, FellowshipsMRI OnlineDeanna M. Heier, PhDVP, Educational Strategy and OperationsMRI Online<h2 class="" dir="ltr">Disclosure Statements</h2>CME Planning CommitteeThe CME Planning Committee members have no relevant financial relationships to disclose.FacultyThe Faculty for this activity have no relevant financial relationships to disclose.Staff and Content reviewersAll MRI Online staff and reviewers involved in the development of content for this activity have norelevant financial relationships to disclose.Commercial SupportThere is no commercial support for this activity.Course content is peer-reviewed for content validity by persons that do not have conflicts of interest related tothe content and to verify the educational material is evidence-based, fair, balanced, and free from commercial bias.</div></div></div><div class="tcb_flag"></div>
	</div>

Head and Neck

David M Yousem

FACR

Suresh K Mukherji

Gain confidence reading and reporting on Head and Neck Cases with the Medality Fellowship Certificate Program. Practice using real-world, scrollable cases, earn CME, and receive a Fellowship Certificate™ upon completion!

Case Review

Neuroradiology

Wk 1, Case 1 - Practice

Wk 1, Case 1 - Review

Wk 1, Case 2 - Practice

Wk 1, Case 2 - Review

Wk 1, Case 3 - Practice

Wk 1, Case 3 - Review

Wk 1, Case 4 - Practice

Wk 1, Case 4 - Review

Wk 1, Case 5 - Practice

Wk 1, Case 5 - Review

Wk 1, Articles

Practice Cases

Wk 2, Case 1 - Practice

Wk 2, Case 1 - Review

Wk 2, Case 2 - Practice

Wk 2, Case 2 - Review

Wk 2, Case 3 - Practice

Wk 2, Case 3 - Review

Wk 2, Case 4 - Practice

Wk 2, Case 4 - Review

Wk 2, Case 5 - Practice

Wk 2, Case 5 - Review

Wk 2, Articles

Wk 3, Case 1 - Practice

Wk 3, Case 1 - Review

Wk 3, Case 2 - Practice

Wk 3, Case 2 - Review

Wk 3, Case 3 - Practice

Wk 3, Case 3 - Review

Wk 3, Case 4 - Practice

Wk 3, Case 4 - Review

Wk 3, Case 5 - Practice

Wk 3, Case 5 - Review

Wk 3, Articles

Wk 4, Case 1 - Practice

Wk 4, Case 1 - Review

Wk 4, Case 2 - Practice

Wk 4, Case 2 - Review

Wk 4, Case 3 - Practice

Wk 4, Case 3 - Review

Wk 4, Case 4 - Practice

Wk 4, Case 4 - Review

Wk 4, Case 5 - Practice

Wk 4, Case 5 - Review

Wk 4, Articles

Wk 5, Case 1 - Practice

Wk 5, Case 1 - Review

Wk 5, Case 2 - Practice

Wk 5, Case 2 - Review

Wk 5, Case 3 - Practice

Wk 5, Case 3 - Review

Wk 5, Case 4 - Practice

Wk 5, Case 4 - Review

Wk 5, Case 5 - Practice

Wk 5, Case 5 - Review

Wk 5, Articles

Wk 6, Case 1 - Practice

Wk 6, Case 1 - Review

Wk 6, Case 2 - Practice

Wk 6, Case 2 - Review

Wk 6, Case 3 - Practice

Wk 6, Case 3 - Review

Wk 6, Case 4 - Practice

Wk 6, Case 4 - Review

Wk 6, Case 5 - Practice

Wk 6, Case 5 - Review

Wk 6, Articles

Wk 7, Case 1 - Practice

Wk 7, Case 1 - Review

Wk 7, Case 2 - Practice

Wk 7, Case 2 - Review

Wk 7, Case 3 - Practice

Wk 7, Case 3 - Review

Wk 7, Case 4 - Practice

Wk 7, Case 4 - Review

Wk 7, Case 5 - Practice

Wk 7, Case 5 - Review

Wk 7, Articles

Wk 8, Case 1 - Practice

Wk 8, Case 1 - Review

Wk 8, Case 2 - Practice

Wk 8, Case 2 - Review

Wk 8, Case 3 - Practice

Wk 8, Case 3 - Review

Wk 8, Case 4 - Practice

Wk 8, Case 4 - Review

Wk 8, Case 5 - Practice

Wk 8, Case 5 - Review

Wk 8, Articles

Wk 9, Case 1 - Practice

Wk 9, Case 1 - Review

Wk 9, Case 2 - Practice

Wk 9, Case 2 - Review

Wk 9, Case 3 - Practice

Wk 9, Case 3 - Review

Wk 9, Case 4 - Practice

Wk 9, Case 4 - Review

Wk 9, Case 5 - Practice

Wk 9, Case 5 - Review

Wk 9, Articles

Wk 10, Case 1 - Practice

Wk 10, Case 1 - Review

Wk 10, Case 2 - Practice

Wk 10, Case 2 - Review

Wk 10, Case 3 - Practice

Wk 10, Case 3 - Review

Wk 10, Case 4 - Practice

Wk 10, Case 4 - Review

Wk 10, Case 5 - Practice

Wk 10, Case 5 - Review

Wk 10, Articles

Course Evaluation

Post-Course Activities

Welcome to the Head and Neck Fellowship Practice Cases course! In this course, you&rsquo;ll be presented with a series of worklists, comprised of 50 essential cases you must review to receive your Fellowship Certificate.

&nbsp;

Access Full Fellowship Certificate Program <a href="https://mrionline.com/proficiency/head-and-neck-fellowship-certificate/" style="text-decoration:none">Here</a>&nbsp;

Head and Neck Neuroradiology Practice Cases

Patient History
Right pulsatile tinnitus.

Findings
Brain: Sagittal T1-weighted images demonstrate corpus callosum to be intact.  No evidence of Chiari malformation.  No abnormal pineal region masses. Pituitary gland is not enlarged.  Diffusion imaging demonstrates no evidence of recent infarct. Axial FLAIR and T2 weighted images show the ventricular size, shape and configuration to be within normal limits. No evidence of vasogenic edema or mass effect. Scattered polypoid mucosal thickening involving multiple paranasal sinuses with mucosal thickening involving the alveolar recess of the right maxillary sinus. 

Skull Base: There is an avidly enhancing mass involving the right skull base that is centered in the right jugular foramen that is displacing the carotid artery anteriorly. The mass measures approximately 2.6 cm x 2 cm (axial plane) x 1.9 cm (CC). The mass contains multiple areas of low attenuation that could be characterized as a "salt and pepper" appearance. The mass has heterogeneous T2 signal. The mass anteriorly displaces the carotid artery. The inferior aspect of the mass extends below the skull base and is in close proximity to the right stylomastoid foramen and appears to involve the expected location of the facial nerve as it exits the stylomastoid foramen. 

There is asymmetric enhancement of the tympanic and descending portion of the right facial nerve which could be associated with irritation of the facial nerve due to possible involvement by the mass. The superior aspect of the mass extends anterosuperiorly into the right petroclival fissure and is posterior to the petrous portion of the right carotid artery.

Conclusions
1. Avidly enhancing mass involving the right jugular foramen containing multiple flow voids is most consistent with a glomus jugulare tumor. 
2. The location of the glomus jugulare is in close proximity to the descending portion of the right facial nerve as it exits the stylomastoid foramen. This is associated with asymmetric enhancement of the tympanic and descending portion of the right facial nerve.
3. Scattered polypoid mucosal thickening as described above. 
4. No evidence of vasogenic edema or mass effect. 
5. No abnormal intra-axial enhancing masses.


Case