1/Need a DURABLE way to remember what causes DURAL enhancement?
Feeling left behind when it comes to leptomeningeal disease?
Here’s a 🧵 about an easy way to remember the differential diagnoses for the two types of meningeal enhancement:
Just remember LEPTO & PACHY!
#radsky #medsky #neurosky
Feeling left behind when it comes to leptomeningeal disease?
Here’s a 🧵 about an easy way to remember the differential diagnoses for the two types of meningeal enhancement:
Just remember LEPTO & PACHY!
#radsky #medsky #neurosky
Comments
LEPTOMENINGEAL
Remember:
L = Leakage (subarachnoid hemorrhage)
E = Epilepsy (recent seizure)
P = Pus (infection, either bacterial, viral or granulomatous/fungal)
T = Tumor (leptomeningeal metastatic dz)
O = Operation (post operative)
3/
PACHYMENINGEAL
P = Puncture (recent LP), Pus (subdural empyema)
A = Autoimmune (sarcoidosis, IgG4)
C = Craniotomy (post-op), Chronic subdural
H = Hypotension (intracranial hypotension)
Y = You’ve got a mass (mets, meningioma)
Now you’ve got a lot information PACH-ed into an easy mnemonic!
As an extra tidbit, when you spot the Eiffel Tower on scans, think hypertrophic pachymeningitis.
#neurosky