RSNA 2010 

Abstract Archives of the RSNA, 2010


LL-NRE2800

Meckel’s Cave and Gasserian Ganglion Disease: Pictorial Review of CT and MR Imaging Anatomy and Pathology

Education Exhibits

Presented in 2010

Participants

Kristina Elizabeth Hoque PhD, Presenter: Nothing to Disclose
Alexander Lerner MD, Abstract Co-Author: Nothing to Disclose
Jerry Tsu-Yuen Loo BS, Abstract Co-Author: Nothing to Disclose
David A. Stempel MD, MBA, Abstract Co-Author: Nothing to Disclose
Mark S. Shiroishi MD, Abstract Co-Author: Nothing to Disclose
John L. Go MD, Abstract Co-Author: Nothing to Disclose
Monique Annette Mogensen MD, Abstract Co-Author: Research Consultant, Oraya Therapeutics, Inc
Paul E. Kim MD, Abstract Co-Author: Nothing to Disclose
Chi-Shing Zee MD, Abstract Co-Author: Nothing to Disclose
Eu-Meng Law MBBS, Abstract Co-Author: Nothing to Disclose

PURPOSE/AIM

1. Review anatomy of the intracranial Trigeminal nerve, Gasserian ganglion, and Meckel’s cave and optimal imaging parameters for MRI of this region. 2. Review the differential diagnosis of lesions involving the Meckel’s cave. 3. Present and discuss imaging features and clinical significance of pathology in this region.  

CONTENT ORGANIZATION

Anatomy •Meckel’s cave and porus trigeminus, Cavernous sinus •Trigeminal nerve and ganglion, V1, V2, V3 and skull base  Optimal imaging techniques Pictorial review of pathology Diseases arising in trigeminal nerve and dura: •Trigeminal nerve schwannoma, Trigeminal neurofibroma, Trigeminal neuritis •Meningioma Diseases of the skull base: •Skull base metastasis •Chondrosarcoma Diseases in subarachnoid space •Lymphoma, Meningitis, Metastatic disease •Petrous apex cephalocele  

SUMMARY

Knowledge of Trigeminal nerve and Meckel’s cave anatomy on MRI and CT is instrumental in recognizing and understanding the pathology involving this region. MR cisternography sequences optimally visualize these structures. In addition to meningioma and trigeminal nerve schwannoma, many pathologic processes involving subarachnoid space, skull base, cavernous sinus and head and neck can extend into Meckel’s cave due to its strategic position at the central skull base.

Cite This Abstract

Hoque, K, Lerner, A, Loo, J, Stempel, D, Shiroishi, M, Go, J, Mogensen, M, Kim, P, Zee, C, Law, E, Meckel’s Cave and Gasserian Ganglion Disease: Pictorial Review of CT and MR Imaging Anatomy and Pathology.  Radiological Society of North America 2010 Scientific Assembly and Annual Meeting, November 28 - December 3, 2010 ,Chicago IL. http://archive.rsna.org/2010/9006486.html