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Due the anatomical features, this enhancement can be divided in two subtypes Magnetic resonance imaging with gadolinium reveals leptomeningeal enhancement in up to 40% of patients with neurosarcoidosis, with the basilar meninges most often involved. Combined pachymeningeal and leptomeningeal enhancement may occur, usually being focal and.
The leptomeningeal enhancement follows along the pial surface of the brain and fills the subarachnoid spaces of the sulci and cisterns This benign cause of enhancement may be localized or diffuse and can be present after idiopathic loss of csf. The most common cause is infectious.
Mri revealed basal meningitis with hyperintense exudates in the prepontine and basal cisterns and thick, linear leptomeningeal enhancement (arrow in b, c) around the pons, the pedunculi.
Basal meningeal enhancement is a key radiological feature of tuberculous meningitis, reflecting the intense inflammation at the base of the brain It serves as a crucial diagnostic. The most frequent imaging feature of tbm is basal meningeal enhancement Conversely, as the thin arachnoid membrane is attached to the inner surface of the dura mater, the pachymeningeal pattern of enhancement can also be described as a dural.
Intracranial hypotension causes exclusive pachymeningeal enhancement
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