Aygun N, Shah G, Gandhi D. Pearls and Pitfalls in Head and Neck and Neuroimaging: Variants and Other Difficult Diagnoses. Cambridge University Press; 2014; 498 pgs. 1063 illustrations; $130.00.
The book Pearls and Pitfalls in Head and Neck and Neurimaging: Variants and Other Difficult Diagnoses seeks to evaluate and discuss some of the more difficult interpretative issues in neuroradiology. The authors (Drs. Aygun, Shah, and Gandhi) have selected 106 cases they have deemed to fall into this category of elusive cases. To this reviewer, many of the cases have been properly selected to demonstrate and explain difficulties in interpretation, while other cases would not ordinarily cause much confusion.
The authors have divided the book into 19 sections, each with well selected cases (from 2 to 17 in each section). The major subdivisions are: Brain (CV disease, demyelinating diseases, tumors, infections, metabolic/degenerative disorders, trauma, miscellaneous); Artifacts and Anatomic variations; Skull Base; Head and Neck (temporal bone, paranasal sinus, orbits, salivary glands, neck masses, thyroid/parathyroid neck vessels); Spine (bony spine, discs, spinal canal/contents). The authors have clearly tried to define those areas of neuroradiology that they feel are particularly bothersome.
The cases are, for the most part, well-chosen, and the remarks about each entity are short (1 page); with each containing the following subdivisions: imaging description, importance, typical clinical scenario, differential diagnosis, major teaching points, and references.
Here are some examples of the types of cases chosen where confusion may be present: pseudoprogression of glioblastomas, RCVS (Call-Fleming), cortical vein thrombosis, intracerebral cavernous malformation, the multiple appearances of osmotic demyelination, low-grade tumors, pineal region abnormalities, PRES (and its various forms), perineural spread, fungal vs. invasive sinusitis, orbital pseudotumor and the variations of this inflammatory process, parathyroid adenomas, degenerative changes of the vertebral body end plates vs. infection (discitis).
Given the highly visual …