Fortschr Röntgenstr 2017; 189(12): 1135-1144
DOI: 10.1055/s-0043-118481
© Georg Thieme Verlag KG Stuttgart · New York

Cross Sectional Imaging of Solitary Lesions of the Neurocranium

Article in several languages: English | deutschMax-Ludwig Schäfer1, Arend Koch2, Florian Streitparth1, Edzard Wiener3
  • 1Institute of Radiology, Charité university hospital Berlin, Campus Virchow-Clinic, Berlin, Germany
  • 2Institute of Neuropathology, Charité university hospital Berlin, Berlin, Germany
  • 3Institute of Neuroradiology, Charité university hospital Berlin, Berlin, Germany
Further Information

Publication History

16 December 2016

23 July 2017

Publication Date:
21 September 2017 (eFirst)


Background Although a wide range of processes along the neurocranium are of a benign nature, there are often difficulties in the differential diagnosis.

Method In the review CT/MRI scans of the head were evaluated retrospectively regarding solitary lesions along the neurocranium. The majority of the lesions were histologically proven.

Results The purpose of the review is to present typical pathologies of the neurocranium and provide a systematic overview based on 12 entities, their locations, prevalence and radiological characteristics.

Conclusion Processes, which primarily originate from the neurocranium have to be differentiated from secondary processes infiltrating the neurocranium. For this important diagnostic feature, MRI is typically essential, while the definitive diagnosis is often made on the basis of the medical history and the typical appearance on computer tomography.

Key Points

  • There are often difficulties in the precise differential diagnosis of solitary lesions along the neurocranium. Typical solitary pathologies of the neurocranium based on 12 entities were presented. Both magnetic resonance imaging and computed tomography are often essential for an exact differential diagnosis.

Citation Format

  • Schäfer M, Koch A, Streitparth F et al. Cross Sectional Diagnosis of Solitary Lesions of the Neurocranium. Fortschr Röntgenstr 2017; 189: 1135 – 1144