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Neuroradiologist. MD, PhD, EDiNR
Advisory Editorial Committee, @RevistaRADIOLO2
Medical AI trainer

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🙏Honored to receive the 2025 Editor’s Recognition Award for reviewing with Special Distinction from Radiology: Imaging Cancer.

🧠📑Very grateful to the editorial team for this recognition and for the opportunity to contribute as a reviewer. @RadIC_Editor

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🧑‍⚖️A 59-year-old woman presents with headache, neck pain, upper limb pain, hyperreflexia, and cerebellar signs.

🫣How many abnormalities can you identify on these images? And what are they?

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✅ Soft Head Syndrome caused by calvarial infarction in sickle cell disease.

💡Although rare, acute headache and scalp swelling in patients with sickle cell disease should raise suspicion for skull bone infarction with associated subperiosteal hematoma.

https://t.co/CW5O2aCkFv

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🧑‍🏭A 21-year-old man with sickle cell disease presents with severe headache and progressive scalp swelling over 5 days. No history of trauma. Neurological examination is unremarkable.

🏥What is the most likely diagnosis?

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✅ Soft Head Syndrome caused by calvarial infarction in sickle cell disease.

💡Although rare, acute headache and scalp swelling in patients with sickle cell disease should raise suspicion for skull bone infarction with associated subperiosteal hematoma.

https://t.co/CW5O2aCkFv

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🧑‍🏭A 21-year-old man with sickle cell disease presents with severe headache and progressive scalp swelling over 5 days. No history of trauma. Neurological examination is unremarkable.

🏥What is the most likely diagnosis?

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🧑‍🏭A 21-year-old man with sickle cell disease presents with severe headache and progressive scalp swelling over 5 days. No history of trauma. Neurological examination is unremarkable.

🏥What is the most likely diagnosis?

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🤱For decades, prenatal treatment of fetal hydrocephalus has remained an elusive goal. Most in utero shunting strategies were abandoned because the risks outweighed the benefits.

🧠A new fetal lamb study revisits the concept using a ventriculosubgaleal shunt rather than a ventriculoamniotic shunt.

🤔Far from clinical application, but perhaps a reminder that preventing brain injury may be more important than treating its consequences after birth.

https://t.co/f9gdkSKHMv

[SPIN | Society of Pediatric Neuroimaging @spinacademics]

🧠 #SPINTweetorialWednesday
Normal Pituitary Anatomy & Embryology: What Every Neuroradiologist Should Know

1/
Before we diagnose pituitary pathology, we need to understand what "normal" looks like.

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✅ MOG antibody-associated myelitis (MOGAD).

💡Longitudinally extensive transverse myelitis with predominant central gray matter involvement ("H-sign") should raise suspicion for MOGAD. Remember that spinal MRI may occasionally be normal early in the disease.

https://t.co/LpZIQbxUda

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🥸A previously healthy adult presents with acute to subacute bilateral lower-extremity weakness, sensory disturbances, and urinary dysfunction following a recent infectious illness. Symptoms rapidly progress over days, prompting spinal MRI.

🥼What is your leading differential?

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✅ MOG antibody-associated myelitis (MOGAD).

💡Longitudinally extensive transverse myelitis with predominant central gray matter involvement ("H-sign") should raise suspicion for MOGAD. Remember that spinal MRI may occasionally be normal early in the disease.

https://t.co/LpZIQbxUda

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🥸A previously healthy adult presents with acute to subacute bilateral lower-extremity weakness, sensory disturbances, and urinary dysfunction following a recent infectious illness. Symptoms rapidly progress over days, prompting spinal MRI.

🥼What is your leading differential?

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🤔¿Puede la RM con contraste de fase ayudar en la hidrocefalia normotensiva, la malformación de Chiari o la siringomielia?

📑Acaba de publicarse online mi revisión sobre las aplicaciones y limitaciones reales de esta técnica. @RevistaRADIOLO2

https://t.co/NFZgbR8bz2

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🥸A previously healthy adult presents with acute to subacute bilateral lower-extremity weakness, sensory disturbances, and urinary dysfunction following a recent infectious illness. Symptoms rapidly progress over days, prompting spinal MRI.

🥼What is your leading differential?

[Doc Navarrow @DocNavarrow]

✅Lipomyelomeningocele with tethered cord and associated syrinx.

💡Even neurologically intact children may develop imaging signs of cord tethering over time. The appearance of a syrinx on follow-up MRI may indicate progressive cord tethering.

https://t.co/0mye3qep2y

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👶3-year-old boy with a lumbar subcutaneous mass detected in infancy. Normal motor development, normal bowel and bladder function, and unremarkable urodynamic studies. Parents report intermittent morning back and leg stiffness.

🧑‍⚕️What is your diagnosis?

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✅Lipomyelomeningocele with tethered cord and associated syrinx.

💡Even neurologically intact children may develop imaging signs of cord tethering over time. The appearance of a syrinx on follow-up MRI may indicate progressive cord tethering.

https://t.co/0mye3qep2y

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👶3-year-old boy with a lumbar subcutaneous mass detected in infancy. Normal motor development, normal bowel and bladder function, and unremarkable urodynamic studies. Parents report intermittent morning back and leg stiffness.

🧑‍⚕️What is your diagnosis?

[@RevistaRADIOLOGIA @RevistaRADIOLO2]

El artículo más descargado de 2025 y premiado en el último Congreso @SERAM_RX fue "RANO-2.0: actualización en la valoración de la respuesta tumoral en gliomas" ¡No te lo pierdas! @SENR_org
https://t.co/F2vqoZ3rdU
English version: https://t.co/IUCv8D2F0C

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👶3-year-old boy with a lumbar subcutaneous mass detected in infancy. Normal motor development, normal bowel and bladder function, and unremarkable urodynamic studies. Parents report intermittent morning back and leg stiffness.

🧑‍⚕️What is your diagnosis?

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@albertoortegana 🤔Diffuse Leptomeningeal Glioneuronal Tumor would be high on my differential.

The combination of hydrocephalus, multiple subpial cerebellar cysts, and multifocal intramedullary cysts is highly suggestive. Is there associated leptomeningeal enhancement?

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@francisdeng Agreed. Isolated nausea/vomiting is usually a physiologic adverse reaction rather than a true hypersensitivity reaction.

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🤔Congenital CMV would be my leading diagnosis. The combination of chorioretinitis, hepatosplenomegaly, and extensive periventricular intracranial calcifications is highly characteristic. The “blueberry muffin” rash can also occur in congenital CMV due to extramedullary hematopoiesis.