To provide a pictorial review with selected educational cases of giant lesions of the brain. To outline the most important things the radiologists must say in their report. To share some “insides” from the neurosurgeons.

The giant cranial lesions in brain surgery involves many risks and the radiologist's contribution to the multidisciplinary team of case management is very important. From a radiological point of view, we should consider the size, extent of brain herniation, perilesional/cerebral edema, extension and compression on the adjacent cortex or on important structures such as optic chiasm, ventricular system, brainstem, cerebellar tonsils, relation with major arteries (Sylvian artery, anterior cerebral artery, posterior cerebral artery that once compressed may result in stroke in the territory) but also...

We performed a retrospective analysis and selected a number of cases that we discussed with neurosurgeons while considering the localization, aspect and extension in order to provide a pictorial review of giant, rare or not, lesions in the brain diagnosed from September 2018 to August 2019 in a neurology and neurosurgery specialized center through computed tomography (CT), magnetic resonance imaging (MRI) and angiography (CTA – computed tomography angiography, MRA- magnetic resonance angiography, DSA – digital subtraction angiography). Vascular lesions: Giant aneurysms account for 5% of...

Giant lesions of the brain may be easy to diagnose but teaming up with the neurosurgeons may help the radiologists understand what is elementary to report. Also, a radiologist’s eye can offer some important details about the lesions' characteristics.

E. A. Marciuc; Iasi/RO - nothing to disclose B. I. Dobrovat; Iasi/RO - nothing to disclose D. Haba; Iasi/RO - nothing to disclose

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