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BackgroundPilocytic astrocytoma can be challenging to diagnose.MethodsIts clinical presentations can differ, directly related to its size and location, and are relatively unreliable. Similarly, imaging findings also vary with the location of the pilocytic astrocytoma.ResultsThis review provides an overview of the different imaging findings regarding pilocytic astrocytomas using both conventional and advanced magnetic resonance imaging sequences according to tumour location; the findings are strongly related to the tumour’s tendency to infiltrate surrounding structures, being able to carry out gross total resection, and finally the prognosis.ConclusionsKnowledge of these imaging manifestations of pilocytic astrocytoma may be helpful to arrive at an accurate diagnosis.Teaching PointsTo recognise the various imaging findings of pilocytic astrocytoma on both conventional and advanced magnetic resonance imaging sequences.To identify the characteristic imaging findings according to tumour location.To discuss the relevant differential diagnoses of pilocytic astrocytoma in each tumour location.

Neurotoxicity caused by intraarterial injection of low-dose low osmolar, iodinated contrast agents during radiologic studies is an extremely rare adverse event. Contrast medium induced disruption of the blood-brain barrier and a direct neurotoxic effect by contrast media have been proposed as a potential mechanism of neurotoxicity. This report describes an unusual case of transient neurotoxicity following diagnostic angiography mimicking clinically and radiologically subarachnoid hemorrhage. The patient recovered without any intervention after 4 days of conservative treatment.

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