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Spinal Cord Herniation • 10,723 views
This is a case for Prof. Dr. Dillon. It is in press by our neurosurgeons and us, for the use of Duragen. Idiopathic herniation of the thoracic spinal cord: a case report and technique note. U...
Neuro Protocols • 8,067 views
Alisa Gean is doing a great job getting a group together to share and collaborate neuro protocols. This would be a great place from members to share protocols, and open a discussion about the best ima...
Possible SIH with Spinal Subdural Hygroma, What Next? • 6,657 views
[caption id="attachment_602" align="aligncenter" width="407" caption="Sag T1. Tonsils are not particularly low and no sagging of the base of the brain."][/caption] [caption id="attachment_603" alig...
Brachial Plexus MRI Protocol • 5,347 views
BP MRI Protocol Fall is upon us and so is the lecturing season! Like years before, this Fall I will be giving my brachial plexus lecture several times and the most commonly asked question by the au...
Cervical Spine Nomenclature • 5,217 views
The ASNR/ASSR nomenclature document was specific for the lumbar spine. I would be interested in your opinion on the correct terminology for cervical spondylosis: what terms and why. Specifically, t...
Intracranial Hypotension: Advice on Best Treatment • 5,039 views
Middle age female patient diagnosed with Spontaneous intracranial hypotension. Has multiple (approx 23) perineural cysts. Has undergone several blood patches and artificial CSF infusions without rel...
Embolization of Brain Arteriovenous Malformations for Cure • 4,239 views
The editorial comment in the AJNR of Jan 09 by Jayaraman and Cloft is worthy of careful scrutiny, I believe. Although in my personal experience with Onyx and NBCA, final cure rates of brain AVMs from ...
Liver Hemangiomas and Vascular Lesions of the Brain • 4,212 views
[gallery] I have a patient with 15 large liver hemangiomas and two partly calcified lesions in brain. Does anyone know of associated liver hemangiomas and vascular lesions in the brain?
Aunt Mickey (They Look the Same until You Undress Them). Internal Capsule Infarct or Something Else? • 4,144 views
This 30 year old hypertensive female smoker presented with acute onset of right hemiparesis. Her history also included OCP use and dyslipidemia. MRI demonstrated an acute infarct in the posterior limb...
More on DWI of Head and Neck Lesions • 3,979 views
Yesterday I wrote a short comment in the utility of DWI in the evaluation of head and neck lesions. While reading cases in the afternoon I came across a new patient with a retinoblastoma. This pa...
Monthly Archives: March 2009
Interstitial Perivascular (or Virchow-Robin) Spaces
We have recently presented (AJNR 2009, Letter to the Editor) the regression of a dilated PVS in the temporal stem, after surgery of a pituitary nonfunctioning macroadenoma. We have other two cases, both in the temporal stem, one after pituitary apoplexy (most likely in macroadenoma but no surgical confirmation), and the other one after surgical resection of a cranial vault meningioma invading the superior sagittal sinus (far away from the dilated temporal stem PVS). We are trying to publish these last two cases.
Has anyone other cases? Which is the frequency of regression of dilated PVS? Is it frequent, and we … Continue reading >>
Spinal Cord Herniation
This is a case for Prof. Dr. Dillon.
It is in press by our neurosurgeons and us, for the use of Duragen.
Idiopathic herniation of the thoracic spinal cord: a case report and technique note.
Ulivieri S.1, Oliveri G.1, Petrini C.1, D’Elia F.2, Cuneo G.L.3, Cerase A.4
Units of 1Neurosurgery, and 4Neuroradiology, “Santa Maria alle Scotte” Hospital, Siena, Italy
2Unit of Radiology, and 3Section of Neuroradiology, Department of Neurology, “San Donato” Hospital, Arezzo, Italy
A 35-year-old man presented with insidiously progressive and disabling pain in … Continue reading >>
Multiple Giant Aneurysms
Has anyone come across cases of multiple giant aneurysms, in middle aged adult patients, not HIV positive? I’ve seen a few recently, and am wondering whether this is a specific vasculopathic entity.… Continue reading >>
Possible SIH with Spinal Subdural Hygroma, What Next?
Young black male with 4 month history of severe headache. HA is positional and improved with laying down and also worse with certain head postitions. His headache was preceded by a few days of neck pain and there was no history of trauma.
Head CT and Brain MR showed tentorial, right convexity and posterior left interhemispheric subdural hygromas. Tonsils not low and no sagging of the base of the brain.
Whole spine MR did not show defnitive epidural CSF to localize leak but did show probable lumbar subdural hygroma distorting the cauda equina. A disc protrusion at C5/6 was noted … Continue reading >>