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Spinal Cord Herniation 10,146 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 7,715 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? 6,341 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...
Cervical Spine Nomenclature 5,060 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...
Brachial Plexus MRI Protocol 4,646 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...
Intracranial Hypotension: Advice on Best Treatment 4,485 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 4,180 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 ...
Aunt Mickey (They Look the Same until You Undress Them). Internal Capsule Infarct or Something Else? 3,892 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...
Liver Hemangiomas and Vascular Lesions of the Brain 3,871 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?
More on DWI of Head and Neck Lesions 3,870 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: June 2009
Other Journals #2
More recent various journal articles which may be of interest:
Deep Brain Stimulation, Neuroethics, and the minimally conscious state. Arch Neurol 2009; 66(6): 697-702. Case study of one patient who had bilateral thalamic electrodes, outlining the challenges and ethical implications.
Case 17-2009: A 30-year-old man with progressive neurological deficits. NEJM 2009; 360:2341-51. I will not give this one away, but I am adding this entity to my list of pathologies which can mimic anything (lymphoma, TB, sarcoid). Come on admit it, you go to the end and look at the answer first!
Primary angiitis of the central nervous system. … Continue reading >>
Motion Preservation Surgery of the Spine: Advanced Techniques and Controversies
Motion Preservation Surgery of the Spine: Advanced Techniques and Controversies. J.J. Yue, R. Bertagnoli, P.C. McAfee, and H.S. An, eds. Saunders Elsevier; 2008, 816 pages, $279.00.
Spinal fusion is the standard treatment for back pain that has failed conservative management. Although often effective, this surgery is not without adverse outcomes, including development of degenerative disk disease at an adjacent level, pseudoarthrosis, facet arthropathy, spondylolysis, and spondylolisthesis. The goal of motion preservation surgery is to closely replicate normal spinal biomechanics, the result of which should, in theory, be the limitation of complications associated with conventional fusion.
The rationale behind motion preservation … Continue reading >>
Operative Techniques in Epilepsy Surgery
Operative Techniques in Epilepsy Surgery. G.H. Baltuch and J.-G. Villemure. Thieme; 2009, 216 pages, 7 tables, 138 illustrations, $149.95.
Surgical treatment of epilepsy has been a treatment option for intractable epilepsy for many years. With improvements in anatomic and functional imaging modalities, stereotaxy, and the integration of neuronavigation during surgery, epilepsy surgery has entered a new era of expertise. In this context, the present text provides a very comprehensive review of various epileptic syndromes and aspects of surgical management of patients with intractable epilepsy.
Operative Techniques in Epilepsy Surgery is a unique compilation of chapters discussing various diagnostic and technical … Continue reading >>
Atlas of Interventional Neurology
Atlas of Interventional Neurology. A.I. Qureshi and A.L. Georgiadis, eds. demosMEDICAL; 2009, 248 pages, $169.00.
As fewer and fewer neuroradiologists become directly involved in vascular interventional procedures, familiarity with the many techniques and procedures currently in use is less than in the past. Short of spending time in a high-volume neurointerventional suite (which of course would be ideal), this Atlas of Interventional Neurology can serve as an update of the endovascular procedures used for a variety of diseases.
There are 8 chapters constructed along the same lines: “Angioplasty and Stent Placement of Extracranial Vessels,” “Angioplasty and Stent Placement of Intracranial … Continue reading >>
Neuroimaging in Neurology: An Interactive CD
Neuroimaging in Neurology: An Interactive CD. D.C. Preston and B.E. Shapiro, eds. Saunders Elsevier; 2007, $145.00.
Neuroimaging in Neurology: An Interactive CD is a 275-MB CD, designed by Drs Preston and Shapiro (both neurologists) to allow the viewer to interact with more than 600 images, including both normal and abnormal findings on MR imaging and CT of the brain and spine. Included also are images of conventional neuroangiography.
The CD starts with very basic information on pulse sequences and is followed by anatomic depictions. With these, the reader can place an arrow on the words identifying a given structure and … Continue reading >>
Handbook of Cerebrovascular Disease and Neurointerventional Technique
Handbook of Cerebrovascular Disease and Neurointerventional Technique. M.R. Harrigan and J.P. Deveikis, eds. Totowa, NJ: Humana Press; 2009, 760 pages, 2 illustrations, $179.00.
In this densely informative pocket-sized Handbook of Cerebrovascular Disease and Neurointerventional Technique, Drs Harrigan and Deveikis compiled a 760-page soft-cover book, which takes the reader through virtually every neurovascular abnormality amenable to interventional therapy and the techniques for each. The book is divided into 3 sections: 1) “Fundamentals,” 2) “Interventional Techniques,” and 3) “Specific Disease States.” Under “Fundamentals” the authors describe and illustrate, with line drawings and angiography, all the pertinent vascular anatomy. This anatomy is … Continue reading >>
Diagnostic Neuroradiology
Diagnostic Neuroradiology. V.N. Kornienko and I.N. Pronin. Springer; 2009, 1288 pages, 7040 illustrations, $279.00.
One need go no further than this 1288-page book, Diagnostic Neuroradiology, to realize that high-quality neuroradiology is practiced in major medical centers throughout the world. The authors, Drs Valery Kornienko and Igor Pronin, both from the Neuroimaging Department of the Burdenko Neurosurgical Institute in Moscow, in collaboration with 9 of their colleagues from the same department, have written a heavily and beautifully illustrated (1905 separate figures, many with multiple parts) text. The emphasis here is on showing multiple classic and clinically germane cases while still … Continue reading >>
Tumors of the Spine
Tumors of the Spine. D.H. Kim, U.-K. Chang, S.-H. Kim, M.H. Bilsky, eds. Saunders Elsevier; 2008, 728 pages, 600 illustrations, $280.00.
Tumors of the Spine, a multiauthored (22 authors) 728-page hardcover book edited by 4 spine neurosurgeons (Drs Kim, Chang, Kim, and Bilsky), is a densely illustrated and highly readable text, which should have appeal to neurosurgeons, orthopedic surgeons, and neuroradiologists alike. As is the increasing trend these days, the book comes with a CD, which contains images shown in the printed text. This feature adds immensely to the value of the textbook. What is curious, though, is that … Continue reading >>
PET and PET/CT: A Clinical Guide, 2nd ed.
PET and PET/CT: A Clinical Guide, 2nd ed. E.C. Lin and A. Alavi, eds. Thieme; 2009, 312 pages, 21 tables, 505 illustrations, $79.95.
In large medical centers, interpretations of positron-emission tomography (PET) studies are usually performed by those radiologists with special interest and expertise in nuclear medicine. Nonetheless, because of the increasing use and indications for PET, it is important that all neuroradiologists understand its utility and limitations. It is fortunate therefore that, Drs Lin and Alavi, with the assistance of 18 authors, have edited a 312-page book entitled PET and PET/CT: A Clinical Guide, which should be of … Continue reading >>
Normal Findings in Radiography
Normal Findings in Radiography. T.B. Moeller, ed. Thieme; 2000, 276 pages, 190 radiographs, $44.95.
A “bare bones” (no pun intended) 276-page soft-cover pocket book, Normal Findings in Radiography, describes normal radiography of the skull, spine, upper and lower extremities, chest, and abdomen; mammography; gastrointestinal series; arthrography; arteriography; venography; myelography; bronchography; and several other special examinations. Some normal measurements in each of these areas are included. A number of these plain radiographs are a bit anachronistic in this era of CT and MR imaging—like Schuller and Stenver’s view of the petrous bone, lymphangiography, and measuring the choroidal point on a … Continue reading >>