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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: August 2009
AAFITN/ANZSNR 2010
We would like to announce and provide meeting information on behalf of the 19th Meeting of the Australian & New Zealand Society of Neuroradiology combined with the 9th Meeting of Asian-Australasian Federation of Interventional and Therapeutic Neuroradiology.
Website: www.aafitn2010.com… Continue reading >>
New AJNR Feature: Weekly Question and Poll
Starting Monday, August 31, when you visit AJNR.ORG you will find our new weekly activity: question and poll. Every Monday we will post a new question and our visitors can vote on an answer. These questions will refer to controversial aspects of neuroimaging, many which we face on a daily basis. Once you click on the answer, you should be able to see how the poll is progressing. One week later, we will post the results of the poll for all to see. We will create a repository of these questions/polls which hopefully will give us an idea as to … Continue reading >>
Aunt Mickey (They Look the Same until You Undress Them). Subarachnoid Hemorrhage or Something Else?
A young female presented to an outside hospital with headache of one day duration. An MR brain study was done and interpreted as showing acute subarachnoid hemorrhage in the right temporal/occipital region. The patient was transferred to our hospital for treatment and before performing a lumbar puncture a head CT was done. The CT was interpreted as normal. CSF was obtained and was also normal.
Analysis of images showed an artifact involving the right lower side of the skull seen only on the DWI, ADC and a T2* sequence. This magnetic susceptibility artifact was found out to have been due … Continue reading >>
ASNR 48th Annual Meeting & NER Foundation Symposium 2010
Please click this link for some preliminary information regarding ASNR’s 48th Annual Meeting in Boston. Continue reading
The Neurological Manifestations of Pediatric Infectious Diseases and Immunodeficiency Syndromes
The Neurological Manifestations of Pediatric Infectious Diseases and Immunodeficiency Syndromes. L.L. Barton and N.R. Friedman, eds. Totowa, NJ: Humana Press; 2008, 421 pages, 21 illustrations, $139.00.
Although not a book with wide appeal for neuroradiologists, this broad but somewhat superficial review of The Neurological Manifestations of Pediatric Infectious Diseases and Immunodeficiency Syndromes may be a suitable reference in the libraries of larger radiology departments or imaging groups who encounter significant numbers of pediatric patients. There are, however, a great number of disconcerting facts with which one can impress others at social gatherings. (Did you know that “4.7% of adults in … Continue reading >>
Annotated bibliography #3
The Use of Recombinant Human Bone Morphogenic Protein in Posterior Interbody Fusions of the Lumbar Spine, J Spinal Disord Tech 2009;22:315–320. Anterior, posterolateral and transforaminal approaches have shown good outcomes with this stuff, and this paper adds posterior interbody fusion to the list.
Clinical Usefulness of CT-myelogram Comparing With the MRI in Degenerative Cervical Spinal Disorders. Is CTM Still Useful for Primary Diagnostic Tool? J Spinal Disord Tech 2009;22:353–357 No surprise here, the answer is yes.
Cavernous malformations of the basal ganglia and thalamus, Neurosurgery 65:7–19, 2009. Nice review of the literature, showing a 2.8-4.1% annual bleed rate. 10% of … Continue reading >>
Educational Presentation: Imaging of Acute Torticollis
Imaging in Acute Torticollis (NXPowerLite)
As promised, here is another educational exhibit that deals with the imaging of a common clinical problem: torticollis. As with the previous one, this was already presented at an ASNR meeting. It represents the work of several members of our division. Since the presentation is not protected, feel free to use it but please acknowledge its source. I invite all of you who have previous electronic exhibits to post them in this here.… Continue reading >>
Intracranial Pressure and Brain Monitoring XIII: Mechanisms and Treatment (Acta Neurochirurgica Supplementum), Supplement 102
G.T. Manley, C. Hemphill, and S. Stiver, eds. New York: Springer Wien; 2009, 448 pages, 150 illustrations, $359.00.
This 440-page volume from Springer, which is published as a supplement to Acta Neurochirurgica, consists of the proceedings of the ICP13 congress held in San Francisco in 2007. Both Springer and the authors should be congratulated for the outstanding presentation and readability of the book, which is enhanced by numerous figures and graphics. The quality of the submissions is high, but the reader’s interest for neuroradiology may be quite limited (eg, the section on cerebrovascular reactivity and Part 6 on brain … Continue reading >>
Intracranial Vascular Malformations and Aneurysms: From Diagnostic Work-Up to Endovascular Therapy, 2nd ed
M. Forsting and I. Wanke, eds, Springer; 2008, 297 pages, 682 illustrations, $199.00.
Springer has renewed another classic text in the Medical Radiology/Diagnostic Imaging series with the 2008 second edition of Intracranial Vascular Malformations and Aneurysms: From Diagnostic Work-Up to Endovascular Therapy. The German editors accomplished their goal with recognized experts providing a narrow focus of a concise treatise of 282 pages in 5 chapters. The chapters include the following: 1) “Developmental Venous Anomalies,” 2) “Cavernous/ Capillary Telangiectasis,” 3) “Pial Arteriovenous Malformations,” 4) “Dural Arteriovenous Malformations,” and 5) “Intracranial Aneurysms.” Each chapter is organized into pathology, clinical presentation, diagnostic … Continue reading >>
Editor’s and Fellows’ Journal Club Choices, August 2009
Editor’s Choices
Placement of Covered Stents for the Treatment of Direct Carotid Cavernous Fistulas • C. Wang, X. Xie, C. You, C. Zhang, M. Cheng, M. He, H. Sun, and B. Mao
Endovascular treatment of direct carotid cavernous fistulas has been done mostly with balloons (outside of the United States) and coils. With the introduction of flexible covered stents, deployment in vessel curvatures has become possible. In this article, the authors review their experience in the treatment of 10 direct carotid cavernous fistulas with covered stents and provide follow-up (mean, 18 months). Treatments were successful in 9 patients; endoleaks were … Continue reading >>


