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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: September 2009
Educational Presentation: Congenital and Acquired Hearing Loss
Imaging Cong & Acq Hearing Loss (FILEminimizer)
Here is another educational presentation. It was shown at a previous ASNR meeting and authored by our Neuroradiology fellows of the time. It deals with the imaging aspects of congenital and acquired hearing loss. Enjoy it!… Continue reading >>
Annotated Bibliography #4
This is the latest in my series of posts titled Annotated Bibliography, that is, current literature titles which are generally not from the mainstream Radiology journals, but rather from related neuroscience fields which I have stumbled across and find of interest. Enjoy!
1. Mitochondrial Neurogastrointestinal Encephalopathy Due to Mutations in RRM2B. Arch Neurol. 2009;66(8):1028-1032. Just read the intro section and look at the images. I had never head of MNGIE before. The FLAIR images provided at least sort-of point to the diagnosis of “mitochondrial disease”.
2. Depletion of B Lymphocytes From Cerebral Perivascular Spaces by Rituximab. Arch Neurol… Continue reading >>
Does the Insurance Company Require the Certification of Neurointerventionist for Payment of the Interventional Procedure?
Does the insurance company require the certification of neurointerventionist for payment of the interventional procedure?
I’m an interventional neuroradiologist in South Korea. Korea’s health insurance service inquired of the Korean Society of Interventional Neuroradiology what is the qualification of neurointerventionist for payment of interventional procedure.
I want to know certification requirements for neurointervention in America.
Does the insurance company require the other certification as well as ABR or institutional certification of fellowship?… Continue reading >>
Arthritis in Color: Advanced Imaging of Arthritis
Arthritis in Color: Advanced Imaging of Arthritis. M.A. Bruno, T.J. Mosher, and G.E. Gold, eds. Saunders Elsevier; 2009, 240 pages, 220 illustrations, $99.00.
One of the burgeoning topics in medicine today is the treatment and imaging of arthritis and cartilage disease. Arthritis is a leading cause of disability throughout the world, with more than 30 million people of all ages affected in the United States alone. The introduction of new aggressive drug therapies; innovative surgical techniques; and the growth of an active, aging population have clarified the need for more sensitive and precise techniques to diagnose arthropathy and assess … Continue reading >>
Diffusion-Weighted MR Imaging of the Brain
Diffusion-Weighted MR Imaging of the Brain. T. Moritani, S. Ekholm, and P.-L. Westesson, eds. Springer; 2009, 402 pages, 700 illustrations, $189.00.
In an expanded second edition of their clinically important book Diffusion-Weighted MR Imaging of the Brain, Drs. Moritani, Ekholm, and Westesson, along with other contributors, have presented the radiologist with a highly readable and well-illustrated book. This 402-page volume is nearly double in size compared with the first edition, which was published 5 years ago. This has allowed the inclusion of more recent developments, such as tensor imaging of the normal brain with color tractography and diffusion … Continue reading >>
Advances and Technical Standards in Neurosurgery, Vol. 34
Advances and Technical Standards in Neurosurgery, Vol. 34. J.D. Pickard, N. Akalan, C. Di Rocco, V.V. Dolenc, J. Lobo Antunes, J.J.A. Mooij, J. Schramm, and M. Sindou, eds. New York: Springer Wien; 2009, 206 pages, 55 figures, $209.00.
This series of books is sponsored by the European Association of Neurosurgical Societies and, according to the editors, should be of interest to both experienced neurosurgeons and neurosurgeons in training. These volumes are all published in English and start with an Advances section, which is intended to present recent developments in neurosurgery and associated fields, followed by a Standards section, which includes … Continue reading >>
HIV and the Brain: New Challenges in the Modern Era (Current Clinical Neurology)
HIV and the Brain: New Challenges in the Modern Era (Current Clinical Neurology). R.H. Paul, N.C. Sacktor, V. Valcour, and K.T. Tashima, eds. Totowa, New Jersey: Humana Press; 2009, 400 pages, 10 illustrations, $139.00.
This enjoyable and fascinating 400-page book, HIV and the Brain: New Challenges in the Modern Era, part of the series Current Clinical Neurology, attempts to bring us all up-to-date on the evolution and current challenges of the human immunodeficiency virus (HIV), particularly as it relates to the brain. Reviewing for us the paradigm shift of how infection with HIV has changed from an acute and … Continue reading >>
EXPERT ddx Brain and Spine
EXPERT ddx Brain and Spine. A. Osborn, J. Ross, K. Salzman, J. Crim, B. Borg, K. Moore,
L. Shah, M. Jhaveri, B. Hamilton, S. Blaser, and G. Katzman., eds. Amirsys; 2009, 1000 pages, 3300 illustrations, $329.00.
In a completion of the neuroradiology EXPERT ddx set, the volume on brain and spine (in addition to the previously reviewed volume on head and neck), is now available. As in the EXPERT ddx Head and Neck, the layout and concept are exactly the same. Specifically, rather than deal with categories of diseases as is the common way books are written, the … Continue reading >>
Brachial Plexus 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 audience is: “where can I get your MRI protocol?” For this reason I am posting it here. Posting of protocols seems to gather considerable attention; Dr. Wiggins post on MRI and CT protocols has been viewed over 1900 times! Caveats regarding this post: our BP protocol was designed to satisfy the needs of our clinicians here at UNC, your referring physicians may be expecting … Continue reading >>
About : Long-Term Follow-Up of 1036 Cerebral Aneurysms Treated by Bare Coils: A Multicentric Cohort Treated between 1998 and 2003
This article references:
Gallas S, Januel AC, Pasco A, et al. Long-Temr Follow-Up of 1036 Cerebral Aneurysms Treated by Bare Colis: A Multicentric Cohort Treated between 1998 and 2003. AJNR Am J Neuroradiol first published on August 13, 2009 as doi: 10.3174/ajnr.A1744.
The authors analyzed the long-term stability of treatment of cerebral aneurysms treated exclusively with GDC, focusing in re-treatments and re-bleeding rates during follow up.
The authors have been meticulous in data recollection, once, these patients have been followed since 1998. Additionally, the fact to be a multicentric trial, demands a greater author commitment for the patients follow … Continue reading >>