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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: September 2009
Editor’s and Fellows’ Journal Club Choices, September 2009
Editor’s Choices
Intelligence and Medial Temporal Lobe Function in Older Adults: A Functional MR Imaging-Based Investigation • D.M. Yousem, M.A. Yassa, C. Cristinzio, I. Kusevic, M. Mohamed, B.S. Caffo, and S.S. Bassett
In this interesting prospective study, the influence of intelligence and education on cortical activation of the temporal lobes was studied. The authors recruited 38 adults and subjected them to auditory paradigms thought to activate the medial temporal lobes. Results of fMRI were then correlated with IQs and educational levels (assuming there is a relationship between both). All subjects had normal IQs and time spent in education varied widely. … Continue reading >>
Aunt Mickey (They Look the Same until You Undress Them). Meningioma or Something Else?
A young African American woman presented with progressive left vision loss. Brain MRI with contrast and perfusion studies were obtained. The studies showed a dural-based lesion involving the lateral aspect of the left cavernous sinus which extended superiorly and crossed the planum sphenoidale to insinuate itself around the contralateral anterior clinoid process. The lesion was isointense to gray matter on T1WI, dark on T2WI, showed homogeneous gadolinium enhancement and increased rCBV on the perfusion images (see below). The provisional diagnosis of meningioma was made and the patient scheduled for surgical decompression of left optic canal.
Before surgery, a chest radiograph … Continue reading >>
Ischemia and Loss of Vascular Autoregulation in Ocular and Cerebral Disease: A New Perspective
Ischemia and Loss of Vascular Autoregulation in Ocular and Cerebral Disease: A New Perspective.
M.E. Langham. Springer; 2009, 192 pages, 94 illustrations, $99.00.
Maurice E. Langham’s Ischemia and Loss of Vascular Autoregulation in Ocular and Cerebral Diseases: A New Perspective summarizes a life’s work dedicated to understanding how a complex interaction of factors, such as intraocular pressures, ocular perfusion, and autoregulation affect ocular health. As such, this sole-authored text explores the subtle nuances of highly sophisticated instrumentation used to determine these factors that will exceed the needs or interests of most practicing ophthalmologists and neuroradiologists.
The book is divided into … Continue reading >>
Educational Presentation: Congenital Anomalies of the Pituitary Gland
Congenital Pituitary Abns (NXPowerLite)
Here is the third on my series of educational presentations. It deals with embryology, anatomy and congenital abnormalities of the pituitary gland. I need to acknowledge that this one was authored by Drs. Spampinato, Camacho and Grimme during their fellowships here at UNC and was previously shown at ASNR. Like the other two presentations, it is compressed and it is not protected so please give credit to its source if you decide to use it for teaching purposes elsewhere.… Continue reading >>
Aunt Mickey (They Look the Same until You Undress Them). Myxopapillary Ependymoma or Something Else?
This young male presented with chronic but progressive low back pain and lower extremity weakness. MR imaging of the lumbar spine with contrast showed a lesion, intradural/extramedullary, extending from T12 to L4. The lesion “expanded” the spinal canal and produced significant remodeling (scalloping) of the posterior vertebral bodies. The mass had mostly low T1 signal pre contrast, mostly high T2 signal and enhanced after gadolinium. Is it a large myxopapillary ependymoma?
Analysis of axial images showed that the mass involved the spinal canal but extended out into the paraspinal regions, including the right psoas muscle, via several neural foramina. The … Continue reading >>