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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: October 2009
Expert ddx Musculoskeletal
Expert ddx Musculoskeletal. B.J. Manaster, Carol L. Andrews, Cheryl A. Petersilge, Catherine C. Roberts. Amirsys 2009, 1050 pages, 3350 illustrations, $329.00.
Organized into three sections- anatomical, image and symptom based, this book offers possible differential diagnosis in a wide spectrum of diseases. The differentials are broken down into the common, less common and rare but important groups. The book, like the others in the series, is well illustrated with clear labeling that often points to the distinguishing features of a certain diagnosis. The text, while short, focuses on reviewing clinical and radiological characteristics that will help you favor or eliminate a certain diagnosis.
In the anatomy section, … Continue reading >>
The Inflammatory Myopathies
The Inflammatory Myopathies. Lawrence J. Kagen ed. Humana Press 2009, 342 pages, 151 illustrations, $99.00.
Inflammatory myopathies encompass a rare and broad group of diseases affecting both children and adults, with widely differing risk factors, outcomes, and histopathologic findings. The most common diseases are polymyositis, dermatomyositis and inclusion body myositis; however rarer entities such as cancer-associated, granulomatous, eosinophilic and vasculitic myositis have been described. They are all characterized clinically by muscle weakness and histologically by immune-mediated mononuclear inflammatory infiltrates within skeletal muscle. Different cytokines and chemokines with varying hypothetical roles have been identified within affected tissues, resulting in muscle inflammation, … Continue reading >>
The Greening of AJNR
Beginning this month AJNR starts its “Go Green” campaign. We ask ASNR members to voluntarily drop their print subscription of AJNR. At AJNR it is our desire to reduce our environmental footprint. Reducing the number of print subscriptions not only saves on the obvious (paper and byproducts of its manufacturing, ink, postage) but in other less visible aspects of its publication (fuel used for trees to travel to mill, from mill to printer and from post office to your mail box).
Reducing print circulation will provide savings intended for expanded electronic features and increasing the contents (page- or number-wise). Going … Continue reading >>
Mammalian Brain Development
Mammalian Brain Development. Damir Janigro, ed. Humana Press 2009, 227 pages, 31 illustrations, $189.00.
For those interested in a deep understanding of the basics of brain development and early maturation, the multi authored (20 authors) book Mammalian Brain Development edited by Damir Janigro from the Cleveland Clinic can serve as a source of information. Of the 10 chapters, three would have particular interest to pediatric neuroradiologists: Seizure Propensity and Brain Development: A Lesson from Animal Models, Seizure and Anti epileptic Drugs: Does Exposure Alter Normal Brain Development in Animal Models, and Overview of Neural Mechanisms in Developmental Disorders… Continue reading >>
Neuroimaging Clinics of North America: Interventional Head and Neck Imaging
Neuroimaging Clinics of North America: Interventional Head and Neck Imaging. Suresh K. Mukherji (consulting editor) and Dheeraj Gandhi (guest editor). Volume 19, Number 2, May 2009, theclinics.com 2009, 240 pages, $99.00.
Regardless of whether one performs head and neck interventions, the May issue of the Neuroimaging Clinics of North America should be of interest to all neuroradiologists. This book is guest edited by Dr. Dheeraj Gandhi and has contributions from 24 authors. Ten chapters cover the major diseases and conditions with which an interventionalist may have to deal including biopsies/aspirations of mass lesions, thermal ablations, treatment of vascular tumors.
The … Continue reading >>
Neuro-Ophthalmology Illustrated
Neuro-Ophthalmology Illustrated. Valerie Biousse and Nancy J. Newman. Thieme 2010, 624 pages, 892 illustrations, $69.95.
In this beautifully illustrated easily portable, light weight 624 pages soft cover book Neuro-Ophthalmology Illustrated the authors, Drs. Biousse and Newman, bring together clinical, fundoscopic, anatomic, and imaging correlations. For the neuroradiologist there is an excellent review of issues with which we deal with on a daily basis. Some examples are pointed out later in this review.
There are 20 chapters with the initial chapters concentrating on various aspects of the eye examination, including what the authors term ancillary tests (this includes basic material imaging- … Continue reading >>
Books Received
Central Auditory Pathways Disorders. K. Kaga. Springer; 2009, 160 pages, $129.00.
Coordinated Activity in the Brain: Measurements and Relevance to Brain Function and Behavior
Series: Springer Series in Computational Neuroscience, Vol. 2. J.L. Perez Velazquez and R. Wennberg, eds. Springer; 2009, 265 pages, 20 illustrations, $159.00.
Coordinated Activity in the Brain: Measurements and Relevance to Brain Function and Behavior Series: Springer Series in Computational Neuroscience, Vol. 2. J.L. Perez Velazquez and R. Wennberg, eds. Springer; 2009, 265 pages, 20 illustrations, $159.00.… Continue reading >>
CT-Guided Cervical Nerve Root Blocks
I have three questions for radiologists who perform spinal injections for pain management.
1. How many people regularly do cervical nerve root blocks?
2. Are you using CT or conventional fluoro?
3. If you are using CT, do you use contrast to confirm needle position?
It would be great for people to comment on the blog, but you can also email me directly.
Thanks!
jenny.hoang@duke.edu… Continue reading >>
Editor’s and Fellows’ Journal Club Choices, October 2009
Editor’s Choices
Angiographic and Clinical Outcomes in 200 Consecutive Patients with Cerebral Aneurysm Treated with Hydrogel-Coated Coils • T. Gunnarsson, F.C. Tong, P. Klurfan, C.M. Cawley, and J.E. Dion
Because this issue features interventional content, here is another related article. Hydrophilic coated coils absorb fluid and expand inside an aneurysm, theoretically leading to better packing and lower recanalization rates. The authors retrospectively studied their immediate and intermediate term results using HydroCoils in the treatment of 200 consecutive aneurysms. They also looked into complications. Initially, they were able to obliterate about one-half of small and large aneurysms. At 16 months, recanalization … Continue reading >>