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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: March 2010
Neurocritical Care: A Guide to Practical Management
Neurocritical Care: A Guide to Practical Management. John P. Adams, Dominic Bell, Justin McKinly (Editors). Springer 2010, 177 pages, 90 illustrations, $79.95.
Too often, handbooks designed to present a specific topic in a simple, understandable, and credible context fall short of expectations. That is certainly not the case with this excellently organized, well presented, and practical manual of what constitutes modern neurocritical care. The authors have managed to simplify a mountain of complex and often contentious technical information into a usable and practical resource manual that is timely and explicit in its detail.
The text begins with what one should … Continue reading >>
Evidence-Based Imaging in Pediatrics
Evidence-Based Imaging in Pediatrics. L. Santiago Medina, Kimberly E. Applegate, C. Craig Blackmore (Editors). Springer 2010, 666 pages, $79.95.
“I don’t know” is a phrase I use all too often when trying to address questions from my Radiology and Pediatric residents who ask me detailed questions about the evidence behind a radiological “call” and consequences of my diagnostic decisions. I say, “I don’t know” because I believe in giving answers based on evidence and not on anecdote. “Because that’s what I was taught” is a very unsatisfactory answer for me and our residents. I wish I had the time … Continue reading >>
Annotated Bibliography #6
Al-Otaibi et al. Clinically silent magnetic resonance imaging findings after subdural strip electrode implantation. J Neurosurg 112:461–466, 2010. Clinically silent abnormalities were found in 100% of subjects, including subdural hematomas in 35, cortical contusions in 25%, local edema in 25%, trans–bur hole cortical herniation in 25%, subdural hygromas in 10% and pneumocranium.
Ebner FL, et al. Intramedullary lesions of the conus medullaris: differential diagnosis and surgical management. Neurosurg Rev (2009) 32:287–301. Straight forward and all inclusive review of lesions that affect the conus (or any other part of the spinal cord, for that matter). 117 references.
Sharma GK et al. … Continue reading >>
Neurosurgery
Neurosurgery. C.B. Lumenta, C. Di Rocco, J. Haase, J.J.A. Mooij (Editors). Springer 2010, 660 pages, 430 illustrations, $139.00.
While not designed for the practicing neurosurgeon this soft-covered, 660-page, multi-authored (81 authors) text entitled Neurosurgery is well suited for neuroradiologists who wish to have a survey text describing the major concepts in neurosurgery in terms of diagnostic evaluation, differential consideration and treatment. To this reviewer, the text would be valuable to any section’s library and, in fact, to one’s personal library.
After introducing basic anatomy and diagnostic testing, there, in consequent order, are chapters on (1) brain tumors (adult and pediatric), … Continue reading >>
Antiphospholipid Syndrome Handbook
Antiphospholipid Syndrome Handbook. Maria L. Bertolaccini, Oier Ateka-Barrutia, Munther A. Khamashta (Authors). Springer 2010, 93 pages, 6 illustrations, $59.95.
One only needs to read through this short 93-page soft-covered handbook to realize the ubiquitous nature of the APS (Hughes) Syndrome and how the prevalence of this syndrome varies with age. The first few pages deal with the various types of antiphospholipid antibodies (such as the Lupus anticoagulant and the anticardiolpin antibodies), and this short monograph then goes on to describe and illustrate the many syndromes associated with the presence of antiphospholipid antibodies (both primary and secondary). Of particular … Continue reading >>
Vascular and Interventional Imaging: Case Review Series 2nd Edition
Vascular and Interventional Imaging: Case Review Series 2nd Edition. Nael E.A. Saad, Suresh Vedantham, Jennifer E. Gould (Editors). MOSBY 2010, 304 pages, $ 52.95.
Interventional radiology is a daunting subject for many radiology residents and fellows. With Vascular and Interventional Imaging: Case review series, learning about vascular and interventional radiology for the boards and for the subspecialty examination in IR becomes a less intimidating task. Like the other books in this series, this one is well organized and easy to read. It contains 3 levels of cases: opening round, fair game, and challenge. On one page, a case is shown along 4 questions. On the next … Continue reading >>
Educational Presentation: CTA Pitfalls in Acute Infarction
Pitfalls of CT Angiography for Acute Stroke (FILEminimizer)
Here is my weekly educational contribution to the blog. This presentation was put together by one of previous fellows and shown at a previous ASNR annual meeting. The topic, CTA pitfalls in the evaluation of the acute stroke patient, continues to be pertinent to our daily clinical duties.… Continue reading >>