Author Archives: Alfonso CERASE

Neonatal Pituitary Gland

Posted on July 26th, 2009 by Alfonso CERASE, Unit of Neuroimaging and Neurointervention, Department of Neurosciences Az. Osp. Univ. Senese, Policlinico "Santa Maria alle Scotte", Siena, Italy | 2,637 views

This is a one month-old female with congenital hypothyroidism, hypoplasia of the thyroid gland, elevated TSH (eight times normal value), elevated FSH and LH (four times normal values), normal GH, without diabetes insipid. She is now being treated for the hypothyroidism, and we are waiting for hormonal follow-up; MRI follow-up in three to six month follow-up.

Has anyone an explanation for the focal bright spot on T1-weighted images in the cranial portion of the pituitary stalk, just down the median eminence, in the presence of a normal neurohypophysis?

Is it an “ectopic” adenohypophysis?

Is this a thin pituitary stalk in … Continue reading >>

Posted in Brain, Case of the Week, Head and Neck, Pediatrics | Tagged | Leave a comment

Interstitial Perivascular (or Virchow-Robin) Spaces

Posted on March 7th, 2009 by Alfonso CERASE, Unit of Neuroimaging and Neurointervention, Department of Neurosciences Az. Osp. Univ. Senese, Policlinico "Santa Maria alle Scotte", Siena, Italy | 1,375 views

We have recently presented (AJNR 2009, Letter to the Editor) the regression of a dilated PVS in the temporal stem, after surgery of a pituitary nonfunctioning macroadenoma. We have other two cases, both in the temporal stem, one after pituitary apoplexy (most likely in macroadenoma but no surgical confirmation), and the other one after surgical resection of a cranial vault meningioma invading the superior sagittal sinus (far away from the dilated temporal stem PVS). We are trying to publish these last two cases.

Has anyone other cases? Which is the frequency of regression of dilated PVS? Is it frequent, and we … Continue reading >>

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Spinal Cord Herniation

Posted on March 6th, 2009 by Alfonso CERASE, Unit of Neuroimaging and Neurointervention, Department of Neurosciences Az. Osp. Univ. Senese, Policlinico "Santa Maria alle Scotte", Siena, Italy | 12,663 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.

Ulivieri S.1, Oliveri G.1, Petrini C.1, D’Elia F.2, Cuneo G.L.3, Cerase A.4

Units of 1Neurosurgery, and 4Neuroradiology, “Santa Maria alle Scotte” Hospital, Siena, Italy
2Unit of Radiology, and 3Section of Neuroradiology, Department of Neurology, “San Donato” Hospital, Arezzo, Italy

A 35-year-old man presented with insidiously progressive and disabling pain in … Continue reading >>

Posted in Spine | Tagged , | 3 Comments