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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...
Category Archives: Case of the Week
Case of the Week
I would like to thank Dr Castillo for providing me the opportunity to be the section editor for the AJNR Case-of-the-Week (COW). It has been about 4 months since I assumed this responsibility and, I would also like to take this opportunity to thank colleagues from all over the world toward their contribution to the COW.
It has been about 2 – 3 years since COW was introduced by Dr Castillo. It has grown to be a tremendously popular site (sometimes receiving up to 10,000 views per month). With the hope of adding to the educational content of COW, Dr. … Continue reading >>
Neonatal Pituitary Gland
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 >>
Why Can’t ASNR Come Up with Better CME’s?
Great journals and case of the day…
but, compared to Radiographics or ACR’s Case of the Day… would love to see the Neuro cases of the week or some other case base format provided for online CME… esp with higher end neurocases… (eg showing cases with CTP and MRS etc…
I know the cases are out there and the manpower im sure is there…
C’mon AJNR/ASNR… give us all a little bone….
amkrad1… Continue reading >>
RE: DWI for Head and Neck Lesions – Acute Ischemic Optic Neuropathy
Here’s another case for the value of DWI for head and neck lesions.
This patient had left central retinal artery occlusion and acute ischemic optic neuropathy. There is restricted diffusion in the anterior left optic nerve which is much more obvious than the mild perineural enhancement on coronal postcontrast images.
Cases of the Week
The case of the week feature is very popular. We now have over 18 months of cases accumulated. Every week, more than 5000 individuals (at times as close to 8000!) look at them. The database can be searched by diagnosis and or blindly by date of posting. The cases are illustrative and their degree of difficulty varies making them interesting for individuals with all levels of knowledge in neuroradiology. It is my desire, that residents and fellows will used them to study. Submissions are open only to fellows in Neuroradiology. Since AJNR and other journals accept very few case reports, … Continue reading >>


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