Meta
Important Links
Archives
Most Viewed
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: Functional
Crossed Cerebellar Diaschisis
A 41-year-old female with history of migraine presented to the ED with acute onset of aphasia. In addition to the aphasia, there was numbness and tingling in the right arm and face. Patient demonstrated expressive aphasia and was not able to answer questions posed in the ED. Gadolinium MR perfusion images demonstrated decreased relative cerebral blood flow (top) in the left parietal/occipital lobes and increased time-to-peak (bottom) in the contralateral cerebellar hemisphere. Although crossed cerebellar diaschisis (CCD) is seen mostly on radiotracer studies (hypometabolism on PET studies), it was nicely demonstrated in our patient. CCD occurs more often after supratentorial … Continue reading >>
Mass in Septum Pellucidum
Does anyone know what this mass could be? It was biopsied 2 years ago and pathology reported it as “normal brain tissue”.
As you can see, the lesion is hyperintense on T2, hypointense on T1 and does not enhance. No calcifications are present and no there is no restricted diffusion .
The patient is 25 year old and has loss of short term memory and seizures.
Any input into the nature of the mass is welcome.… Continue reading >>
ADC Question
I will like to know if someone can help me with some doubts I have regarding ADCs.
1. I have a sample with some ADC values obtained in 1,5 T and others obtained in 3T ( same b value). Can I use the ADC values for statistics or do you think that they cannot be compared?
2. Are the ADC values obtained using a diffusion sequence the same that the ADC values obtained in a DTI sequence with 12 directions?
Thank you in advance.… Continue reading >>
AJNR Paper Points to Future of Severe Ischemic Stroke Treatment
Acute ischemic stroke remains the most important neurologic malady in the world. Severe strokes caused by artery occlusion are a minority of all strokes, but cause most of the poor outcomes and costs associated with stroke. Neurointerventionalists have effective therapies, but too few stroke patients undergo endovascular procedures. The reasons are multiple, but a major reason is that patients too frequently arrive beyond the traditional time windows for treatment. A way to break out of this dilemma is described in the paper recently ePublished in the AJNR (N. Janjua, A. El-Gengaihy, J. Pile-Spellman, and A.I. Qureshi Late Endovascular Revascularization in Acute Ischemic … Continue reading >>
fMRI Visual Paradigms
I am upgrading the fMRI lab at our institution. Which system do you suggest to present visual paradigms, mirror over the head coil and video beam wall projection Vs binocular glasses… Continue reading >>
White Matter Tract Section
I have been asked by several invididuals to place more emphasis on articles that relate to the functional aspects of neuroimaging. One of these topics are the the white matter tracts. Starting later this year, AJNR will carry a bimonthly feature on the white matter tracts. Drs. Naidich and Fatterpekar from the Mount Sinai Hospital in NYC will be in charge of this feature. These short contributions will describe not only the anatomy of specific tracts, their DTI appearance but also their functional connections and the clinical symptoms produced when they are injured. I look forward to their contributions which … Continue reading >>