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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: Letters to the Editor
Spectrum Bias: Patient Selection May Affect Performance of Calcium Volume in Detecting Carotid Stenosis
Published online before print December 8, 2011, doi: 10.3174/ajnr.A2937
AJNR 2012 33: E13-E14
Basar Sarikayaa and Alexander M. McKinneya
aDepartment of Radiology/Neuroradiology
University of Minnesota and Hennepin County Medical Centers
Minneapolis, Minnesota
We read the article recently published on-line in the American Journal of Neuroradiology by Marquering et al1 with great interest, and we appreciate the authors’ efforts to test the hypothesis suggested in one of the articles published by our group in 2005,2 by reproducing the same methods, albeit on a different subject population. In that particular regard, we would like to note several … Continue reading >>
Forniceal Involvement in Wernicke Encephalopathy
Published online before print November 17, 2011, doi: 10.3174/ajnr.A2888
AJNR 2011 32: E209
R.S. Borgesa, N. Venturaa, E.L. Gasparettoa and M.V.R. Pintob
aDepartment of Radiology
bDepartment of Neurology
University Federal of Rio de Janeiro
Rio de Janeiro, Brazil
We read with special interest the article of Zuccoli et al1 entitled “MR Imaging Findings in 56 Patients with Wernicke Encephalopathy: Nonalcoholics May Differ from Alcoholics.” The authors reported the imaging features of Wernicke encephalopathy (WE), which include symmetric alterations in the thalami, mammillary bodies, tectal plate, and periaqueductal area, and other less … Continue reading >>
The New Standard for Performance of Intracranial Angioplasty and Stent Placement after Stenting versus Aggressive Medical Therapy for Intracranial Arterial Stenosis (SAMMPRIS) Trial
Published online before print November 17, 2011, doi: 10.3174/ajnr.A2919
AJNR 2011 32: E214
S.A. Chaudhrya, M. Watanabea and A.I. Qureshia
aZeenat Qureshi Stroke Research Center
University of Minnesota
Minneapolis, Minnesota
Percutaneous transluminal angioplasty and stent placement (PTAS) has become a treatment option for selected patients with symptomatic intracranial arterial stenosis.1The Stent Placement versus Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis (SAMMPRIS) trial was initiated in October of 20082 to compare PTAS with aggressive medical managements. The intent of the PTAS treatment was to prevent the primary end point (any … Continue reading >>
The Lumbar Multifidus Muscles are Affected by Medial Branch Interventions for Facet Joint Syndrome: Potential Problems and Proposal of a Pericapsular Infiltration Technique
Published online before print November 3, 2011, doi: 10.3174/ajnr.A2901
AJNR 2011 32: E213
J. Gossnera
aDepartment of Clinical Radiology
Weende Hospital
Göttingen, Germany
Low back pain is a major health problem. Like any structure of the spine and its adjacent musculature, the facet joints can be a source of pain. It has been proposed that in 15%–52% of patients with chronic low back pain, the facet joints are involved, but isolated facet joint pain is exceedingly rare.1 This is in accordance with the proposed biomechanical pathophysiology of facet joint syndrome. In the course of degenerative disk disease, … Continue reading >>
Is the Wingspan Stent More Dangerous Than Natural History in Intracranial Stenosis?
Published online before print November 17, 2011, doi: 10.3174/ajnr.A2900
AJNR 2011 32: E211
M. Berguia
aNeuroradiology
University of Turin
Turin, Italy
In the August issue of the American Journal of Neuroradiology, Al-Ali et al1 compared the results of percutaneous angioplasty (PTA), balloon-mounted stent (BMS), and the Wingspan system (Boston Scientific, Natick, Massachusetts) in the treatment of intracranial stenoses.1 Both short- and long-term results strongly favored PTA over BMS and Wingspan. The latter, in particular, compared unfavorably with the natural history of the disease in the first year after intervention. The choice of the intervention was … Continue reading >>
MR Imaging Findings in Intracranial Dural Arteriovenous Fistula Shunt with Retrograde Cortical Venous Drainage Using Susceptibility-Weighted Angiography
Published online before print October 13, 2011, doi: 10.3174/ajnr.A2875
AJNR 2011 32: E196-E197
J. Hodela, S. Gerbera and M. Zinsa
aDepartment of Radiology
Fondation Hôpital Saint Joseph
Paris, France
M. Rodallecb
bDepartment of Radiology
Centre Cardiologique du Nord
Saint Denis, France
X. Leclercc
cDepartment of Neuroradiology
Hôpital Roger Salengro
Lille, France
R. Blancd
dFondation Ophtalmologique Adolphe de Rothschild
Paris, France
A. Rahmounie
eDepartment of Radiology
Hôpital Henri Mondor
Créteil, France
We read with special interest the article of Noguchi et al entitled “Intracranial Dural Arteriovenous Fistula with … Continue reading >>
Dabigatran
doi: 10.3174/ajnr.A2850
AJNR 2011 32: E195
L. Murphya, L. Lawlera and E.C. Kavanagha
aDepartment of Radiology
Mater Misericordiae University Hospital
Dublin, Ireland
The direct thrombin inhibitor dabigatran etexilate (Pradaxa) was licensed in Ireland in March 2008 for the primary prevention of venous thromboembolic events (VTE) in adult patients who have undergone elective total hip replacement surgery or total knee replacement surgery.1 It is administered as a standard oral dose of 220 mg once daily, for a total of 10 days post-knee replacement surgery, and for 29–35 days, post-hip replacement surgery. Dabigitran replaces the use … Continue reading >>
Enlargement of the Inferior Intercavernous Sinus: A New Sign for the Diagnosis of Craniospinal Hypotension
doi: 10.3174/ajnr.A2816
AJNR 2011 32: E194
J.-F. Bonnevillea and F. Cattina
aJean Minjoz Hospital
Department of Neuroradiology
Besançon, France
F. Bonnevilleb
bRangueil Hospital
Department of Neuroradiology
Toulouse, France
We read with interest the recent article entitled “MR Imaging of the Optic Nerve Sheath in Patients with Craniospinal Hypotension” by Rohr et al.1 In patients with craniospinal hypotension, apart from engorged venous sinuses, enlarged pituitary gland, subdural effusions, and sagging of the brain, the authors have observed a partially or fully collapsed intersheath space of the optic nerves. Such a demonstration is particularly clear in … Continue reading >>
Infarction of the Corpus Callosum: A Manifestation of Giant Cell Arteritis
Published online before print September 8, 2011, doi: 10.3174/ajnr.A2763
AJNR 2011 32: E182-E183
J. Lempela and S. Bernsteina
aNorwalk Hospital
Yale University Medical School
Norwalk, Connecticut
P. Kalinab
bMayo Clinic
Rochester, Minnesota
Cerebral vasculitis is a known cause of ischemic and hemorrhagic strokes and has been described as one of the rare but important causes of corpus callosum infarction. Biopsy-proved giant cell arteritis causing callosal infarction is an exceedingly rare finding because a tissue specimen is usually not obtained and conclusions are drawn on the basis of clinical and radiologic findings alone. We present a … Continue reading >>
Would Our Treatment Decisions Be Better Justified in the Absence of Observational Data?
Published online before print September 22, 2011, doi: 10.3174/ajnr.A2755
AJNR 2011 32: E180
A. Laaksoa, M. Niemeläa and J. Hernesniemia
aDepartment of Neurosurgery
Helsinki University Central Hospital
Helsinki, Finland
In the May 2011 issue of the American Journal of Neuroradiology, Raymond et al1scrutinized at length the methodologic weaknesses of 2 recent articles about the natural history and risk of hemorrhage in brain arteriovenous malformations (AVMs), one from our department2 and the other from Toronto Western Hospital.3 While part of their criticism is undeniable—such as inevitable patient selection bias in any … Continue reading >>