Archive for the ‘Spine’ Category

1. Marawar S, Girardi FP et al.  National Trends in Anterior Cervical Fusion Procedures. Spine 2010;35:1454–1459. An 8-fold increase in prevalence and a similar increase in utilization of ACDF in the study population over a [...]

For some reason, lately we have gotten several requests to perform flexion MRI studies of the cervical spine to rule out Hirayama disease.  Here is a short presentation that one of our fellows, Dr. Janica [...]

1. Samartzis D et al. Atlantoaxial Rotatory Fixation in the Setting of Associated Congenital Malformations. Spine 2010;35:E119–E127. New subtypes to the Fielding and Hawkins classification scheme for atlantoaxial rotatory fixation should exist to account for [...]

1.  Focal cortical dysplasia type II: biological features and clinical perspectives. Lancet Neurol 2009; 8: 830–43 Very nice review article with histopathology, imaging and helpful graphics 2.  Neuro-Behçet’s disease: epidemiology, clinical characteristics, and management.  Lancet [...]

SCD Here is a short and concise presentation on the etiology, imaging findings and treatment for subacute combined degeneration of the spinal cord.  It was prepared by one of our neuroradiology fellows, Dr. Ali Nasim, [...]

I have three questions for radiologists who perform spinal injections for pain management. 1. How many people regularly do cervical nerve root blocks? 2. Are you using CT or conventional fluoro? 3. If you are [...]

The recent publication of two prospective, randomized vertebroplasty trials in the New England Journal of Medicine has garnered lively debate about the benefits of this procedure. The American Journal of Neuroradiology’s latest Special Collection “Percutaneous [...]

This young male presented with chronic but progressive low back pain and lower extremity weakness.  MR imaging of the lumbar spine with contrast showed a lesion, intradural/extramedullary, extending from T12 to L4.  The lesion “expanded” [...]

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 [...]

I am looking for any advice and assistance in the diagnosis minimally tethered cord. That is to say the conus is normally positioned but the cord is the tethered and the patient is symptomatic. One [...]