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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...
Tag Archives: Spine
Educational Presentation: Os Odontoideum
Attached is a nice review on Os Odontoideum given by Mr. Atul Gupta, a senior medical student, during his rotation here at UNC. We hope that you enjoy it and find it helpful.
Hirayama Disease: A Short Review
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 Walden, prepared on this topic.
Aunt Mickey (They Look the Same until You Undress Them). Myxopapillary Ependymoma or Something Else?
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” the spinal canal and produced significant remodeling (scalloping) of the posterior vertebral bodies. The mass had mostly low T1 signal pre contrast, mostly high T2 signal and enhanced after gadolinium. Is it a large myxopapillary ependymoma?
Analysis of axial images showed that the mass involved the spinal canal but extended out into the paraspinal regions, including the right psoas muscle, via several neural foramina. The … Continue reading >>
Intracranial Hypotension: Advice on Best Treatment
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 relief. Does anyone have any thoughts on other therapies, new techniques, experts in field. Appreciate the input.… Continue reading >>