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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 >>
