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
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
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 of my neurosurgery colleagues is
Comment on: D.M. Yousem and S.K. Gujar Are C1–2 Punctures for Routine Cervical Myelography below the Standard of Care? AJNR Am J Neuroradiol first published on April 15, 2009 as doi: 10.3174/ajnr.A1594 In an original research article published April 15,
Aunt Mickeys are alternative diagnoses for “Aunt Minnies”. They represent less common diagnoses, and emphasize the importance of clinical history. This submission is a 23 year old male patient who became lethargic and somnolent after playing soccer. On physical exam
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
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. Ulivieri S.1, Oliveri G.1, Petrini
Young black male with 4 month history of severe headache. HA is positional and improved with laying down and also worse with certain head postitions. His headache was preceded by a few days of neck pain and there was no
I would like to know how much intrathecal contrast to inject for a CT cisternogram via a lumbar puncture approach. I am not sure.
What do you think about the use of DTI-MRI for tracking the progress of therapy in Geron’s upcoming Phase I clinical trial? DTI measures (transverse and longitudinal diffusivity) in some rodent models of spinal cord injury have shown correlations with
