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Maenia Scarpino, Giovanni Lanzo, Francesco Lolli, Riccardo Carrai, Marco Moretti, Maddalena Spalletti, Morena Cozzolino, Adriano Peris, Aldo Amantini, Antonello Grippo
INTRODUCTION: Prognosticating outcome after cardiac arrest(CA) requires a multimodal approach. However, evidence regarding combinations of methods is limited. We evaluated whether the combination of electroencephalography(EEG), somatosensory evoked potentials(SEPs) and brain computed tomography(CT) could predict poor outcome. METHODS: We screened our database regarding patients successfully resuscitated after CA, for whom EEG, SEPs and brain CT were available within 24 hours...
April 18, 2018: Resuscitation
Fenglian Zheng, Yulin Liu, Zilong Yuan, Xiaodong Gao, Yaoyao He, Xiaojing Liu, Dong Cui, Rui Qi, Tiao Chen, Jianfeng Qiu
BACKGROUND: Cerebral structures in both cortical and subcortical regions change with aging. More specific and comprehensive studies are needed to better elucidate these changes. PURPOSE: To investigate the relationships between age and cerebral structures regarding cortical and subcortical changes. STUDY TYPE: Cross-cohort research. POPULATION: 54 healthy adults (28 females) aged 21-71 years. FIELD STRENGTH/SEQUENCE: T1 -weighted imaging was performed at 1...
April 20, 2018: Journal of Magnetic Resonance Imaging: JMRI
Nand Kishore Gora, Ashok Gupta, Virendra Deo Sinha
Aim: Cerebellar mutism (CM) syndrome is a well-known and annoying complication of posterior fossa surgery in the pediatric age group. Risk factors such as the type of tumor, size, involvement of posterior fossa structures and hydrocephalus, and postoperative cerebellar swelling for CM were investigated in this study. Materials and Methods: A consecutive series of 33 children with midline posterior fossa tumors were operated at the SMS Medical College and Hospital, Department of Neurosurgery, Jaipur India, between September 2015 and December 2016...
October 2017: Journal of Pediatric Neurosciences
Betty Chinda, George Medvedev, William Siu, Martin Ester, Ali Arab, Tao Gu, Sylvain Moreno, Ryan C N D'Arcy, Xiaowei Song
INTRODUCTION: Haemorrhagic stroke is of significant healthcare concern due to its association with high mortality and lasting impact on the survivors' quality of life. Treatment decisions and clinical outcomes depend strongly on the size, spread and location of the haematoma. Non-contrast CT (NCCT) is the primary neuroimaging modality for haematoma assessment in haemorrhagic stroke diagnosis. Current procedures do not allow convenient NCCT-based haemorrhage volume calculation in clinical settings, while research-based approaches are yet to be tested for clinical utility; there is a demonstrated need for developing effective solutions...
April 19, 2018: BMJ Open
Nuria Bargallo
No abstract text is available yet for this article.
May 2018: Neuroradiology
A Malhotra, X Wu, B Geng, D Hersey, D Gandhi, P Sanelli
BACKGROUND AND PURPOSE: The long-term history and management of unruptured intracranial aneurysms is not well understood. Our aim was to determine current practice patterns in the management of unruptured intracranial aneurysms, especially regarding imaging surveillance for conservatively managed aneurysms of this type. MATERIALS AND METHODS: An on-line survey was designed to examine physician practice and preference regarding the management of small unruptured intracranial aneurysms (≤7 mm in diameter)...
April 12, 2018: AJNR. American Journal of Neuroradiology
Nishant Kumar, Ranju Singh, Neha Sharma, Aruna Jain
Posterior reversible encephalopathy syndrome (PRES) is a clinico-neuroradiological entity, first described in 1996. It is commonly associated with systemic hypertension, intake of immunosuppressant drugs, sepsis and eclampsia and preeclampsia. Headache, alteration in consciousness, visual disturbances and seizures are common manifestations of PRES. Signs of pyramidal tract involvement and motor dysfunction are uncommon clinical findings. However, clinical presentation is not diagnostic. On neuroimaging, lesions are characteristically found in parieto occipital region of the brain due to vasogenic edema...
January 2018: Journal of Anaesthesiology, Clinical Pharmacology
Yaoyao Shen, Wen Jian, Juan Li, Tingmin Dai, Bing Bao, Hongbing Nie
OBJECTIVE: Wallerian degeneration (WD) of middle cerebellar peduncles (MCPs) secondary to pontine infarction is rarely reported in the literature. Our aim in this study is to characterize its clinical and neuroradiological features. METHODS: A retrospective review of 7 patients from a single institution was conducted. Only patients with pontine infarction and subsequent degeneration of the MCPs were included in the analysis. The features of clinical presentation and neuroimaging finding were summarized by our experienced neurologists...
May 15, 2018: Journal of the Neurological Sciences
P Charkhchi, M Mirbolouk, R Jalilian, D M Yousem
BACKGROUND AND PURPOSE: With globalization, the contributions of authors from abroad to the American published literature has increased. We sought to determine the changes with time in the proportional contributions of American and non-American authors in the American neurosciences literature. We hypothesized the following: 1) During the past 21 years, manuscript contributions of American institutions have proportionally decreased in neuroradiology, more than in neurosurgery or neurology; 2) contributions of Asian institutions have affected neuroradiology more than neurosurgery and neurology; and 3) American articles garner more citations...
April 5, 2018: AJNR. American Journal of Neuroradiology
A W Olthof, J C de Groot, A N Zorgdrager, P M C Callenbach, P M A van Ooijen
AIM: To investigate how neurologists perceive the value of the radiology report and to analyse the relation with the neurologists own expertise in radiology and the level of subspecialisation of radiologists. MATERIALS AND METHODS: A web-based survey was distributed to neurologists. The level of subspecialisation was assessed by the percentage of fellowship-trained radiologists and the percentage of radiologists that were members of the Dutch Society of Neuroradiology...
April 3, 2018: Clinical Radiology
Allan Felipe Fattori Alves, Rachid Jennane, José Ricardo Arruda de Miranda, Carlos Clayton Macedo de Freitas, Nitamar Abdala, Diana Rodrigues de Pina
OBJECTIVES: In order to enable less experienced physicians to reliably detect early signs of stroke, A novel approach was proposed to enhance the visual perception of ischemic stroke in non-enhanced CT. METHODS: A set of 39 retrospective CT scans were used, divided into 23 cases of acute ischemic stroke and 16 normal patients. Stroke cases were obtained within 4.5 h of symptom onset and with a mean NIHSS of 12.9±7.4. After selection of adjunct slices from the CT exam, image averaging was performed to reduce the noise and redundant information...
April 4, 2018: European Radiology
Timothy H Ung, Douglas E Ney, Denise Damek, Chad G Rusthoven, A Samy Youssef, Kevin O Lillehei, D Ryan Ormond
BACKGROUND: The Neurologic Assessment in Neuro-Oncology (NANO) scale is a standardized objective metric designed to measure neurological function in neuro-oncology. Current neuroradiological evaluation guidelines fail to use specific clinical criteria for progression. OBJECTIVE: To determine if the NANO scale was a reliable assessment tool in glioblastoma (GBM) patients and whether it correlated to survival. METHODS: Our group performed a retrospective review of all patients with newly diagnosed GBM from January 1, 2010, through December 31, 2012, at our institution...
March 30, 2018: Neurosurgery
A D Piersson, G Nunoo, P N Gorleku
INTRODUCTION: The aim of this study was to investigate current brain MRI practice, pattern of brain MRI requests, and their appropriateness using the American College of Radiology (ACR) Appropriateness Criteria. MATERIAL AND METHODS: We used direct observation and questionnaires to obtain data concerning routine brain MRI practice. We then retrospectively analyzed (i) demographic characteristics, (ii) clinical history, and (iii) appropriateness of brain MRI requests against published criteria...
May 2018: Radiography
Allan Bayat, Maria Kirchhoff, Camilla Gøbel Madsen, Sven Kreiborg
We report the clinical and neuroradiological findings in a young boy harboring the 9p deletion syndrome including the novel findings of thalamic infarction and germinal matrix haemorrhage and neonatal hyperinsulinemic hypoglycemia. Both the hypoglycemic events and the ventriculomegaly found in this patient have previously only been reported in two patients, while the thalamic infarction and germinal matrix haemorrhage are novel features.
March 27, 2018: European Journal of Medical Genetics
Ahmet Gökyar, Cengiz Cokluk
BACKGROUND: Detection of a deep-seated lesion located in the brain parenchyma and major neuroanatomical sites is a critical issue in neurosurgery. Some neurosurgical cranial navigation systems have been developed that are available; however, some preparation is necessary, including the installation of complex computer software programs and obtaining specific neuroradiological images. OBJECTIVE: The purpose of this experimental study was to design and evaluate a superficial stereotaxic frameless lesion locator in order to localize mass lesions within the brain...
March 1, 2018: Surgical Innovation
Carlos Pérez-García, Carlos Malfaz, Mariano Del Valle Diéguez, Fernando Fortea Gil, Javier Saura Lorente, Miguel Echenagusia Boyra, Manuel González Leyte, Antonio Pérez-Higueras, Enrique Castro-Reyes
BACKGROUND AND PURPOSE: The thyrocervical trunk (TCT) is the second ascending branch of the subclavian artery. It is considered a 'border territory' between interventional vascular radiology and interventional neuroradiology because it gives rise to branches both cervical and to the upper limbs. We describe the TCT branches anatomy, the most frequent variants, and expose eight endovascular procedures performed through the thyrocervical trunk. METHODS: A retrospective review of all the interventional radiology procedures carried out through the TCT in our tertiary care center from August 2014 to January 2017 is presented...
March 29, 2018: Journal of Neurointerventional Surgery
Hermann L Müller, Julia Reichel, Svenja Boekhoff, Monika Warmuth-Metz, Maria Eveslage, Junxiang Peng, Jörg Flitsch
BACKGROUND: Assessment of presurgical hypothalamic involvement (psHI) and treatment-related hypothalamic damage (trHD) is relevant for the decision on risk-adapted treatment and rehabilitation strategies in craniopharyngioma. PATIENTS AND METHODS: 129 surgical reports of childhood-onset craniopharyngioma patients recruited 2007-2014 in KRANIOPHARYNGEOM 2007 were analyzed. Data on psHI were available based on surgeon's (63%), reference neuroradiologist's (95%), and local radiologist's (23%) assessment...
March 27, 2018: Pituitary
Zihao Wang, Lu Gao, Xiaoyu Zhou, Xiaopeng Guo, Qiang Wang, Wei Lian, Renzhi Wang, Bing Xing
OBJECTIVE: To investigate pituitary abscess (PA) MRI features to improve the neuroradiologic and diagnostic knowledge of this rare disease and guide follow-up treatments. METHODS: Clinical data were collected for 51 PA patients, and MRI data were quantitatively reviewed in a retrospective analysis. Clinical factors were analyzed to investigate their relevance. RESULTS: PA neuroimaging revealed special radiological features, including hypointensity or isointensity on T1WI (30 cases, 58...
March 23, 2018: World Neurosurgery
M Ernst, L Kriston, M Groth, A M Frölich, J Fiehler, J-H Buhk
BACKGROUND AND PURPOSE: Angiographic occlusion and retreatment of coiled aneurysms are commonly used as surrogate end points in clinical trials. We aimed to evaluate the influence of aneurysm, patient, and rater characteristics on the confidence of visual evaluation of aneurysm coiling and retreatment decisions. MATERIALS AND METHODS: Twenty-six participants of the Advanced Course in Endovascular Interventional Neuroradiology of the European Society of Neuroradiology were asked to evaluate digital subtraction angiography examinations of patients who had undergone endovascular coiling, by determining the grade of aneurysm occlusion, the change between immediate postprocedural and follow-up angiograms, their level of confidence, the technical difficulty of retreatment, and the best therapeutic approach...
March 22, 2018: AJNR. American Journal of Neuroradiology
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