{"title":"Endovascular treatment of intracranial dural arteriovenous fistulas with Onyx: A consecutive series of 62 patients from a single-center.","authors":"Yihui Ma, Zejin Li, Yu Feng, Tingbao Zhang, Xinjun Chen, Wenyuan Zhao","doi":"10.1177/19714009241242586","DOIUrl":"10.1177/19714009241242586","url":null,"abstract":"<p><strong>Objective: </strong>Intracranial intracranial dural arteriovenous fistulas (DAVFs) are mainly treated with an endovascular approach and various embolic agents. The aim of this study was to investigate the efficacy and safety of Onyx embolization in the treatment of DAVFs and characterize the factors as sociated with complete obliteration.</p><p><strong>Methods: </strong>This retrospective study was based on 62 patients with DAVFs who underwent endovascular treatment with Onyx alone or in combination with coils at our institution. Clinical and imaging data were collected and analyzed.</p><p><strong>Results: </strong>A total of 62 patients with 64 DAVFs were treated with endovascular embolization. The most common primary symptom was ophthalmological signs with a rate of 37.1%. Cognard type III was the most commonly seen subtype (32.8%). The immediate complete occlusion and follow-up rate was 92.2% and 93.5%, respectively. Transvenous balloon-assisted sinus protection was used in 12 patients (18.8%). The pressure cooker technique was used in eight patients (12.5%). Complications were seen in five patients including intracerebral hemorrhage (<i>n</i> = 2), venous thrombotic events (<i>n</i> = 2), and glued microcatheter (<i>n</i> = 1).</p><p><strong>Conclusions: </strong>Endovascular Onyx alone or in combination with coils embolization is a safe and effective therapy for DAVFs. Favorable angiographic and clinical outcomes can be achieved using different endovascular approaches. Transvenous balloon-assisted sinus protection and the pressure cooker technique may help achieve complete occlusion of DAVFs.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"587-592"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11456198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Treatment outcome of bridge mechanical thrombectomy with different IV-tPA dosages in the standard and extended time window in real-world practice.","authors":"Hao-Te Liu, Wen-Chun Deng, Ching-Wen Chang, Yi Ming Wu, Ho-Fai Wong, Chien-Hung Chang, Mun-Chun Yeap, Ching-Chang Chen, Chung-Ting Chen, Yu-Ting Huang, Yao-Liang Chen","doi":"10.1177/19714009241269447","DOIUrl":"10.1177/19714009241269447","url":null,"abstract":"<p><strong>Background: </strong>Differences of treatment outcome between full or reduced dose of tissue plasminogen activator (tPA) for bridge mechanical thrombectomy (MT) in the extended time window have not been clearly established. We aimed to present real-world results of bridge MT with different tPA dosages in the standard and extended windows.</p><p><strong>Materials and methods: </strong>Patients with anterior circulation stroke treated with MT between 2017 and 2021 at two stroke referral centers were retrospectively reviewed. Bridge MT with tPA were categorized as full (0.9 mg/kg) or reduced (<0.9 mg/kg) dose. Standard window (SW) cohort was defined as MT performed within 6 h of acute ischemic stroke onset, while those beyond 6 h as the extended window (EW) cohort. 90 days Modified Rankin Scale (mRS) score, technical treatment success, in-hospital mortality, and post-treatment hemorrhage were analyzed.</p><p><strong>Results: </strong>A total of 423 patients met the inclusion criteria, 218 of which treated in the SW, while 205 treated in the EW. Within the SW cohort, the full-dose tPA group demonstrated a higher proportion of good functional outcome (GFO) at 90 days (mRS0-3) versus reduced (49% vs 21%, <i>p</i> = 0.0358). The overall GFO of SW was higher than that of the EW cohort (33% vs 20%, <i>p</i> = 0.0480). Within the EW cohort, GFO was similar between full and reduced dose groups. Successful reperfusion rate was lower in SW versus EW cohorts (39% vs 58%, <i>p</i> = 0.0199).</p><p><strong>Conclusion: </strong>In real-world practice, the GFO of bridge MT is better than MT alone. The tPA dosage is not a determining factor of GFO in EW MT.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009241269447"},"PeriodicalIF":1.3,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142056895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shruti Mishra, Ashok Srinivasan, Lauren Kelsey, Katherine Bojicic, Maria Masotti, Qiaochu Chen, Ellen Hoeffner, Steven Kronick, Diana Gomez-Hassan
{"title":"Implementing a rapid cord compression Magnetic Resonance Imaging protocol in the emergency department: Lessons learned.","authors":"Shruti Mishra, Ashok Srinivasan, Lauren Kelsey, Katherine Bojicic, Maria Masotti, Qiaochu Chen, Ellen Hoeffner, Steven Kronick, Diana Gomez-Hassan","doi":"10.1177/19714009241269540","DOIUrl":"10.1177/19714009241269540","url":null,"abstract":"<p><strong>Background & purpose: </strong>(1) Evaluate efficacy of an abbreviated total spine protocol in triaging emergency department (ED) patients through retrospective evaluation. (2) Describe patient outcomes following implementation of a rapid cord compression protocol.</p><p><strong>Methods: </strong>(1) All contrast-enhanced total spine magnetic resonance imaging studies (MRIs) performed on ED patients (<i>n</i> = 75) between 10/1-12/31/2022 for evaluation of cord compression were included. Two readers with 6 and 5 years of experience blindly reviewed the abbreviated protocol (comprised of sagittal T2w and axial T2w sequences) assessing presence of cord compression or severe spinal canal stenosis. Ground truth was consensus by a neuroradiology fellow and 2 attendings. (2) The implemented rapid protocol included sagittal T1w, sagittal T2w Dixon and axial T2w images. All ED patients (<i>n</i> = 85) who were imaged using the rapid protocol from 5/1-8/31/2023 were included. Patient outcomes and call-back rates were determined through chart review.</p><p><strong>Results: </strong>(1) Sensitivity and specificity for severe spinal canal stenosis and/or cord compression was 1.0 and 0.92, respectively, for reader 1 and 0.78 and 0.85, respectively, for reader 2. Negative predictive value was 1.0 and 0.97 for readers 1 and 2, respectively. (2) The implemented rapid cord compression protocol resulted in 60% reduction in imaging time at 1.5T. The call-back rate for additional sequences was 7%. In patients who underwent surgery, no additional MRI images were acquired in 82% of cases (9/11).</p><p><strong>Conclusions: </strong>Implementing an abbreviated non-contrast total spine protocol in the ED results in a low call-back rate with acquired MRI images proving sufficient for both triage and treatment planning in most patients.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009241269540"},"PeriodicalIF":1.3,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sneh Brahmbhatt, Amit Agarwal, Dhruv Shetty, Amit Desai, Alok A Bhatt
{"title":"\"Genetic tumor syndromes of the head and neck: Update in the genomic era\".","authors":"Sneh Brahmbhatt, Amit Agarwal, Dhruv Shetty, Amit Desai, Alok A Bhatt","doi":"10.1177/19714009241269462","DOIUrl":"10.1177/19714009241269462","url":null,"abstract":"<p><p>Genetic tumor syndromes are due to inherited genetic mutations, which have recently come to the attention of clinicians due to the widespread adoption of DNA sequencing, ultimately leading to imaging for surveillance. As a result, radiologists must be familiar with the clinical, genetic, and radiologic features of these syndromes. This article reviews genetic tumor syndromes of the head and neck according to the recently updated WHO's 5th edition.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009241269462"},"PeriodicalIF":1.3,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stephen A Chan, John C Benson, Michelle A Neben Wittich, Kyriakos Chatzopoulos, Joaquin J Garcia, Katherine B Geiersbach, Lucinda M Gruber, Robert A Wermers, Robert J Pignolo, Peter S Rose, Kathryn M Van Abel
{"title":"Soft tissue aneurysmal bone cyst presenting as an enlarging neck mass: Case report and review of the head and neck literature.","authors":"Stephen A Chan, John C Benson, Michelle A Neben Wittich, Kyriakos Chatzopoulos, Joaquin J Garcia, Katherine B Geiersbach, Lucinda M Gruber, Robert A Wermers, Robert J Pignolo, Peter S Rose, Kathryn M Van Abel","doi":"10.1177/19714009241269441","DOIUrl":"10.1177/19714009241269441","url":null,"abstract":"<p><p>Soft tissue aneurysmal bone cysts (STABCs) are rare neoplasms histopathologically identical to aneurysmal bone cysts. These benign lesions are characterized by thin, peripheral ossification and no skeletal continuity. STABC may be difficult to distinguish from myositis ossificans (MO) and malignant entities from imaging and fine needle aspiration, due to rarity and overlapping features. We present a case of a STABC occurring in the paraspinal cervical muscles. The imaging, histopathology, molecular analysis, and treatment are discussed. Four other published cases of STABC of the head and neck are reviewed.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009241269441"},"PeriodicalIF":1.3,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohammad Amin Habibi, Ali Dinpazhouh, Aliakbar Aliasgary, Mohammad Sina Mirjani, Mehdi Mousavinasab, Mohammad Reza Ahmadi, Poriya Minaee, SeyedMohammad Eazi, Milad Shafizadeh, Muhammet Enes Gurses, Victor M Lu, Chandler N Berke, Michael E Ivan, Ricardo J Komotar, Ashish H Shah
{"title":"Predicting telomerase reverse transcriptase promoter mutation in glioma: A systematic review and diagnostic meta-analysis on machine learning algorithms.","authors":"Mohammad Amin Habibi, Ali Dinpazhouh, Aliakbar Aliasgary, Mohammad Sina Mirjani, Mehdi Mousavinasab, Mohammad Reza Ahmadi, Poriya Minaee, SeyedMohammad Eazi, Milad Shafizadeh, Muhammet Enes Gurses, Victor M Lu, Chandler N Berke, Michael E Ivan, Ricardo J Komotar, Ashish H Shah","doi":"10.1177/19714009241269526","DOIUrl":"10.1177/19714009241269526","url":null,"abstract":"<p><strong>Background: </strong>Glioma is one of the most common primary brain tumors. The presence of the telomerase reverse transcriptase promoter (pTERT) mutation is associated with a better prognosis. This study aims to investigate the TERT mutation in patients with glioma using machine learning (ML) algorithms on radiographic imaging.</p><p><strong>Method: </strong>This study was prepared according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The electronic databases of PubMed, Embase, Scopus, and Web of Science were searched from inception to August 1, 2023. The statistical analysis was performed using the MIDAS package of STATA v.17.</p><p><strong>Results: </strong>A total of 22 studies involving 5371 patients were included for data extraction, with data synthesis based on 11 reports. The analysis revealed a pooled sensitivity of 0.86 (95% CI: 0.78-0.92) and a specificity of 0.80 (95% CI 0.72-0.86). The positive and negative likelihood ratios were 4.23 (95% CI: 2.99-5.99) and 0.18 (95% CI: 0.11-0.29), respectively. The pooled diagnostic score was 3.18 (95% CI: 2.45-3.91), with a diagnostic odds ratio 24.08 (95% CI: 11.63-49.87). The Summary Receiver Operating Characteristic (SROC) curve had an area under the curve (AUC) of 0.89 (95% CI: 0.86-0.91).</p><p><strong>Conclusion: </strong>The study suggests that ML can predict TERT mutation status in glioma patients. ML models showed high sensitivity (0.86) and moderate specificity (0.80), aiding disease prognosis and treatment planning. However, further development and improvement of ML models are necessary for better performance metrics and increased reliability in clinical practice.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009241269526"},"PeriodicalIF":1.3,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohammad Amin Habibi, Mohammad Sina Mirjani, Amir Mahmoud Ahmadzadeh, Mohammad Taha Akbari Javar, Shaghayegh Karami, Muhammad Hussain Ahmadvand
{"title":"Safety and efficacy of flow redirection endoluminal device (FRED) for treatment of intracranial aneurysm; A systematic review and meta-analysis.","authors":"Mohammad Amin Habibi, Mohammad Sina Mirjani, Amir Mahmoud Ahmadzadeh, Mohammad Taha Akbari Javar, Shaghayegh Karami, Muhammad Hussain Ahmadvand","doi":"10.1177/19714009241269460","DOIUrl":"10.1177/19714009241269460","url":null,"abstract":"<p><strong>Background: </strong>Previous research has shown promising results for treating intracranial aneurysms (IAs) with a flow redirection endoluminal device (FRED). In this systematic review and meta-analysis, we aimed to assess the safety and efficacy of this device by providing pooled estimates using the data from previous studies.</p><p><strong>Methods: </strong>A systematic literature search of Web of Sciences, PubMed, Scopus, and Embase was performed until October 8th, 2023. After selecting the final articles, relevant data were extracted. Parameters relating to safety and efficacy were pooled using STATA software. Heterogeneity was assessed using I-squared and Cochran's Q. Funnel plots and Egger's regression methods were used to evaluate publication bias. Sensitivity analysis was also performed using the leave-one-out method.</p><p><strong>Results: </strong>The data of 37 studies were used for meta-analysis. The rates of immediate adequate occlusion and complete occlusion were 0.51 (95% CI: 0.31-0.71) and 0.34 (95% CI: 0.16-0.53), respectively, while the rates of the adequate and complete occlusion at the latest follow-up were 0.90 (95% CI: 0.84-0.94) and 0.75 (95% CI: 0.65-0.84), respectively. The periprocedural complications rate was 0.04 (95% CI: 0.03-0.06), and the overall complications rate was 0.12 (95% CI: 0.09-0.15). The rate of good functional outcome was 0.99 (95% CI: 0.99-1.00) and the successful implantation rate was 1.00 (95% CI: 1.00-1.00). There was substantial heterogeneity among the reports for most of the evaluated parameters.</p><p><strong>Conclusion: </strong>FRED had high safety and efficacy in treating IAs, as evidenced by its high occlusion and low complication rates.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009241269460"},"PeriodicalIF":1.3,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neuroradiology JournalPub Date : 2024-08-01Epub Date: 2024-03-28DOI: 10.1177/19714009241242638
Bin Luo, Chao Wang, Jian Liu, Yisen Zhang, Kun Wang, Wenqiang Li, Ying Zhang
{"title":"Treatment of basilar artery aneurysms with two braided stents: Two centers experience of low-profile visualized intraluminal support stents versus Pipeline flow diverters.","authors":"Bin Luo, Chao Wang, Jian Liu, Yisen Zhang, Kun Wang, Wenqiang Li, Ying Zhang","doi":"10.1177/19714009241242638","DOIUrl":"10.1177/19714009241242638","url":null,"abstract":"<p><strong>Background: </strong>Both low-profile visualized intraluminal support (LVIS)stents and Pipeline flow diverters (FDs) are therapeutic strategies for basilar artery (BA) aneurysms, but they have not been directly compared.</p><p><strong>Methods: </strong>A total of 132 consecutive patients with 139 BA aneurysms treated with either LVIS stent or Pipeline FDs were analyzed. Propensity score matching (PSM) was used to control for age, sex, hypertension, aneurysm size, shape, location, and duration of follow-up. The treatment results of these two braided stents were compared.</p><p><strong>Results: </strong>LVIS stent was placed in 88 (63.3%) and Pipeline FDs in 51 (36.7%) procedures. Patients with Pipeline FDs tended to be younger and have less hypertension, whereas aneurysms had larger aneurysm size. After PSM, similar complete or near-complete occlusion rates (76.7% vs 73.3%, <i>p</i> = .766) and favorable functional outcomes (86.7% vs 90.0%, <i>p</i> = 1) were achieved in patients treated with LVIS stents and Pipeline FDs, respectively. Further comparisons were conducted at three different locations (basilar apex/basilar trunk/vertebrobasilar artery junction [VBJ]) separately, and the results showed a higher complete or near-complete aneurysm occlusion rate after Pipeline FD treatment than LVIS treatment (86.7% vs 59.2%, <i>p</i> = .012) only at VBJ, where a particularly high proportion of non-saccular shape (70.9%) and a male preponderance were noted.</p><p><strong>Conclusion: </strong>Both braided stents were effective in the treatment of BA aneurysms, with good occlusion rates and favorable functional outcomes. Pipeline FD achieved a particularly higher aneurysm occlusion rate than LVIS stent at VBJ, where lesions often require reconstruction of the diseased vessel.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"500-509"},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neuroradiology JournalPub Date : 2024-08-01Epub Date: 2024-04-01DOI: 10.1177/19714009241242650
Daniele Morosetti, Alfredo Paolo Mascolo, Renato Argirò, Valerio Da Ros, Marco Nezzo, Sara Crociati, Gianluca Cecchi, Luca Funari, Marina Diomedi, Roberto Floris
{"title":"Endovascular treatment of acute arteriosclerotic vertebrobasilar occlusion: A single center experience.","authors":"Daniele Morosetti, Alfredo Paolo Mascolo, Renato Argirò, Valerio Da Ros, Marco Nezzo, Sara Crociati, Gianluca Cecchi, Luca Funari, Marina Diomedi, Roberto Floris","doi":"10.1177/19714009241242650","DOIUrl":"10.1177/19714009241242650","url":null,"abstract":"<p><strong>Objectives: </strong>Few experiences on vertebrobasilar occlusion over underlying intracranial atherosclerotic disease have been reported in literature and the optimal strategy on how to perform a mechanical thrombectomy is unclear. The aim of this paper is to bring our experience based on patients admitted with acute vertebrobasilar occlusion with underlying atheromatous lesions.</p><p><strong>Materials and methods: </strong>Several data were collected from August 2009 to October 2022 including clinical history, pre- and post-treatment neurological objectivity, diagnostic images and angiographic procedural images, and clinical outcome at 6 months. We selected 13 patients from August 2009 to October 2022, 12 men and 1 woman, aged 40 to 82 years (mean age, 62.6 years).</p><p><strong>Results: </strong>Mechanical thrombectomy with a thromboaspiration was performed in all patients as beginning of the procedure. In three patients, the procedures resulted in excellent angiographic result and clinical outcome, while in three patients, we observed a failure of the procedural and clinical outcome. For residual intracranial stenosis in three patients, an angioplasty was performed obtaining an ischemic area related to the posterior circulation. In four patients, a stent was placed, in three patients, we obtained a good clinical outcome with a mRS between 0 and 2, while one treatment resulted in death, probably due to a late endovascular treatment.</p><p><strong>Conclusions: </strong>Endovascular treatment with stent deployment appears to result in an excellent outcome in patients with occlusion of the vertebrobasilar circulation in cases of occlusion on atheromatic plaque. The degree of residual stenosis after thrombospiration can significantly affect subsequent type of treatment.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"483-489"},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neuroradiology JournalPub Date : 2024-08-01Epub Date: 2023-11-02DOI: 10.1177/19714009231212367
Hallie Whalen, Sandrine Yazbek
{"title":"Atretic cephalocele and differential considerations: A small case series.","authors":"Hallie Whalen, Sandrine Yazbek","doi":"10.1177/19714009231212367","DOIUrl":"10.1177/19714009231212367","url":null,"abstract":"<p><p>Any posterior midline cystic or soft tissue scalp mass in an infant needs evaluation with MRI brain and MRV brain to look for intracranial extension of the lesion. One of the differential considerations is an atretic cephalocele, which can be a difficult diagnosis, especially when the cystic lesions are small. The presence of a small calvarial defect adjacent to the cystic mass and a persistent primitive falcine vein, which points towards the cystic mass, are imaging clues to this diagnosis. Correct diagnosis is needed prior to surgical resection to avoid potentially serious postoperative complications.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"518-523"},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71427778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}