Arachnoid
Arachnoid Cysts
Subarachnoid Space
Dura Mater
Syringomyelia
Arachnoiditis
Meninges
Cranial Sinuses
Hematoma, Subdural
Central Nervous System Cysts
Cranial Fossa, Middle
Cranial Fossa, Posterior
Subdural Effusion
Hernia
Granulation Tissue
Magnetic Resonance Imaging
Spinal Cord Compression
Cerebrospinal Fluid
Meningioma
Spinal Cord Diseases
Decompression, Surgical
Hydrocephalus
Pneumoencephalography
Cerebral Ventriculography
Laminectomy
Neuroendoscopy
Cerebrospinal Fluid Shunts
Headache
Hypothalamic Diseases
Meningeal Neoplasms
Encephalocele
Iophendylate
Sella Turcica
Hematoma, Subdural, Chronic
Cerebrospinal Fluid Pressure
Petrous Bone
Cisterna Magna
Tomography, X-Ray Computed
Keratin-8
Cysts
Cerebrospinal Fluid Rhinorrhea
Parietal Bone
Hemifacial Spasm
Myelography
Meningocele
Nerve Compression Syndromes
Contribution of extracranial lymphatics and arachnoid villi to the clearance of a CSF tracer in the rat. (1/145)
The objective of this study was to determine the relative roles of arachnoid villi and cervical lymphatics in the clearance of a cerebrospinal fluid (CSF) tracer in rats. 125I-labeled human serum albumin (125I-HSA; 100 micrograms) was injected into one lateral ventricle, and an Evans blue dye-rat protein complex was injected intravenously. Arterial blood was sampled for 3 h. Immediately after this, multiple cervical vessels were ligated in the same animals, and plasma recoveries were monitored for a further 3 h after the intracerebroventricular injection of 100 micrograms 131I-HSA. Tracer recovery in plasma at 3 h averaged (%injected dose) 0.697 +/- 0.042 before lymphatic ligation and dropped significantly to 0.357 +/- 0. 060 after ligation. Estimates of the rate constant associated with the transport of the CSF tracer to plasma were also significantly lower after obstruction of cervical lymphatics (from 0.584 +/- 0. 072/h to 0.217 +/- 0.056/h). No significant changes were observed in sham-operated animals. Assuming that the movement of the CSF tracer to plasma in lymph-ligated animals was a result of arachnoid villi clearance, we conclude that arachnoid villi and extracranial lymphatic pathways contributed equally to the clearance of the CSF tracer from the cranial vault. (+info)MR of CNS sarcoidosis: correlation of imaging features to clinical symptoms and response to treatment. (2/145)
BACKGROUND AND PURPOSE: Sarcoidosis is an idiopathic systemic granulomatous disease, recognized in a patient when clinical and radiologic findings are confirmed by histopathologic analysis. The objective was to identify a relationship between MR imaging and clinical findings in CNS sarcoidosis. METHODS: The clinical charts of 461 patients with biopsy-proved sarcoidosis were reviewed retrospectively. Criteria for including patients in the study included those with symptoms referable to the CNS, excluding those with another explanation for their symptoms, those with headaches or other subjective complaints without accompanying objective findings, and those with peripheral neuropathy other than cranial nerve involvement or myopathy without CNS manifestations. Thirty-four of 38 patients whose conditions met the criteria for CNS sarcoidosis underwent a total of 82 MR examinations. The positive imaging findings were divided into categories as follows: pachymeningeal, leptomeningeal, nonenhancing brain parenchymal, enhancing brain parenchymal, cranial nerve, and spinal cord and nerve root involvement. Treatment response, clinical symptomatology, and any available histopathologic studies were analyzed with respect to imaging manifestations in each of the categories. RESULTS: Eighty-two percent of the patients with sarcoidosis with neurologic symptoms referable to the CNS had findings revealed by MR imaging. However, eight (40%) of 20 cranial nerve deficits seen at clinical examination of 13 patients were not seen at contrast-enhanced MR imaging, and 50% of the patients with symptoms referable to the pituitary axis had no abnormal findings on routine contrast-enhanced MR images. In contradistinction, 44% of 18 cranial nerves in nine patients with MR evidence of involvement had no symptoms referable to the involved cranial nerve. Clinical and radiologic deterioration occurred more commonly with leptomeningeal and enhancing brain parenchymal lesions. CONCLUSION: MR imaging can be used to confirm clinical suspicion and to show subclinical disease and the response of pathologic lesions to treatment. (+info)Increase of collagen synthesis and deposition in the arachnoid and the dura following subarachnoid hemorrhage in the rat. (3/145)
Arachnoidal fibrosis following subarachnoid hemorrhage (SAH) has been suggested to play a pathogenic role in the development of late post-hemorrhagic hydrocephalus in humans. The purpose of this study was to investigate the rate of collagen synthesis in the arachnoid and the dura in the rat under normal conditions and to study the time schedule and the localization of the increased collagen synthesis following an experimental SAH. We found that the activity of prolyl 4-hydroxylase, a key enzyme in collagen synthesis, was 3-fold higher in the dura than that in the arachnoid and was similar to the activity in the skin. We then induced SAH in rats by injecting autologous arterial blood into cisterna magna. After SAH, we observed an increase in prolyl 4-hydroxylase activity of the arachnoid and the dura at 1 week. At this time point the enzyme activity in both tissues was 1.7-1.8-fold compared to that in the controls and after this time point the activities declined but remained slightly elevated at least till week 4. The rate of collagen synthesis was measured in vitro by labeling the tissues with [(3)H]proline. The rate increased to be 1.7-fold at 1 to 2 weeks after the SAH in both of the tissues. Immunohistochemically we observed a deposition of type I collagen in the meninges at 3 weeks after the SAH. SAH is followed by a transient increase in the rate of collagen synthesis in the arachnoid and, surprisingly, also the dura. Increased synthesis also resulted in an accumulation of type I collagen in the meningeal tissue, suggesting that the meninges are a potential site for fibrosis. The time schedule of these biochemical and histological events suggest that meningeal fibrosis may be involved in the pathogenesis of late post-hemorrhagic hydrocephalus. (+info)MR imaging features of clear-cell meningioma with diffuse leptomeningeal seeding. (4/145)
Clear-cell meningioma is a rare disease entity showing a more aggressive nature, clinically, than those of other subtypes of meningioma. It occurs in younger persons and commonly in the spinal canal. The recurrence rate has been reported to be as high as 60%. We present a case of clear-cell meningioma in a 17-year-old man in whom initial MR imaging showed localized leptomeningeal enhancement that had progressed into the entire subarachnoid space after surgical resection of the primary tumor. (+info)Unilateral leptomeningeal enhancement after carotid stent insertion detected by magnetic resonance imaging. (5/145)
BACKGROUND AND PURPOSE: Percutaneous transluminal angioplasty combined with vascular stenting is currently being assessed in the treatment of patients with symptomatic, severe carotid stenosis. The immediate cerebral hemodynamic effects resulting from stenting are not fully understood. This article describes a novel finding: abnormal leptomeningeal enhancement after stenting shown by MRI. METHODS: Fourteen patients with symptomatic severe carotid bifurcation stenosis underwent MRI within 4 hours before and within 3 hours after attempted carotid stenting. Twelve patients were successfully stented. Part of the MR investigation consisted of the acquisition of T1-weighted images before and after administration of the contrast agent Gd-DTPA, both before and after the procedure. RESULTS: All 12 patients who underwent successful stenting did not have abnormal enhancement of the leptomeninges before stenting but developed unilateral enhancement following intervention but before the second injection of contrast agent. No contrast enhancement was detected in the 2 patients who had the angiographic procedure but were not stented. CONCLUSIONS: These findings suggest that abnormal changes to the leptomeningeal vasculature occur during carotid stenting which are not associated with sudden development of neurological symptoms. The anatomic distribution of the enhancement suggests that it is a consequence of the sudden change in brain hemodynamics secondary to the improvement in carotid flow after stenting. (+info)Supratentorial extracerebral cysts in infants and children. (6/145)
Twelve cases of supratentorial extracerebral cysts in infants and children are reported. Eight were located in the Sylvian fissure, two in the interhemispheric fissue, and two over the convexity of the cerebral hemispheres. Irrespective of their precise location these cysts, in their common, uncomplicated form, give rise to a clinical syndrome different from that recorded in older patients, with a symmetrical macrocrania of a severe degree unassociated with any neurological signs or abnormalities in psychomotor development. Extensive unilateral transillumination of the skull is common (six cases). These features, in association with specific angiographic and pneumoencephalographic findings, make a preoperative diagnosis possible. Extracerebral cysts (either arachnoidal or histologically more complex) should be distinguished from intracerebral cavities which may closely mimic them, even at surgery. The natural history of infatile cysts is studied and serial head-measurements (pre-and postoperative) are presented in five cases. Insufficient knowledge of the spontaneous course and incidence of complications prevents definite statements on the necessity and type of therapy. (+info)Correlation of cerebrovascular reserve as measured by acetazolamide-challenged SPECT with angiographic flow patterns and intra- or extracranial arterial stenosis. (7/145)
BACKGROUND AND PURPOSE: The ability to identify patients at increased risk for stroke from cerebral hemodynamic ischemia may help guide treatment planning. We tested the correlation between regional cerebrovascular reserve (rCVR) on acetazolamide-challenged single-photon emission CT (SPECT) brain scans and intracranial collateral pathways as well as extra- or intracranial (EC-IC) arterial stenosis on cerebral angiography. METHODS: A retrospective analysis of 27 patients who underwent cerebral angiography and acetazolamide-challenged SPECT brain imaging was performed. With cerebral angiography, the anterior, middle, and posterior cerebral artery (ACA, MCA, PCA) territories were evaluated for patterns of flow, including the ipsilateral carotid or basilar arteries, the circle of Willis collaterals, the EC-IC collaterals, and the leptomeningeal collaterals. With acetazolamide-challenged SPECT, the ACA, MCA, and PCA territories were classified as either showing or not showing evidence of decreased rCVR. Statistical significance was determined by the chi(2) test. RESULTS: Patients with decreased rCVR had significantly greater dependence on either the EC-IC or leptomeningeal collaterals (42%) than did patients without decreased rCVR (7%). Similarly, the cerebral hemispheres with decreased rCVR showed a higher prevalence of 70% or greater stenosis or occlusion of the ipsilateral EC-IC arteries in the anterior circulation (74%) than did hemispheres with no evidence of decreased rCVR (16%), and this difference was also statistically significant. CONCLUSION: Acetazolamide-challenged SPECT brain scanning provides additional information regarding rCVR that is not reliably provided by cerebral angiography. (+info)Multi-level disruption of the spinal nerve root sleeves in spontaneous spinal cerebrospinal fluid leakage--two case reports. (8/145)
A 37-year-old male and an 18-year-old male presented with spontaneous spinal cerebrospinal fluid (CSF) leakage from multiple nerve root sleeves. Both patients suffered abrupt onset of intense headache followed by nausea, dizziness, and one patient with and one without positional headache. Radioisotope spinal cisternography of both patients revealed that the CSF leaks were not localized in a special zone but distributed to multiple spinal nerve root sleeves. Magnetic resonance (MR) myelography suggested that the spinal CSF column was fully expanded to the root sleeves. The extraspinal nerve bundles demonstrated numerous high intensity spots. Both patients were treated conservatively, and their symptoms resolved within one month. Repeat radioisotope cisternography and MR myelography confirmed the spine was normal after recovery. We suggest that spreading disruption of the arachnoid membrane occurs at the nerve root sleeves due to CSF overflow into the spinal canal. (+info)An arachnoid cyst is a sac-like structure that forms in the arachnoid mater, which is a layer of tissue that covers the brain and spinal cord. These cysts are filled with clear or yellowish fluid and are usually benign, meaning they are not cancerous. They can occur anywhere in the brain or spinal cord, but are most commonly found in the cerebellum, the brainstem, or the spinal canal. Arachnoid cysts are usually asymptomatic and do not cause any problems. However, in some cases, they can cause symptoms such as headaches, seizures, or problems with balance and coordination. In rare cases, they can cause more serious problems such as hydrocephalus, which is an accumulation of fluid in the brain. Treatment for arachnoid cysts is usually not necessary if they are asymptomatic. However, if they are causing symptoms or if they are growing in size, treatment options may include observation, surgery to remove the cyst, or the use of medications to reduce the pressure inside the cyst.
Syringomyelia is a medical condition characterized by the formation of fluid-filled cysts (syringes) within the spinal cord. These cysts can cause damage to the spinal cord and lead to a range of symptoms, including pain, weakness, numbness, and tingling in the arms and legs. Syringomyelia can be caused by a variety of factors, including trauma to the spine, spinal cord infections, and inherited conditions such as Chiari malformation. The condition can also be idiopathic, meaning its cause is unknown. Diagnosis of syringomyelia typically involves imaging tests such as MRI or CT scans, which can show the presence of the cysts within the spinal cord. Treatment options for syringomyelia depend on the severity of the symptoms and the underlying cause of the condition. In some cases, surgery may be necessary to remove the cysts or relieve pressure on the spinal cord. Other treatment options may include medication, physical therapy, and lifestyle changes.
Arachnoiditis is a condition characterized by inflammation of the arachnoid membrane, which is a thin layer of tissue that covers the spinal cord and brain. The inflammation can be caused by a variety of factors, including infection, injury, autoimmune disorders, or exposure to certain medications or toxins. Symptoms of arachnoiditis can vary depending on the location and severity of the inflammation, but may include back or neck pain, headache, numbness or tingling in the extremities, difficulty walking or standing, and changes in bowel or bladder function. In some cases, arachnoiditis can lead to more serious complications, such as spinal cord compression or hydrocephalus (buildup of fluid in the brain). Treatment for arachnoiditis typically involves managing symptoms and addressing any underlying causes of the inflammation. This may include medications to reduce pain and inflammation, physical therapy to improve mobility and strength, and in some cases, surgery to relieve pressure on the spinal cord or brain.
A subdural hematoma is a type of hematoma that occurs when blood accumulates between the dura mater (outermost layer of the brain) and the arachnoid mater (middle layer of the brain). It is also known as a subdural effusion or subdural collection. Subdural hematomas can be caused by a variety of factors, including head injury, bleeding disorders, and certain medications. They can also occur spontaneously, without any known cause. Symptoms of a subdural hematoma may include headache, nausea and vomiting, confusion, drowsiness, seizures, and changes in mental status. In severe cases, a subdural hematoma can lead to brain swelling, which can cause life-threatening complications. Treatment for a subdural hematoma typically involves surgery to remove the blood and relieve pressure on the brain. In some cases, conservative management with observation and medication may be appropriate. The prognosis for a subdural hematoma depends on the severity of the injury and the promptness of treatment.
Central Nervous System (CNS) cysts are fluid-filled sacs that develop within the brain or spinal cord. They can be congenital, meaning present at birth, or acquired later in life. CNS cysts can be classified as either non-neoplastic or neoplastic, depending on whether they are benign or cancerous. Non-neoplastic CNS cysts are more common and include arachnoid cysts, dermoid cysts, and epidermoid cysts. These cysts are usually asymptomatic and do not require treatment unless they cause symptoms or become infected. Neoplastic CNS cysts are less common and include cystic brain tumors such as cystic astrocytomas, cystic meningiomas, and cystic gliomas. These cysts are usually treated with surgery, radiation therapy, or chemotherapy, depending on the type and location of the cyst. CNS cysts can cause a variety of symptoms, including headaches, seizures, difficulty with balance and coordination, and changes in mental function. Diagnosis typically involves imaging studies such as MRI or CT scans. Treatment options depend on the type, size, and location of the cyst, as well as the patient's overall health and symptoms.
Subdural effusion is a medical condition in which there is a collection of fluid between the dura mater (the outermost layer of the brain) and the arachnoid mater (the middle layer of the brain). This fluid is called cerebrospinal fluid (CSF), which normally surrounds and protects the brain and spinal cord. Subdural effusion can occur due to various reasons, including head injury, bleeding, infection, or inflammation. It can also be a complication of certain medical conditions, such as meningitis or hydrocephalus. Symptoms of subdural effusion may include headache, nausea, vomiting, confusion, seizures, and loss of consciousness. In severe cases, it can lead to brain swelling, which can be life-threatening. Treatment for subdural effusion depends on the underlying cause and the severity of the condition. In some cases, it may require surgical intervention to remove the excess fluid and relieve pressure on the brain. In other cases, it may be treated with medications or supportive care to manage symptoms and prevent complications.
A hernia is a condition in which an organ or tissue pushes through a weakened or damaged area in the surrounding muscle or connective tissue. This can occur in various parts of the body, including the abdomen, groin, and neck. In the abdominal area, a hernia occurs when an organ, such as the intestines, pushes through a weakened area in the abdominal wall, often due to increased pressure within the abdomen. This can cause a bulge or lump to form in the affected area. Groin hernias occur when an organ, such as the intestines, pushes through a weakened area in the groin, which is where the abdominal muscles meet the muscles of the thigh. This can cause a painful lump or swelling in the groin area. Neck hernias, also known as hiatal hernias, occur when the upper part of the stomach pushes through a weakened area in the diaphragm, which separates the chest and abdomen. This can cause heartburn, difficulty swallowing, and chest pain. Hernias can be treated with surgery or, in some cases, with conservative measures such as wearing a hernia belt or avoiding heavy lifting. It is important to seek medical attention if you suspect you may have a hernia, as untreated hernias can lead to serious complications.
Spinal cord compression is a medical condition in which the spinal cord is compressed or squeezed, leading to damage or dysfunction of the spinal cord. This can occur due to a variety of factors, including injury, disease, or tumors. The spinal cord is a long, thin bundle of nerves that runs down the center of the spinal column, or spine. It is responsible for transmitting signals between the brain and the rest of the body, controlling movement, sensation, and other bodily functions. When the spinal cord is compressed, it can disrupt these signals and cause a range of symptoms, depending on the location and severity of the compression. Symptoms of spinal cord compression may include pain or discomfort in the back or neck, weakness or numbness in the arms or legs, difficulty walking or standing, loss of bladder or bowel control, and changes in sensation or reflexes. In severe cases, spinal cord compression can lead to paralysis or even death. Treatment for spinal cord compression depends on the underlying cause and the severity of the compression. In some cases, conservative treatments such as rest, physical therapy, or medication may be sufficient to relieve symptoms and prevent further damage. In more severe cases, surgery may be necessary to relieve pressure on the spinal cord and restore function.
Meningioma is a type of benign (non-cancerous) tumor that develops on the meninges, which are the protective membranes that surround the brain and spinal cord. Meningiomas are the most common type of primary brain tumor, accounting for about 30-40% of all brain tumors. Meningiomas can occur anywhere on the meninges, but they are most commonly found on the surface of the brain or along the base of the skull. They can also occur in the spinal canal, where they are called spinal meningiomas. Meningiomas are usually slow-growing and may not cause any symptoms for many years. However, as they grow, they can put pressure on surrounding brain tissue, causing symptoms such as headaches, seizures, vision problems, and changes in personality or behavior. Treatment for meningiomas depends on the size and location of the tumor, as well as the patient's overall health. Small meningiomas that are not causing symptoms may not require treatment and can be monitored with regular imaging studies. Larger tumors or those causing symptoms may be treated with surgery, radiation therapy, or a combination of both.
Spinal cord diseases refer to a group of medical conditions that affect the spinal cord, which is a long, thin, tubular bundle of nerves that runs from the base of the brain down through the back. The spinal cord is responsible for transmitting signals between the brain and the rest of the body, and any damage to the spinal cord can result in a range of symptoms and complications. Spinal cord diseases can be classified into several categories, including: 1. Inflammatory diseases: These are conditions that cause inflammation of the spinal cord, such as multiple sclerosis, spinal cord inflammation, and transverse myelitis. 2. Traumatic injuries: These are injuries to the spinal cord caused by accidents, falls, or other external forces, such as spinal cord compression, spinal cord contusion, and spinal cord avulsion. 3. Tumors: These are abnormal growths of cells that can develop on or within the spinal cord, such as spinal cord tumors, schwannomas, and meningiomas. 4. Degenerative diseases: These are conditions that cause the spinal cord to deteriorate over time, such as spinal stenosis, spinal cord compression, and spinal cord atrophy. 5. Genetic disorders: These are conditions that are caused by genetic mutations and can affect the spinal cord, such as spinal muscular atrophy, Friedreich's ataxia, and spinal muscular dystrophy. Spinal cord diseases can cause a range of symptoms, including pain, numbness, weakness, loss of sensation, difficulty walking, and loss of bladder or bowel control. Treatment for spinal cord diseases depends on the underlying cause and severity of the condition, and may include medications, physical therapy, surgery, or other interventions.
Hydrocephalus is a medical condition characterized by the accumulation of cerebrospinal fluid (CSF) within the brain, leading to increased pressure within the skull. This pressure can cause damage to the brain and result in a range of symptoms, including headache, nausea, vomiting, blurred vision, difficulty walking, and cognitive impairment. Hydrocephalus can be caused by a variety of factors, including brain injury, infection, tumors, genetic disorders, and bleeding in the brain. Treatment typically involves the insertion of a shunt, which is a tube that drains excess CSF from the brain to another part of the body where it can be absorbed or eliminated. In some cases, surgery may be necessary to remove the underlying cause of the hydrocephalus or to repair damage to the brain or spinal cord.
In the medical field, a headache is a common symptom that can be described as a pain or discomfort in the head, neck, or scalp. Headaches can range in severity from mild to severe and can be acute (short-term) or chronic (long-term). There are many different types of headaches, including tension headaches, migraine headaches, cluster headaches, and sinus headaches. Each type of headache has its own set of characteristics and may be caused by different factors. Headaches can be caused by a variety of factors, including stress, dehydration, lack of sleep, eye strain, certain foods or drinks, hormonal changes, and medical conditions such as high blood pressure or meningitis. Diagnosis and treatment of headaches depend on the type of headache and the underlying cause. Treatment options may include medication, lifestyle changes, and other therapies.
Hypothalamic diseases refer to disorders that affect the hypothalamus, a small but crucial region of the brain that plays a vital role in regulating various bodily functions, including metabolism, appetite, thirst, body temperature, and sleep. The hypothalamus is also responsible for controlling the release of hormones from the pituitary gland, which in turn regulates other endocrine glands in the body. Hypothalamic diseases can be caused by a variety of factors, including genetic mutations, infections, trauma, tumors, and autoimmune disorders. Some common examples of hypothalamic diseases include: 1. Hypothalamic obesity: A condition characterized by excessive weight gain due to hormonal imbalances in the hypothalamus. 2. Hypothalamic amenorrhea: A condition in which menstrual periods stop due to hormonal imbalances in the hypothalamus. 3. Hypothalamic diabetes insipidus: A condition characterized by excessive thirst and urination due to a deficiency of the hormone vasopressin, which is produced by the hypothalamus. 4. Hypothalamic hypopituitarism: A condition in which the pituitary gland fails to produce one or more of its hormones due to damage to the hypothalamus. 5. Hypothalamic tumors: Tumors that develop in the hypothalamus can cause a variety of symptoms, including hormonal imbalances, changes in appetite and weight, and neurological problems. Treatment for hypothalamic diseases depends on the underlying cause and the specific symptoms experienced by the patient. In some cases, hormone replacement therapy may be necessary to correct hormonal imbalances. In other cases, surgery or radiation therapy may be used to treat tumors or other structural abnormalities in the hypothalamus.
Meningeal neoplasms refer to tumors that develop in the meninges, which are the protective membranes that surround the brain and spinal cord. These tumors can be either benign (non-cancerous) or malignant (cancerous). Meningeal neoplasms can occur in any part of the meninges, including the dura mater (outermost layer), arachnoid mater (middle layer), and pia mater (innermost layer). They can also occur in the leptomeninges, which are the delicate membranes that cover the brain and spinal cord. Symptoms of meningeal neoplasms can include headache, nausea, vomiting, double vision, weakness or numbness in the extremities, and changes in mental status. Diagnosis typically involves a combination of imaging studies, such as MRI or CT scans, and a biopsy to confirm the presence of a tumor. Treatment for meningeal neoplasms depends on the type, location, and size of the tumor, as well as the patient's overall health. Options may include surgery, radiation therapy, chemotherapy, or a combination of these approaches.
Encephalocele is a medical condition in which a portion of the brain or spinal cord extends through a defect in the skull or vertebral column. This can occur when the neural tube, which forms the brain and spinal cord, fails to close properly during fetal development. Encephaloceles can be classified based on the location of the defect and the extent of the brain or spinal cord that is exposed. They can be present at birth or may not be diagnosed until later in life. Encephaloceles can cause a range of symptoms, depending on the size and location of the defect and the extent of brain or spinal cord involvement. Treatment typically involves surgical repair of the defect to reduce the risk of complications and improve the quality of life for the affected individual.
Iophendylate is a radiopaque contrast medium used in medical imaging procedures such as computed tomography (CT) scans and magnetic resonance imaging (MRI). It is a non-ionic, water-soluble contrast agent that is injected into the bloodstream to enhance the visibility of blood vessels and organs on imaging scans. Iophendylate is also known by its brand name, Iopamidol. It is commonly used to diagnose a variety of medical conditions, including cardiovascular disease, kidney disease, and tumors.
Hematoma, Subdural, Chronic is a medical condition that refers to the accumulation of blood between the dura mater (outermost layer of the brain) and the arachnoid mater (middle layer of the brain). This type of hematoma is typically caused by a traumatic injury to the head, such as a blow to the head, but it can also occur spontaneously or as a result of a bleeding disorder. Chronic subdural hematomas are those that persist for more than two weeks after the initial injury. They are often associated with older adults and can cause symptoms such as headache, confusion, dizziness, and weakness. In some cases, chronic subdural hematomas can lead to more serious complications, such as brain swelling (hydrocephalus) or increased intracranial pressure, which can be life-threatening. Treatment for chronic subdural hematomas typically involves surgery to remove the blood clot and relieve pressure on the brain. The success of the surgery depends on the size and location of the hematoma, as well as the underlying cause. In some cases, additional treatment may be necessary to manage any underlying medical conditions or bleeding disorders.
Keratin-8 is a type of keratin protein that is primarily found in the epithelial cells of the skin, hair, and nails. It is a structural protein that helps to provide strength and resilience to these tissues. In the medical field, keratin-8 is often studied in the context of various skin disorders, such as psoriasis and eczema, as well as in the development of new treatments for these conditions. It is also sometimes used as a diagnostic marker for certain types of cancer, such as lung cancer and ovarian cancer.
Firesetting behavior refers to the intentional or unintentional setting of fires by an individual. It is a complex behavior that can be a symptom of various mental health conditions, including but not limited to, attention-deficit/hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), conduct disorder (CD), and personality disorders such as antisocial personality disorder (ASPD). Firesetting behavior can also be a symptom of substance abuse, particularly with substances that can impair judgment and increase the risk of fire. In some cases, firesetting behavior may be a form of self-harm or a way to seek attention or control. In the medical field, firesetting behavior is typically evaluated and treated by a multidisciplinary team that may include psychiatrists, psychologists, social workers, and fire safety experts. Treatment may involve a combination of therapy, medication, and environmental modifications to reduce the risk of future firesetting incidents.
In the medical field, a cyst is a closed, fluid-filled sac that forms in or on an organ or tissue. Cysts can be benign (non-cancerous) or malignant (cancerous), and they can occur in various parts of the body, including the skin, liver, kidneys, ovaries, and brain. Cysts can be classified based on their location, size, and contents. Some common types of cysts include: 1. Epidermoid cysts: These are the most common type of cyst, and they form in the skin or hair follicles. They are usually benign and can be removed surgically. 2. Cystic acne: This is a type of cyst that occurs on the skin and is caused by the blockage of hair follicles. 3. Pancreatic cysts: These are cysts that form in the pancreas and can be either benign or malignant. 4. Kidney cysts: These are cysts that form in the kidneys and can be either benign or malignant. 5. Ovarian cysts: These are cysts that form in the ovaries and can be either benign or malignant. Treatment for cysts depends on their size, location, and type. Small cysts may not require treatment, while larger cysts or cysts that cause symptoms may need to be removed surgically. In some cases, medication may be used to treat cysts.
Cerebrospinal fluid rhinorrhea is a medical condition in which cerebrospinal fluid (CSF) leaks from the brain into the nasal cavity, causing clear or yellowish discharge from the nose. This can occur due to injury, surgery, or a congenital defect in the skull or nasal cavity. Symptoms may include a runny nose, nasal congestion, facial swelling, and a sensation of fullness in the head. Treatment options may include conservative measures such as bed rest and head elevation, or surgical repair of the leak.
Hemifacial spasm is a neurological disorder characterized by involuntary and repetitive contractions of the muscles on one side of the face. The spasms can range from mild to severe and can cause the affected person to blink, smile, or frown involuntarily. The spasms can also cause the face to twist or jerk, which can be embarrassing and affect a person's quality of life. Hemifacial spasm is caused by damage to the facial nerve, which controls the muscles of the face. The damage can be due to a variety of factors, including compression of the nerve by a blood vessel, injury to the nerve, or a tumor. Treatment for hemifacial spasm may include medications, botulinum toxin injections, or surgery.
Meningocele is a medical condition in which a sac of the meninges, the protective membranes that cover the brain and spinal cord, protrudes through a weakened spot in the skull or spine. This sac contains the spinal cord and its protective coverings, and can cause a range of symptoms depending on the size and location of the meningocele. Meningoceles can occur at any point along the spinal cord, but are most commonly found in the lower back or neck. They can be present at birth (congenital) or may develop later in life (acquired). Symptoms of meningoceles can include back or neck pain, weakness or numbness in the arms or legs, difficulty walking, and problems with bladder or bowel control. In some cases, meningoceles can cause more serious complications, such as meningitis or spinal cord compression. Treatment for meningoceles typically involves surgical repair of the weakened spot in the skull or spine to prevent further damage to the spinal cord. In some cases, additional procedures may be necessary to address any associated neurological problems.
Nerve compression syndromes are a group of conditions that occur when a nerve is compressed or pinched, leading to pain, numbness, weakness, or other symptoms. These conditions can affect any nerve in the body, but are most commonly seen in the neck, back, and extremities. There are several types of nerve compression syndromes, including carpal tunnel syndrome, cubital tunnel syndrome, radial tunnel syndrome, tarsal tunnel syndrome, and sciatica. These conditions can be caused by a variety of factors, including repetitive motions, poor posture, injury, or underlying medical conditions such as arthritis or diabetes. Treatment for nerve compression syndromes typically involves addressing the underlying cause of the compression, such as through physical therapy, medication, or surgery. In some cases, lifestyle changes such as improving posture or modifying work habits may also be recommended to prevent further compression of the affected nerve.
Cranial nerve diseases refer to disorders or injuries that affect the cranial nerves, which are a group of 12 nerves that originate from the brain and control various functions of the head and neck. These nerves are responsible for controlling movement, sensation, and other functions such as hearing, taste, and smell. Cranial nerve diseases can be caused by a variety of factors, including infections, tumors, trauma, degenerative diseases, and genetic disorders. Some common examples of cranial nerve diseases include: 1. Bell's palsy: A condition that affects the seventh cranial nerve, causing facial paralysis or weakness on one side of the face. 2. Meningitis: An infection of the membranes that surround the brain and spinal cord, which can affect any of the cranial nerves. 3. Trigeminal neuralgia: A condition that causes severe pain in the face, typically triggered by simple activities such as chewing or talking. 4. Multiple sclerosis: A chronic autoimmune disorder that can affect any part of the body, including the cranial nerves, causing symptoms such as numbness, weakness, and vision problems. 5. Acoustic neuroma: A benign tumor that grows on the eighth cranial nerve, which controls hearing and balance. 6. Optic neuritis: An inflammation of the optic nerve that can cause vision loss or double vision. 7. Guillain-Barré syndrome: An autoimmune disorder that can cause muscle weakness and paralysis, including weakness in the cranial nerves that control eye movement and facial expression. Treatment for cranial nerve diseases depends on the underlying cause and the specific symptoms experienced by the patient. Treatment options may include medications, surgery, physical therapy, or other interventions.
Arachnoid
Arachnoid (botany)
Arachnoid mater
Arachnoid (astrogeology)
Arachnoid granulation
Arachnoid cyst
Arachnoid trabeculae
Absent tibia-polydactyly-arachnoid cyst syndrome
Lake Mead
Intentional community
Trendelenburg position
Subarachnoid hemorrhage
Glossary of lichen terms
Charles Symonds
Couepia polyandra
Central nervous system cyst
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Cysts14
- Arachnoid cysts are benign cysts that occur in the cerebrospinal axis in relation to the arachnoid membrane and that do not communicate with the ventricular system. (medscape.com)
- A small number of arachnoid cysts are acquired, such as those occurring in association with neoplasms or those resulting from adhesions occurring in association with leptomeningitis, hemorrhage, or surgery. (medscape.com)
- A small number of arachnoid cysts are associated with neoplasms. (medscape.com)
- in such cases, arachnoid cysts or arachnoid diverticula may be located subdurally or in the epidural space, respectively. (medscape.com)
- Spinal arachnoid cysts are commonly located dorsal to the cord in the thoracic region. (medscape.com)
- Intradural spinal arachnoid cysts are secondary to a congenital deficiency within the arachnoidal trabecula, especially in the septum posticum, or are the result of adhesions resulting from previous infection or trauma. (medscape.com)
- Spinal arachnoid cysts are generally misdiagnosed, because symptoms are often nonspecific. (medscape.com)
- Controversy surrounds the treatment of arachnoid cysts. (medscape.com)
- A genetic link to arachnoid cysts has been described. (medscape.com)
- Other brain anomalies reported with the syndrome include frontal polymicrogyria and gray matter heterotopia, cerebellar dysplasia, ventriculomegaly, and arachnoid cysts. (medscape.com)
- This study aims to investigate whether intracranial arachnoid cysts (AC) compromise neurocognitive function and psychological profiles in pediatric patients, depending on various clinical factors. (nih.gov)
- Arachnoid Cysts: Clinical and Surgical Management gives a broad and updated presentation of the condition, including symptomatology, diagnostics, management and treatment. (afkebooks.com)
- Retrocerebellar arachnoid cysts of developmental origin (see the image below) are uncommon but clinically important. (medscape.com)
- True retrocerebellar arachnoid cysts displace the fourth ventricle and cerebellum anteriorly and show significant mass effect. (medscape.com)
Posterior fossa arachnoid cyst5
- Classically, posterior fossa cystic malformations have been divided into Dandy-Walker malformation, Dandy-Walker variant, mega cisterna magna, and posterior fossa arachnoid cyst. (medscape.com)
- Since the vermis is present in posterior fossa arachnoid cyst , this is considered separately from Dandy-Walker malformation. (medscape.com)
- Because there are different surgical therapy approaches for posterior fossa arachnoid cyst and Dandy-Walker malformation, it is essential to differentiate between the 2 entities. (medscape.com)
- A posterior fossa arachnoid cyst in a 15-month-old girl with a lumbar pilonidal sinus. (medscape.com)
- Isler C, Tas A, Hitay Y, Tufan A, Guzey FK (2014) Rapidly Progressing Brainstem Compression Due to a Giant Posterior Fossa Arachnoid Cyst. (scitechnol.com)
Intracranial3
- Intracranial arachnoid cyst (IHAC) is considered as rare congenital lesions. (peertechzpublications.com)
- Mostly, the intracranial arachnoid cyst is located in the sylvan fissure, cerebello-pontine angle, or suprasellar region. (peertechzpublications.com)
- Meningioma is a very common intracranial tumor that originates from arachnoid cells and is only less common than glioma [ 1 ]. (hindawi.com)
Membrane2
- Microscopic examination shows that their walls are formed from a splitting of the arachnoid membrane, with an inner and outer leaflet surrounding the cyst cavity. (medscape.com)
- The center layer is the arachnoid membrane and the thin innermost layer is the pia mater . (rxlist.com)
Mater1
- Subarachnoid hemorrhage is bleeding between the arachnoid and pia mater. (msdmanuals.com)
Asymptomatic2
- Usually the arachnoid cyst remains asymptomatic and incidentally picked -up on routine cranial imaging. (peertechzpublications.com)
- Asymptomatic patients with an enlarged sella turcica should have an air study to exclude an 'empty sella"syndrome, an anatomical entity in which the pituitary fossa is expanded and partially filled with cerebrospinal fluid owing to the arachnoid herniation, while the pituitary gland is compressed against the posterior rim of the fossa [3]. (bvsalud.org)
Cerebellar2
- T2-weighted sagittal MRI image (see next image for axial view) of the brain in a 28-year-old woman with an incidental finding of a superior cerebellar cistern arachnoid cyst (arrow). (medscape.com)
- Examination of the brain showed diffuse cerebral edema, and cerebellar arachnoid hemorrhages most likely due to the prolonged cerebral ischemia. (hawaii.edu)
Incidentally1
- Facial trauma with incidentally found an arachnoid cyst. (radiopaedia.org)
Brain1
- The radiologist needs to evaluate the brain structures for mass effect secondary to the arachnoid cyst, such as a subtle mass effect on a cranial nerve or a prominent mass effect resulting in brain herniation. (medscape.com)
Structures1
- On reaching the brain's surface, CSF is reabsorbed into the bloodstream by specific structures called arachnoid villi. (medicinenet.com)
Location1
- The most common location of an arachnoid cyst is in the middle cranial fossa . (radiopaedia.org)
Thin1
- Arachnoid is made using a very thin Bronze Chrome film with gun metal adhesive parts, we supply extra "sticky feet" for re-use. (face-lace.com)
Cyst18
- The surgical technique for removal of these lesions is illustrated in a patient with a large thoracolumbar spinal extradural arachnoid cyst causing neurogenic claudication. (medscape.com)
- B: Drawing of a Type IA spinal, extradural arachnoid cyst with a communicating pedicle at the site of the dural defect. (medscape.com)
- If arachnoid cysts are not treated, they may cause serious, permanent nerve damage if the cyst(s) injures the brain or spinal cord. (nih.gov)
- The radiologist needs to evaluate the brain structures for mass effect secondary to the arachnoid cyst, such as a subtle mass effect on a cranial nerve or a prominent mass effect resulting in brain herniation. (medscape.com)
- T2-weighted sagittal MRI image (see next image for axial view) of the brain in a 28-year-old woman with an incidental finding of a superior cerebellar cistern arachnoid cyst (arrow). (medscape.com)
- Microscopic examination shows that their walls are formed from a splitting of the arachnoid membrane, with an inner and outer leaflet surrounding the cyst cavity. (medscape.com)
- 9 months old girl with an arachnoid cyst seen on ultrasound.Arachnoid cysts are cerebrospinal fluid-filled sacs that. (radrounds.com)
- Introduction: Arachnoid cyst in the internal auditory canal is a quite rare pathology but due to its compressive action on the nerves in this district should be surgically removed. (unifi.it)
- Classically, posterior fossa cystic malformations have been divided into Dandy-Walker malformation, Dandy-Walker variant, mega cisterna magna, and posterior fossa arachnoid cyst. (medscape.com)
- Since the vermis is present in posterior fossa arachnoid cyst, this is considered separately from Dandy-Walker malformation. (medscape.com)
- Because there are different surgical therapy approaches for posterior fossa arachnoid cyst and Dandy-Walker malformation, it is essential to differentiate between the 2 entities. (medscape.com)
- A posterior fossa arachnoid cyst in a 15-month-old girl with a lumbar pilonidal sinus. (medscape.com)
- Posttraumatic Arachnoid Cyst in the Thoracic Spine with Medullary Compression: Case Report. (bvsalud.org)
- In the present article, we report a patient presenting a compressive thoracic myelopathy due to an unusual intradural arachnoid cyst with posttraumatic manifestation and its resolution, in addition to a literature review on the subject. (bvsalud.org)
- Differential diagnoses: arachnoid cyst, atypical choroid plexus papilloma, central neurocytoma or oligodendroglioma. (appliedradiology.com)
- Unless an intraventricular cystic lesion is an arachnoid cyst, it will require pathologic diagnosis. (appliedradiology.com)
- Rarely, CSF flow signal could mimic this in an arachnoid cyst. (appliedradiology.com)
- Howevr an arachnoid cyst will never demonstrate diffusion restriction nor demonstrate enhancement and only rarely may have a small septation. (appliedradiology.com)
Dura3
- It is performed in six steps: soft tissue step, bone step, dura step, cerebellopontine angle step (performed using an endoscope and a microscope), microscope-endoscope assisted arachnoid cysts removal and closure. (unifi.it)
- 6. Direct suture technique of normal gland edge on the incised dura margin to repair the intraoperative cerebrospinal fluid leakage from the arachnoid recess during transsphenoidal pituitary tumor surgery. (nih.gov)
- the three layers 1) Dura 2) Arachnoid and 3) Pia. (ecgcourse.com)
Cerebrospinal fluid1
- 1. Snare technique for the remodeling of the redundant arachnoid pouch to prevent cerebrospinal fluid rhinorrhea and hematoma collection during transsphenoidal surgery for suprasellar-extended pituitary tumors. (nih.gov)
Cysts develop1
- Most people with arachnoid cysts develop symptoms before the age of 20, and especially during the first year of life, but some people with arachnoid cysts never have symptoms. (nih.gov)
Intradural1
- Intradural spinal arachnoid cysts are secondary to a congenital deficiency within the arachnoidal trabecula, especially in the septum posticum, or are the result of adhesions resulting from previous infection or trauma. (medscape.com)
Extradural3
- Extradural arachnoid cysts in the spine are rare and are seldom a cause of spinal cord compression. (medscape.com)
- In the present paper the authors review the literature and discuss the clinical and pathological features, mechanisms of pathogenesis, neuroimaging characteristics, and surgical management of spinal extradural arachnoid cysts. (medscape.com)
- Cite this: Spinal Extradural Arachnoid Cysts: Clinical, Radiological, and Surgical Feature - Medscape - Feb 01, 2007. (medscape.com)
Cerebellum1
- True retrocerebellar arachnoid cysts displace the fourth ventricle and cerebellum anteriorly and show significant mass effect. (medscape.com)
Clinicians1
- Consider participating in a clinical trial so clinicians and scientists can learn more about arachnoid cysts and related disorders. (nih.gov)
Differentiate1
- An epidermoid's most characteristic imaging finding to differentiate from an arachnoid cysts is diffusion restriction. (appliedradiology.com)
Spinal cord3
- Primary arachnoid cysts are present at birth and are the result of developmental abnormalities in the brain and spinal cord that arise during the early weeks of gestation. (nih.gov)
- Arachnoid cysts involving the spinal cord are rarer. (nih.gov)
- Arachnoid cysts around the spinal cord press parts of the spinal cord, or nerve roots, closer together. (nih.gov)
Spine1
- Diagnosis usually involves a brain scan or spine scan using diffusion-weighted MRI (magnetic resonance imaging) which helps distinguish fluid-filled arachnoid cysts from other types of cysts. (nih.gov)
Developmental1
- Retrocerebellar arachnoid cysts of developmental origin (see the image below) are uncommon but clinically important. (medscape.com)
Genetic1
- A genetic link to arachnoid cysts has been described. (medscape.com)
Organization1
- Do quiescent arachnoid cysts alter CNS functional organization? (mpg.de)
Symptoms2
- Treating the symptoms of arachnoid cysts usually makes the symptoms go away or improve. (nih.gov)
- Spinal arachnoid cysts are generally misdiagnosed, because symptoms are often nonspecific. (medscape.com)
Space1
- in such cases, arachnoid cysts or arachnoid diverticula may be located subdurally or in the epidural space, respectively. (medscape.com)
Present1
- 9 The heterogeneity of epidermoids on FLAIR is presumed due to fibrous tissue and complex fluid within the interstices of the tumor 10 Diffusion positivity is present in epidermoids but not arachnoid cysts. (appliedradiology.com)
Small2
- A small number of arachnoid cysts are acquired, such as those occurring in association with neoplasms or those resulting from adhesions occurring in association with leptomeningitis, hemorrhage, or surgery. (medscape.com)
- A small number of arachnoid cysts are associated with neoplasms. (medscape.com)
Treatment1
- Controversy surrounds the treatment of arachnoid cysts. (medscape.com)
Region1
- Spinal arachnoid cysts are commonly located dorsal to the cord in the thoracic region. (medscape.com)
Center1
- But unless I ask somebody to point a camera at the ceiling, you'd never know about the webwork of cables and blinking lights that enables the process - and Josh is the foul mouthed arachnoid at the center. (penny-arcade.com)