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Imaging and management of postoperative spine infection

Mazzie, Joseph P; Brooks, Michael K; Gnerre, Jeffrey
Imaging evaluation of postoperative spinal infection is challenging. A systematic approach and keen understanding of multimodality imaging techniques, as well as knowledge of the patient's surgical procedure and clinical presentation, are critical for the radiologist to render an accurate diagnosis. Because of the overlap between diagnostic imaging findings in the postoperative spine and the infected spine, in those situations in which the index of clinical suspicion for spine infection is high, then immediate consideration ought to be given to performing a spine biopsy.
PMID: 24792614
ISSN: 1557-9867
CID: 3275042

A Rare Case of Erdheim-Chester Disease [Meeting Abstract]

Kumar, Amit; Brooks, Michael K.; Mazzie, Joseph; Zhou, Jianhong
ISI:000209468500173
ISSN: 0002-9173
CID: 3275052

Megakaryoblastic Myeloid Sarcoma: Case Series of Lytic Bone Lesions With Radiographic and Histologic Correlation [Meeting Abstract]

Okonkwo, Linda; Donovan, Virginia; D'Abreo, Nina; Brooks, Michael K.
ISI:000209468500056
ISSN: 0002-9173
CID: 3275062

Magnetic resonance imaging of intramedullary spinal cord lesions: a pictorial review

Do-Dai, Daniel D; Brooks, Michael K; Goldkamp, Allison; Erbay, Sami; Bhadelia, Rafeeque A
Magnetic resonance imaging is the current imaging modality of choice in the evaluation of patients presenting with myelopathic symptoms in the search for spinal cord lesions. It is important for the radiologist to recognize and differentiate nonneoplastic from the neoplastic process of the spinal cord as the differentiation of the 2 entities is extremely crucial to the neurosurgeon. This article presents a broad spectrum of benign intramedullary spinal abnormalities including syrinx, contusion, abscess, infarction, myelitis, multiple sclerosis, sarcoid, cavernoma, and arteriovenous malformation. Rare intramedullary neoplasms including dermoid tumor, astrocytoma, ependymoma, hemangioblastoma, lymphoma, ganglioneuroblastoma, and metastases are also illustrated. The clinical presentation and magnetic resonance signal characteristics as well as the differential diagnosis of the intramedullary lesions are discussed. The potential pitfalls in the differentiation of tumors from nonneoplastic disease of the spinal cord are also elucidated.
PMID: 20510754
ISSN: 1535-6302
CID: 3275032