A 47-year-old woman presented with a 6-month history of progressive dizzy spells and occasional impairment of vision. Cranial computerized tomographic (CT) scan showed a calcified mass in the atrium of the left lateral ventricle, densely enhanced after intravenous administration of contrast material. Left carotid and vertebral angiograms demonstrated that the feeders of the tumor were coming from the left anterior choroidal and left lateral posterior choroidal arteries, both of which showed dilatation and neovascularity. The CT and angiographic findings led to successful removal of the tumor without impairment of the patient's vision. The pathological diagnosis was meningioma.

Angiography↗

PubMedDate not supplied

Ependymoma of filum terminale: metrizamide-enhanced CT evaluation.

Two cases of surgically proven myxopapillary ependymomas of filum terminale are reported. In both, myelography and metrizamide-enhanced computed tomographic (CT) scans were performed. An intramedullary tumor in the lower thoracic spine, soft-tissue masses in the neural foramina and enlarged bony spinal canal in the lower thoracic and upper lumbar spine were noted in one case and, in the other, an intradural extramedullary tumor at T12-L1 level. Both patients had normal cranial CT scans, and both presented with similar symptoms--low back pain and weakness and paresthesia of leg or legs for up to 3 years' duration. Myelography and metrizamide-enhanced CT scans were performed in order to evaluate disc disease in one patient and spinal stenosis in the other. Ependymoma was an incidental finding, which was then removed by surgical resection. Pathology confirmed the diagnosis.

Adult↗

PubMedDate not supplied

Thoracic spinal metastasis from unexpected cerebellar medulloblastoma: the value of MRI.

A 28-year-old male was found on CT metrizamide myelography to have an intradural extramedullary tumor at the T8-T9 level. This was seen to compress the spinal cord, and on surgery it was proven to be medulloblastoma. Cranial CT scans disclosed only mild hydrocephalus and minimal anterior displacement of the inferior fourth ventricle on the right. However, magnetic resonance imaging (MRI) which was performed after the spinal surgery demonstrated an inferior cerebellar vermian tumor.

Adult↗

PubMedDate not supplied

Osteogenesis imperfecta associated with basilar impression and cerebral atrophy: a case report.

Osteogenesis imperfecta is a disease of bone formation subdivided into two types, congenita and tarda. It is associated with bony fragility, blue sclerae and abnormality of tooth dentin. Rarely the tarda form is associated with basilar invagination or infolding of the foramen magnum and upper cervical segments into the posterior fossa. This results in hydrocephalus and a spectrum of neurologic dysfunction known as the foramen magnum compression syndrome. Many radiologic methods have been used to evaluate basilar invagination including plain film and CT. We describe a patient with osteogenesis imperfecta tarda examined with CT, with a unique finding of diffuse cerebral atrophy associated with basilar invagination.

Adult↗

PubMedDate not supplied

Cerebral angiography in the dog. Method for consistent results.

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Animals↗

PubMedDate not supplied

Ultrastructural effects of Conray 60 and Pantopaque on ependyma and choroid plexus following intraventricular injections.

Electron microscope evaluation of choroid plexus and ependyma following single cerebral intraventricular injections of Conray 60 and Pantopaque was carried out on 35 rats and 4 dogs. The animals were sacrificed at periods ranging from 1 hour to 4 months. Conray was not detected with the light or electron microscope; however, Pantopaque was presumptively localized as electron-dense masses associated with lipid-like bodies at the ventricular interface of both choroidal and ependymal epithelium. Conray 60 injections consistently induced convulsions in rats. Histological studies demonstrated moderate cellular damage and multilayered proliferation of ependymal epithelium. Morphological damage following Pantopaque was more severe and widespread in both choroid plexus and ependyma suggesting that, of the two agents, Conray may have the greater clinical potential provided that the associated convulsions are controlled by appropriate measures.

Animals↗

PubMedDate not supplied

Cerebral microvascular injury in experimental drug abuse.

An experimental drug abuse research project is reported, in which monkeys and rats were placed on various I.V. amphetamine (Desoxyn) and I.V. barbiturate (Seconal) regimes. The monkeys were studied by serial cerebral angiography. At the end of the study all animals were sacrificed for histological examination. I.V. methamphetamine produced relatively severe cerebral vascular injury and brain damage in most animals. At least part of the damage seemed to be the result of direct vascular injury, arterial and venous. The misuse of Seconal and Ritalin also appeared to be hazardous, but these studies are incomplete, and the degree of hazard has not been fully evaluated.

Animals↗