Altin Stafa

ULSS 2 Veneto - Marca Trevigiana · Neuroradiology

Role of trans-cranial doppler in the follow-up of the intracranial mechanical thrombectomy.

Introduction: The management of osteoporotic fractures is sometimes rather challenging for spinal surgeons, and considering the longer life expectancy induced by improved living conditions, their prevalence is expected to increase. At present, the approaches to osteoporotic fractures differ depending on their severity, location, and the patient's...

The optic nerve(s) may be compressed by a number of intracranial and intraorbital masses. Compression may be isolated to the optic nerve or may involve other intracranial or intraorbital structures with variable presentation. A 26-year-old man presented with complaints of progressive painless visual loss in the right eye for eight months. Examinati...

Background: Different procedures have been used for the treatment of lumbar juxtafacet cysts (JFCs). Recently, full-endoscopic cyst excision has been suggested as a reasonable alternative. We performed a meta-analysis to assess the overall rates of favorable outcomes and adverse events for each available treatment and determine the outcome and com...

Purpose to describe a rare case of orbital apex syndrome caused by aspergillosis with acute presentation. Case description retrospective case report of a 70-year-old man who developed unilateral ophthalmoplegia overnight. He was initially given the diagnosis of suspect Tolosa-Hunt syndrome, but biopsy of the involved tissue showed aspergillosis....

Background: Thoracolumbar fractures sometimes require anterior support and post-traumatic deformity correction. SpineJack proved favorable results in cadaveric and clinical studies, with satisfactory pain relief, vertebral height restoration, and low rates of above adjacent fractures, in neurologically intact fractures. We compared patients' clini...

A 53-year-old man developed right eye photophobia after a hypertensive crisis, followed by right-sided headache and retro-orbital pain. On examination, a right Horner syndrome was evident and an urgent brain and neck Computed Tomography confirmed the suspicion of an internal carotid artery (ICA) dissection. While photophobia may occur in many neuro...

A 71-year-old man was referred to neuro-ophthalmology for evaluation of reading problems associated with pituitary adenoma. Perimetry showed a right temporal crescent syndrome ("half moon" syndrome) suggesting left occipital disease. Cranial magnetic resonance imaging, electroencephalogram, and cerebrospinal fluid examination (14-3-3 protein) were...

The authors empirically evaluated the context of intra-procedural physician-patient communication during imaging-guided procedures in a radiology/neuroradiology interventional clinical framework. Different intra-procedural communicative scenarios are reported.They conclude that the quality of intra-procedural physician-patient communication should...

BE, male, 78-year-old, a former television actor in a fiction where he played the role of the grandfather at the Sport's Bar. For one month he had pain in the temporo-mandibular joint with an ipsilateral temporal headache, combined with difficulty in chewing, swal-lowing and sore throat. He was examined by an ear-nose-throat (ENT) specialist, who i...

Thrombolysis with intravenous rt-PA is the current therapy for acute ischemic stroke. Unlike other outcome factors, relatively little is known about the prognostic value of the occlusion site on treatment outcome. We compared the effectiveness and safety of intravenous thrombolysis in patients with different levels of occlusion identified by CT ang...

Flow-diverting stents (Silk and PED) have radically changed the approach to intracranial aneurysm treatment from the use of endosaccular materials to use of an extraaneurysmal endoluminal device. However, much debate surrounds the most appropriate indications for the use of FD stents and the problems raised by several possible complications. We ana...

A multitude of therapies is available to treat disc herniation, ranging from conservative methods (medication and physical therapy) to minimally invasive (percutaneous) treatments and surgery. O 2 -O 3 chemonucleolysis (O 2 -O 3 therapy) is one of the minimally invasive treatments with the best cost/benefit ratio and lowest complication rate. Anoth...

In any civilized and democratic society, ethics represents, with no doubt, one of the main pillars of everyday life. Especially in Medicine, ethics is deeply connected to the very essence of the medical profession itself. Before any other profession, many centuries ago, the physician (medical professional) deeply felt the need of an ethic code of p...

The Silk stent (Balt, Montmorency, France) is a retractable device designed to achieve curative reconstruction of the parent artery associated with an intracranial aneurysm. We present our initial experience with the Silk flow-diverting stent in the management and follow-up of 25 patients presenting with intracranial aneurysms. Twenty-five patients...

To describe a spectrum of intracerebral large artery disease in Aicardi-Goutières syndrome (AGS) associated with mutations in the AGS5 gene SAMHD1. We used clinical and radiological description and molecular analysis. Five individuals (three males, two females) were identified as having biallelic mutations in SAMHD1 and a cerebral arteriopathy in a...

The treatment of giant cerebral aneurysms has always been a challenge for neurosurgeons and neuroradiologists. Flow-diverting stents (Silk; Pipeline Embolization Device) are new endovascular devices introduced for the treatment of intracranial aneurysms without release of intrasaccular coils. They are tubular bimetallic endoluminal devices with low...

The major radicular artery eponymically named "Adamkiewicz's artery" (AKA) is an important vessel supplying the spinal cord, especially the lumbar enlargement. This report emphasizes the importance of anatomical knowledge of this artery and highlights the concept of the potential risk of neurological complications during different procedures: spine...

Pneumorrhachis (PR), the presence of air in the spinal canal, is a rare but suggestive radiographic finding, associated to different aetiologies and possible pathways of air entry into the spinal canal. It can be divided into primary and secondary PR, descriptively classified into extra- or intradural PR and aetiologically subsumed into iatrogenic,...

The clinical application of high magnetic field systems has changed the approach to the diagnosis of brain tumours. Diffusion, perfusion and spectroscopy yield information, respectively, on the degree of cellularity, neoangiogenesis, presence/absence of necrosis and specific metabolites. Functional magnetic resonance imaging allows the presurgical...

We describe the case of a 76-year-old man admitted to our hospital for mild subarachnoid haemorrhage detected by CT scan in an aneurysm of the left middle cerebral artery bifurcation treated surgically 29 years earlier and not completely occluded. Angiography disclosed a further aneurysm in the anterior communicating artery. During the same procedu...

Medulloblastoma belongs to the group of highly malignant neuroepithelial tumours and is the commonest tumour in childhood (12-25 %) (1), but is rare in adults (0.4-1%) of all primary brain tumours) (1,2). Medulloblastomas usually arise in the posterior fossa and spread readily throughout the CSF, although 10-30% of patients develop extracentral ner...

Spiral CT with multiplanar image reconstruction and other forms of 3D image post-processing is a valid instrument for morphological studies. Lesion morphology is strictly related to the pathological expression and clinical pattern of many abnormal conditions. Eagle's Syndrome is a typical example and a full morphological study may offer the right i...

Head & Neck Imaging Section: 2005, Oct. 17 Published: 54 yo male Clinical History: Benign symmetric lipomatosis is a rare disorder, characterized by the presence of an abnormal accumulation of the fat tissue in non-encapsulated masses, with ill-defined margins and a characteristic symmetric distribution, especially in the neck region. Imaging Find...