BACKGROUND AND PURPOSE Lesion-deficit-based structure-function analysis has traditionally been empirical and nonquantitative. Our purpose was to establish a new brain image database (BRAID) that allows the statistical correlation of brain functional measures with anatomic lesions revealed by clinical brain images. METHODS Data on 303 participants in the MR Feasibility Study of the Cardiovascu...

Study Design Retrospective review. Objective The objective of this study is to describe the natural history of neurologic recovery after anterior cervical discectomy and fusion (ACDF). Methods Patients between 18 and 80 years of age, diagnosed with cervical radiculopathy, who underwent single-level ACDF and were followed for a minimum of 2 years were identified from a single-center database. Se...

Results. Of the 277 children who were treated for bacterial meningitis, neurologic complications developed in 60 patients (22%) and 15 children died, yielding an overall mortality rate of 5%. The most important predictors for neurologic complications in pediatric patients with bacterial meningitis were prehospital seizures and their recurrence >24 hours after admisssion (RR 6.7 and RR 6.2, 95% ...

Take home points: 1. Classic Guillain-Barré syndrome (GBS) presents as a rapidly progressive, ascending paralysis with distal areflexia and a mild sensory deficit. 2. We now know that GBS represents a spectrum of neurologic diseases with a common theme: rapidly progressive, symmetric neurologic injury that is due to immune dysregulation (molecular mimicry). 3. Think of GBS any time you have a p...

Herniated thoracic intervertebral disk causing spinal cord compression with paraparesis is uncommon in adults and rare in children. This article describes a case of pediatric thoracic disk herniation with paraparesis treated surgically.A 14-year-old girl presented with a 4-month history of diffuse back pain and sudden onset paraparesis. Motor strength was 4/5 in both legs, and she had lost the ...

There are few rerorts on delayed neurologic deficit after stab injury with a retained intraspinal foreign body and granuloma formation. This study reported a 24-year-old man presented with progressive neurologic deficits, an unusual case of delayed myelopathy with an intraspinal nonmetal foreign body granuloma, which was misdiagnosed as tuberculosis of neural arches before operation because the...

The majority of patients with rheumatoid arthritis involving the cervical spine can be managed non-operatively. These patients should be monitored closely by the treating physician for the development of neurologic symptoms or subluxation on radiographs. Non-surgical treatment in the majority of patients has a definite role. Several studies now suggest early surgical intervention in patients wi...

PURPOSE To determine the significance of vascular enhancement in stroke patients with and without permanent neurologic deficit. METHODS We prospectively studied two groups of patients with spin-echo MR imaging before and after injection of gadopentetate dimeglumine. In the patients in group 1 (12 women, 22 men; age range, 32 to 76 years), who had permanent neurologic deficit caused by recent ...