Vinil Shah
It is my pleasure to serve as the guest editor of this edition of the AJNR News Digest, which focuses on the topic of image-guided spine pain management. Disorders of the spine have a tremendous impact on society—directly through the morbidity of afflicted individuals and indirectly through lost productivity and increased health care … more »
Lydia Gregg
We chose this research topic after noting that previous studies of the intraforaminal location of radicular arteries providing an anterior radiculomedullary artery (ARMA) were limited by 1) the field of view investigated, 2) the use of the cadaveric materials, or 3) the inability to specify whether the studied vessels were radicular branches providing … more »
Gerritt Lagemann
Transforaminal epidural steroid injections (TFESIs) are commonly performed in the evaluation and treatment of radicular neuropathy. Although TFESIs are widely performed in the lumbar spine, many proceduralists are reluctant to perform cervical TFESIs due to the risk of rare but serious complications such as posterior circulation stroke and spinal cord infarct. These … more »
Jean-Denis Laredo
Ninety severe and sometimes fatal neurologic events occurring immediately after epidural injection of suspensions of particular glucocorticoids were reported to the FDA between 1997 and 2014, most being foraminal injections.1 Our team reported 5 cases of paraplegia complicating selective injections of particulate steroids in the lumbar spine.2
The almost immediate onset of neurologic … more »
Peter Kranz
CT fluoroscopy (CTF) is a powerful technology for performing image-guided procedures. It marries the benefits of cross-sectional imaging with real-time intraprocedural imaging to allow for highly precise image guidance. Procedures can usually be performed as quickly as conventional fluoroscopy-guided procedures and with equivalent or decreased radiation doses. CTF particularly excels in cases … more »
Kieran Murphy
I began treating patients with symptomatic Tarlov cysts 12 years ago at the Johns Hopkins Hospital. At Toronto Western Hospital (University of Toronto), I see 4–7 women a week with Tarlov cysts. Many cannot sit and stand through the patient encounter. I was reluctant initially, but these patients were suffering and some … more »
Matteo Bellini
Sciatica due to a lumbar disc herniation and nerve root irritation is a huge public health problem not yet benefiting from an unequivocal treatment approach. Even cervical hernias with brachialgia afflict a substantial range of the population.
Medical and physical therapies represent the first therapeutic steps. When these fail, minimally invasive treatments may … more »