Neuroimaging clinics of North America
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Neuroimaging Clin. N. Am. · Aug 2019
ReviewSpinal Dysraphia, Chiari 2 Malformation, Unified Theory, and Advances in Fetoscopic Repair.
Fetal spina bifida, the most common nonlethal birth defect of the central nervous system, results in substantial neurologic morbidity. The unified theory describes the complex relationship between local spinal lesions and development of Chiari 2 malformation, contributing to hydrocephalus. ⋯ Fetal surgery improves neurologic and motor outcomes, but various approaches, either open hysterotomy or minimally invasive to the uterus, carry substantial obstetric risks. Optimization of the fetoscopic approach aims to minimize maternal and obstetric risks, but data regarding longer-term outcomes are awaited.
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Review of the clinical presentation, imaging findings, and management of headache secondary to intracranial hypotension.
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Neuroimaging Clin. N. Am. · May 2019
ReviewNeuroimaging of Adults with Headache: Appropriateness, Utilization, and an Economical Overview.
One of the most common reasons that a patient seeks out a health care provider for a neuroscience-related issue is headache. Not all patients can, or probably should, be imaged with headache. ⋯ This approach should focus on quality, safety, appropriateness, and utilization. This article reviews and discusses the consideration of imaging adult patients with headache.
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Neuroimaging Clin. N. Am. · May 2019
ReviewIndications and Imaging Modality of Choice in Pediatric Headache.
Pediatric headache is a common problem, with various underlying causes. Appropriate patient selection for neuroimaging is necessary to optimize the clinical evaluation. This review aims to provide a focused discussion of the clinical evaluation of children with headache, including published guidelines pertaining to neuroimaging, technical considerations for neuroimaging, and tailoring of examinations for specific clinical entities known to cause pediatric headache.