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  1. Article ; Online: Clinical Indications for Rapid Sequence MRI in Pediatric Neurosurgical Patients and the Limitations and Barriers to Implementation.

    Franklin, Deveney / Barr, Candace / Nguyen, Diana / O'Shaughnessy, Declan / Gilbert, Olivia E / Quinsey, Carolyn

    Journal of visualized experiments : JoVE

    2024  , Issue 203

    Abstract: Rapid and fast magnetic resonance imaging (MRI) protocols have become increasingly popular for pediatric neurosurgical patients as they are a great way to reduce ionizing radiation and sedation. While their popularity has increased, there are hurdles to ... ...

    Abstract Rapid and fast magnetic resonance imaging (MRI) protocols have become increasingly popular for pediatric neurosurgical patients as they are a great way to reduce ionizing radiation and sedation. While their popularity has increased, there are hurdles to overcome when transitioning to using them clinically, such as cost, staffing training, and motion artifact. Through this paper, we developed a protocol for clinical applications where rapid MRI can be a substitute or adjuvant in diagnostic workup. Further, we outline the relevant literature for the use of RS-MRI for the spine, TBI, and hydrocephalus pathologies while expanding upon the limitations and logistical barriers when transitioning to their use, a few of which are discussed above. Through this, we conclude that RS-MRI can be used diagnostically for spinal pathologies such as syrinx and hydrocephalus. Further, its lack of sensitivity for TBI findings makes rapid sequence magnetic resonance imaging (RS-MRI) a strong adjuvant with other advanced imaging or computed tomography (CT) for traumatic brain injury (TBI) pathologies.
    MeSH term(s) Child ; Humans ; Brain Injuries, Traumatic/diagnostic imaging ; Brain Injuries, Traumatic/surgery ; Hydrocephalus/pathology ; Hydrocephalus/surgery ; Magnetic Resonance Imaging/methods ; Tomography, X-Ray Computed/methods ; Artifacts ; Adjuvants, Immunologic
    Chemical Substances Adjuvants, Immunologic
    Language English
    Publishing date 2024-01-12
    Publishing country United States
    Document type Journal Article ; Video-Audio Media
    ZDB-ID 2259946-0
    ISSN 1940-087X ; 1940-087X
    ISSN (online) 1940-087X
    ISSN 1940-087X
    DOI 10.3791/65797
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Spontaneous sphenoid sinus meningocele with associated amenorrhea and headache: illustrative case.

    Franklin, Deveney / Yamani, Ali S / Boyke, Andre E / Menaker, Simon A / Tang, Dennis / Mamelak, Adam N

    Journal of neurosurgery. Case lessons

    2024  Volume 7, Issue 7

    Abstract: Background: Developmental meningoceles of the sphenoid sinus are uncommon. When encountered, they are often associated with cerebrospinal fluid (CSF) rhinorrhea.: Observations: The authors present the case of a 27-year-old female with a large ... ...

    Abstract Background: Developmental meningoceles of the sphenoid sinus are uncommon. When encountered, they are often associated with cerebrospinal fluid (CSF) rhinorrhea.
    Observations: The authors present the case of a 27-year-old female with a large meningocele eroding through the sella turcica and sphenoid sinus into the nasopharynx. The patient presented with intractable headaches and amenorrhea without CSF rhinorrhea.
    Lessons: The patient underwent an endoscopic endonasal transsphenoidal reduction of the meningocele with reelevation of the pituitary gland and skull base reconstruction with abdominal fat graft and nasoseptal flap.
    Language English
    Publishing date 2024-02-12
    Publishing country United States
    Document type Journal Article
    ISSN 2694-1902
    ISSN (online) 2694-1902
    DOI 10.3171/CASE23700
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Technical Nuances of Anterior Column Construction for the Treatment of Osteomyelitis-Induced Cervical Kyphoscoliotic Deformity: An Operative Video Illustration.

    Franklin, Deveney / Fisher, Wilson A M / Blumberg, Jeffrey M / Guiroy, Alfredo / Galgano, Michael

    World neurosurgery

    2023  Volume 183, Page(s) 70

    Abstract: Pyogenic vertebral osteomyelitis is a bacterial infection of the vertebral body often caused by hematogenous spread from a distant site with 3%-11% of cases affecting the cervical spine. ...

    Abstract Pyogenic vertebral osteomyelitis is a bacterial infection of the vertebral body often caused by hematogenous spread from a distant site with 3%-11% of cases affecting the cervical spine.
    MeSH term(s) Male ; Female ; Humans ; Adult ; Cervical Vertebrae/diagnostic imaging ; Cervical Vertebrae/surgery ; Magnetic Resonance Imaging ; Laminectomy ; Kyphosis/diagnostic imaging ; Kyphosis/etiology ; Kyphosis/surgery ; Osteomyelitis/complications ; Osteomyelitis/diagnostic imaging ; Osteomyelitis/surgery ; Spinal Fusion/methods
    Language English
    Publishing date 2023-11-25
    Publishing country United States
    Document type Case Reports ; Video-Audio Media
    ZDB-ID 2534351-8
    ISSN 1878-8769 ; 1878-8750
    ISSN (online) 1878-8769
    ISSN 1878-8750
    DOI 10.1016/j.wneu.2023.11.101
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1159: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Combined rapid sequence MRI protocol and skull radiography as an alternative to head CT in the evaluation of abusive head trauma in children: a pilot study.

    Franklin, Deveney / Tiwari, Chhitij / Zamora, Carlos / Barnett, Randaline / Woolard, Alice / Hung, Sheng-Che / Berkoff, Molly / Quinsey, Carolyn

    Neurosurgical review

    2023  Volume 46, Issue 1, Page(s) 175

    Abstract: The aim of our pilot study was to compare the performance of the RS-MRI protocol combined with skull radiography versus CT for the detection of skull fractures, scalp hematomas, and intracranial hemorrhage in patients with abusive head trauma (AHT). ... ...

    Abstract The aim of our pilot study was to compare the performance of the RS-MRI protocol combined with skull radiography versus CT for the detection of skull fractures, scalp hematomas, and intracranial hemorrhage in patients with abusive head trauma (AHT). Additionally, our study aimed to determine whether the presence of scalp hematoma predicts concurrent skull fracture. We conducted a pilot study through retrospective chart review of 24 patients between ages 0 and 15 months who experienced AHT and who received CT, MRI, and skull radiography between May 2020 and August 2021. Two blinded board certified neuroradiologists reviewed the skull radiographs alongside the rapid trauma MRI. Their impressions were documented and compared with findings derived from CT. Combination imaging detected ten out of the 12 skull fractures noted on CT (sensitivity 83.3%, specificity 100%, p=0.48). RS-MRI detected 15 out of the 16 intracranial hemorrhages detected by CT (sensitivity 93.75%, p >0.9). When scalp hematoma was detected on RS-MRI, nine out of the 12 had associated skull fractures when reviewed by radiologist 1 (sensitivity 75%, specificity 100%, p=0.22), and seven out of the 12 had associated skull fractures when reviewed by radiologist 2 (sensitivity 58%, specificity 92%, p=0.25). In pediatric patients with suspected AHT, we found that RS-MRI combined with skull radiographs was not significantly different than CT for the detection of skull fractures, scalp hematomas, and intracranial hemorrhage. This combination has the potential to replace the use of CT as a screening tool for abusive head trauma, while avoiding the risks of sedation often required for routine MRI.
    MeSH term(s) Child ; Humans ; Infant ; Pilot Projects ; Retrospective Studies ; Craniocerebral Trauma/diagnostic imaging ; Radiography ; Tomography, X-Ray Computed/methods ; Skull Fractures/diagnostic imaging ; Magnetic Resonance Imaging/methods ; Hematoma ; Intracranial Hemorrhages ; Skull
    Language English
    Publishing date 2023-07-14
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 6907-3
    ISSN 1437-2320 ; 0344-5607
    ISSN (online) 1437-2320
    ISSN 0344-5607
    DOI 10.1007/s10143-023-02084-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1445: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  5. Article ; Online: Microendoscopic Posterior Cervical Laminoforaminotomy for C4 Radiculopathy.

    Zeitouni, Daniel / Pfortmiller, Deborah / Monk, Steve H / Franklin, Deveney / Cowan, David / Tenorio, Isabel / Dyer, E Hunter / Smith, Mark D / Kim, Paul K / Coric, Domagoj / Adamson, Tim E / Rossi, Vincent J

    World neurosurgery

    2023  Volume 180, Page(s) e729–e732

    Abstract: Objective: Cervical microendoscopic laminoforaminotomy (MELF) has been proven to be an effective, motion preserving procedure for the surgical treatment of cervical radiculopathy. Cervical 4 (C4) radiculopathies are often unrecognized by the initial ... ...

    Abstract Objective: Cervical microendoscopic laminoforaminotomy (MELF) has been proven to be an effective, motion preserving procedure for the surgical treatment of cervical radiculopathy. Cervical 4 (C4) radiculopathies are often unrecognized by the initial evaluating physician and may be misdiagnosed as axial neck pain. In this study, we compare MELF to anterior cervical disk fusion (ACDF) for C4 radiculopathy in the largest series of minimally invasive foraminotomy for C4 radiculopathy to date.
    Methods: This is a single-institution retrospective chart review of 42 cases for C4 radiculopathy, 21 MELF and 21 ACDF. Primary outcome measures were length of surgery, length of hospital stay, and time to return to work. Secondary outcome measures were visual analog scale (VAS) neck pain and reoperation rate.
    Results: All patients were diagnosed with a unilateral C4 radiculopathy using magnetic resonance imaging or steroid injections. The length of surgery and length of hospital stay were significantly decreased in the MELF group compared with ACDF. VAS neck pain significantly decreased for patients in both groups, but the difference between MELF and ACDF was not statistically significant. There were no major complications. No patient underwent revision at the index level or adjacent levels in the MELF group.
    Conclusions: We demonstrate that C4 radiculopathy can be identified with appropriate history, physical examination, and targeted nerve root injections. When identified, these radiculopathies that fail conservative therapy can be effectively treated with cervical microendoscopic laminoforaminotomy, with comparable outcomes to ACDF. The length of surgery and length of stay are reduced when compared with ACDF.
    MeSH term(s) Humans ; Radiculopathy/etiology ; Radiculopathy/surgery ; Neck Pain/etiology ; Neck Pain/surgery ; Treatment Outcome ; Retrospective Studies ; Diskectomy/methods ; Cervical Vertebrae/diagnostic imaging ; Cervical Vertebrae/surgery ; Spinal Fusion/methods ; Foraminotomy/methods ; Spinal Diseases/surgery
    Language English
    Publishing date 2023-10-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2534351-8
    ISSN 1878-8769 ; 1878-8750
    ISSN (online) 1878-8769
    ISSN 1878-8750
    DOI 10.1016/j.wneu.2023.10.015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1159: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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