Table of Contents
Editorials
Perspectives
Editorial
Review Articles
Patient Safety
Functional Vignette
Brain
- Susceptibility-Diffusion Mismatch Predicts Thrombolytic Outcomes: A Retrospective Cohort Study
The benefit of thrombolytic therapy was assessed in 54 patients with a mismatch between infarct core as seen on DWI and penumbra as seen on SWI. Favorable outcomes were significantly higher in patients with DWI-SWI mismatch than in those without it. The accuracy of the DWI-SWI mismatch for predicting good outcome was higher than that for the more traditional DWI-perfusion mismatch.
Commentary
- Leukoaraiosis Predicts a Poor 90-Day Outcome after Endovascular Stroke Therapy
The authors explored the relationship between white matter changes and outcome in 129 patients who received endovascular therapy for acute stroke. Severe white matter changes were associated with poor outcomes at 90 days. Those who survived and had pre-existing severe white matter changes also showed significantly less improvement.
Interventional
- Risk Factors for Early Hemorrhagic Complications after Endovascular Coiling of Ruptured Intracranial Aneurysms
A review of 93 patients treated with coiling for ruptured aneurysms was done to identify risk factors of early hemorrhagic complications. Risk factors identified included intracerebral hematoma at presentation, procedural thromboembolic complications, postcoiling antiplatelet therapy, and early initiation of coiling.
Head & Neck
- Imaging-Detected Incidental Thyroid Nodules that Undergo Surgery: A Single-Center Experience Over 1 Year
The authors describe the imaging and pathology results of 47 patients who underwent surgery for incidentally found thyroid nodules. All patients had biopsies before surgery but only 4% of these showed benign processes. Surgery eventually demonstrated that 51% of nodules were benign and when malignant the most common histology was papillary type.
Pediatrics
Spine
- Cement Salvage of Instrumentation-Associated Vertebral Fractures
The authors describe the treatment of 22 vertebral compression fractures in 11 patients with metastases and prior spinal instrumentation. Pain improved in all patients, only 1 patient needed additional surgery, and there were no vertebral cement augmentation–related complications.
- Safety and Effectiveness of Sacroplasty: A Large Single-Center Experience
The safety and effectiveness of minimally invasive sacroplasty was assessed in 53 patients treated for cancer-related, osteoporotic insufficiency and traumatic fractures. The procedure was judged to be safe and resulted in significant short-term gains in pain relief, increased mobility, and decreased dependence on pain medication.
