Video: Board Prep – Familial Tumor Syndrome, Mystery Case #1

Mystery case review #1 is the first of a series of videos designed to review the variety of brain tumors that arise in the context of a familial tumor syndromes.  Test your knowledge with questions posed to the audience in a quiz like format. In-depth answers are provided for each quiz question. This series is... Continue Reading →

Video: Radiation and Brain Tumors, Part 2 – Cured of One Cancer Only to Develop Another

Part 2 of a three-part series reviewing the effects of radiation on the brain.  Radiation is commonly used to treat a wide variety of neoplastic conditions and often has great success, but sometimes the treatment can cause additional problems.   Join me on a narrated tour of radiation’s dark side in this review of radiation-induced brain... Continue Reading →

Spinal Ependymoma: Gross Specimen

Ependymomas are tumors that arise from specialized glia called ependymal cells, which line the central cerebral spinal fluid (CSF) containing spaces within the brain and spinal cord called the ventricles and central canal, respectively. When ependymomas occur in the spinal cord, their central location requires that the surgeon cut through the spinal cord in order... Continue Reading →

Resorption of Embolic Material in Arteriovenous Malformation (AVM)

Vascular brain lesions have increased risk of intracranial bleeding and, therefore, present a challenge to neurosurgeons attempting surgical resection.  Such tumors may first be embolized prior to surgical excision in order to reduce the risk of bleeding.  Onyx, an ethylene vinyl alcohol copolymer, is one of many embolic agents available to accomplish this task.  Onyx has... Continue Reading →

Hippocampal Atrophy

The hippocampus is critical to learning and memory.  Patients with hippocampal atrophy often have difficulty with declarative memory (i.e. remembering facts, names, events, etc.) and making new memories. Hippocampal atrophy can be seen a variety of disease processes, including epilepsy and neurodegenerative disease. Note how atrophy in this elderly patient, who had memory difficulties prior to... Continue Reading →

Cerebral Vascular Territories

The cerebral hemispheres are supplied with blood via three major arteries: the anterior, middle, and posterior cerebral arteries.  This coronal section through the frontal lobes shows hemorrhage involving the vascular territory of which of these three major cerebral arteries? Answer:  The cerebral hemispheres are supplied with blood via three major arteries: the anterior, middle, and posterior... Continue Reading →

Periventricular Leukomalacia (PVL)

Periventricular Leukomalacia (PVL) is a type of brain damage that affects fetuses and premature babies. At this stage of brain  development, the white matter surrounding the ventricles is particularly vulnerable to hypoxic (lack of oxygen) or ischemic (lack of blood flow) injury for a variety of reasons, including high metabolic demand in a location that... Continue Reading →

Ice Cream and Imaging: Typical Appearance of Vestibular Schwannoma

Cranial nerve schwannomas most commonly arise from Schwann cells that myelinate the distal aspect of the vestibular division of the 8th cranial nerve. Vestibular schwannomas, sometimes referred to by the double misnomer "acoustic neuroma" (it is a double misnomer because they are not neuromas and they do not usually involve the acoustic division of cranial... Continue Reading →

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