Medical Specialty: Neurology

Diagnosis and medical treatment of diseases and abnormalities affecting the nervous system.

Acute Intracerebral Hemorrhage
MRI - Intracerebral hemorrhage (very acute clinical changes occurred immediately prior to scan).
Adult Hydrocephalus
The patient is a 74-year-old woman who presents for neurological consultation for possible adult hydrocephalus. Mild gait impairment and mild cognitive slowing.
Alzheimer Disease
MRI brain & PET scan - Dementia of Alzheimer type with primary parietooccipital involvement.
Anaplastic Astrocytoma - Letter
Patient seen in Neuro-Oncology Clinic because of increasing questions about what to do next for his anaplastic astrocytoma.
Arachnoid Cyst
CT Brain - arachnoid cyst Arachnoid cyst diagnosed by CT brain.
Arm Pain - Neuro Consult
Patient experiences a dull pain in his upper outer arm. It occurs on a daily basis. He also experiences an achy sensation in his right hand radiating to the fingers. There is no numbness or paresthesias in the hand or arm.
Arnold Chiari II with Syrinx
MRI for Arnold Chiari II with syrinx
MRI - Right temporal lobe astrocytoma.
AVM with Hemorrhage
MRI - Arteriovenous malformation with hemorrhage.
Bell's Palsy
A 75-year-old female comes in with concerns of having a stroke.
Bilateral Carotid Cerebral Angiogram
Bilateral carotid cerebral angiogram and right femoral-popliteal angiogram.
Brain MRI - Pituitary Adenoma
Brain CT and MRI - suprasellar mass (pituitary adenoma)
Brain Stimulator Electrode
Frontal craniotomy for placement of deep brain stimulator electrode. Microelectrode recording of deep brain structures. Intraoperative programming and assessment of device.
Carotid Ultrasound
Bilateral carotid ultrasound.
Cerebral Angiogram
Cerebral Angiogram for avascular mass - cavernous angioma (with hematoma on MRI and Bx).
Cerebral Angiogram - Lateral Medullary Syndrome
Cerebral Angiogram - Lateral medullary syndrome secondary to left vertebral artery dissection.
Cerebral Angiogram - Left ICA/PCA Aneurysm
Cerebral Angiogram - Lobulated aneurysm of the supraclinoid portion of the left internal carotid artery close to the origin of the left posterior communicating artery.
Cerebral Angiogram & MRA
Cerebral Angiogram and MRA for bilateral ophthalmic artery aneurysms.
Cerebral Palsy - Letter
Diagnosis of bulbar cerebral palsy and hypotonia.
Cervical Cord Lesion - Consult
Patient reports a six to eight-week history of balance problems with later fatigue and weakness.
Cervical Spinal Stenosis
Followup cervical spinal stenosis. Her symptoms of right greater than left upper extremity pain, weakness, paresthesias had been worsening after an incident when she thought she had exacerbated her conditions while lifting several objects.
Cervical Spondylosis - Neuro Consult
Cervical spondylosis and kyphotic deformity. She had a nerve conduction study and a diagnosis of radiculopathy was made. She had an MRI of lumbosacral spine, which was within normal limits. She then developed a tingling sensation in the right middle toe.
Chest CT - Myasthenia Gravis
Chest CT - Thymoma and history of ocular myasthenia gravis.
Comprehensive Neurological Evaluation
A woman presents for neurological evaluation with regards to a diagnosis of multiple sclerosis.
Consult - Alzheimer disease
Patient with a history of mesothelioma and likely mild dementia, most likely Alzheimer type.
Consult - Cerebral Peduncle Infarction
Patient with a history of right upper pons and right cerebral peduncle infarction.
Consult - Facial Twitching
The patient had several episodes where she felt like her face was going to twitch, which she could suppress it with grimacing movements of her mouth and face.
Consult - Migraine
The patient is a 36-year-old female with past medical history of migraine headaches, who was brought to the ER after she was having uncontrolled headaches. In the ER, the patient had a CT scan done, which was reported negative, and lumbar puncture with normal pressure and the cell count, and was admitted for followup.
Consult - Normal Pressure Hydrocephalus
The patient is an 84-year-old man who returns for revaluation of possible idiopathic normal pressure hydrocephalus.
Consult - Seizures
Patient referred for evaluation of her left temporal lobe epilepsy.
Consult - Seizures - 1
Cerebral palsy, worsening seizures. A pleasant 43-year-old female with past medical history of CP since birth, seizure disorder, complex partial seizure with secondary generalization and on top of generalized epilepsy, hypertension, dyslipidemia, and obesity.
Craniopharyngioma - Postop
Postoperative visit for craniopharyngioma with residual disease. According to him, he is doing well, back at school without any difficulties. He has some occasional headaches and tinnitus, but his vision is much improved.
Craniotomy - Biparietal
Biparietal craniotomy, insertion of left lateral ventriculostomy, right suboccipital craniectomy and excision of tumor.
Craniotomy - Burr Hole
Right burr hole craniotomy for evacuation of subdural hematoma and placement of subdural drain.
Craniotomy - Frontotemporal
Right frontotemporal craniotomy and evacuation of hematoma, biopsy of membranes, microtechniques.
Craniotomy - Frontotemporal - 1
Acute left subdural hematoma. Left frontal temporal craniotomy for evacuation of acute subdural hematoma. CT imaging reveals an acute left subdural hematoma, which is hemispheric.
Craniotomy - Occipital
Occipital craniotomy, removal of large tumor using the inner hemispheric approach, stealth system operating microscope and CUSA.
Craniotomy - Retrosigmoid
Left retrosigmoid craniotomy and excision of acoustic neuroma.
Craniotomy - Temporal
Left temporal craniotomy and removal of brain tumor.
Craniotomy & Neuronavigation
Right frontal craniotomy with resection of right medial frontal brain tumor. Stereotactic image-guided neuronavigation and microdissection and micro-magnification for resection of brain tumor.
Creutzfeldt-Jakob Disease
Heidenhain variant of Creutzfeldt-Jakob Disease (CJD)
CT Brain
CT brain (post craniectomy) - RMCA stroke and SBE.
CT Brain - Aneurysm
CT Brain: Suprasellar aneurysm, pre and post bleed.
CT Brain - Calcification of Basal Ganglia
CT Brain to evaluate episodic mental status change, RUE numbness, chorea, and calcification of Basal Ganglia (globus pallidi).
CT Brain - Hemangioma
CT Brain: Midbrain hemangioma
CT Brain - SAH
CT Brain: Subarachnoid hemorrhage.
CT Brain - Stroke
Stroke in distribution of recurrent artery of Huebner (left)
CT Brain: Subdural hematoma
CT of Brain - Subacute SDH.
CT Brain: Subdural Hemorrhage.
HCT: Subdural hemorrhage.
CT C-Spine
Common CT C-Spine template
CT C-Spine - 1
Axial images through the cervical spine with coronal and sagittal reconstructions.
CT C-Spine - 2
CT cervical spine for trauma. CT examination of the cervical spine was performed without contrast. Coronal and sagittal reformats were obtained for better anatomical localization.
CT Head
Common CT Head template.
CT Head - 1
Noncontrast CT head due to seizure disorder.
CT Head - 2
The patient is a 79-year-old man with adult hydrocephalus who was found to have large bilateral effusions on a CT scan. The patient's subdural effusions are still noticeable, but they are improving.
CT Head - 3
Left arm and hand numbness. CT head without contrast. Noncontrast axial CT images of the head were obtained with 5 mm slice thickness.
CT Head - 4
CT head without contrast. Assaulted, positive loss of consciousness, rule out bleed. CT examination of the head was performed without intravenous contrast administration.
CT Head and C Spine
Motor vehicle collision. CT head without contrast and CT cervical spine without contrast. Noncontrast axial CT images of the head were obtained.
CT Head, Facial Bones, Cervical Spine
CT head without contrast, CT facial bones without contrast, and CT cervical spine without contrast.
CT Lumbar Spine
Noncontrast CT scan of the lumbar spine. Left lower extremity muscle spasm. Transaxial thin slice CT images of the lumbar spine were obtained with sagittal and coronal reconstructions on emergency basis, as requested.
CT Lumbar Spine - 1
This is a middle-aged female with low back pain radiating down the left leg and foot for one and a half years.
CT Lumbar Spine - 2
This is a middle-aged female with two month history of low back pain and leg pain.
CT of Lumbar Spine w/o Contrast
CT of Lumbar Spine without Contrast. Patient with history of back pain after a fall.
CT Scan of Brain w/o Contrast
CT Scan of brain without contrast.
CT Scan of Brain with Contrast
Brain CT with contrast - Abnormal Gyriform enhancing lesion (stroke) in the left parietal region, not seen on non-contrast HCTs.
CVA - Discharge Summary
Cerebrovascular accident (CVA) with right arm weakness and MRI indicating acute/subacute infarct involving the left posterior parietal lobe without mass effect. 2. Old coronary infarct, anterior aspect of the right external capsule. Acute bronchitis with reactive airway disease.
CVA Consult - ER Visit
Cerebrovascular accident (CVA). The patient presents to the emergency room after awakening at 2:30 a.m. this morning with trouble swallowing, trouble breathing, and left-sided numbness and weakness.
Dandy-Walker Malformation
CT Brain - unshunted hydrocephalus, Dandy-Walker Malformation.
Diagnostic Cerebral Angiogram
Diagnostic cerebral angiogram and transcatheter infusion of papaverine
He awoke one morning and had double vision. He states when he closed each eye, the double vision dissipated. The double vision entirely dissipated within one hour. The next day he woke up and he had double vision again.
Discharge Summary - Cerebral Palsy
a pleasant 62-year-old male with cerebral palsy
Dizziness - Recurrent
Patient reports a rotational sensation upon arising from the bed or chair that lasts for several minutes and requires her to sit back down and stay in one place. She gets similar symptoms when she rolls over in bed. At times, she also feels as though she is going to pass out. These sensations stop if she just sits in one place or lies down for several minutes.
Dural AVM
Patient with episode of lightheadedness and suddenly experienced vertigo.
Possible cerebrovascular accident. The EEG was obtained using 21 electrodes placed in scalp-to-scalp and scalp-to-vertex montages.
EEG Monitoring Study
This is a 95.5-hour continuous video EEG monitoring study.
Normal awake and drowsy (stage I sleep) EEG for patient's age.
Electroencephalogram - 1
Electroencephalogram (EEG). Photic stimulation reveals no important changes. Essentially normal.
Electroencephalogram - 2
Electroencephalogram (EEG). This is an 18-channel recording obtained using the standard scalp and referential electrodes observing the 10/20 international system.
Electroencephalogram - 3
Abnormal electroencephalogram revealing generalized poorly organized slowing, with more prominent slowing noted at the right compared to the left hemisphere head regions and rare sharp wave activity noted bilaterally, somewhat more prevalent on the right.
Electroencephalogram - 4
A 21-channel digital electroencephalogram was performed on a patient in the awake state.
Electroencephalographic findings and interpretation
EMG/Nerve Conduction Study
History of numbness in both big toes and up the lateral aspect of both calves. She dose complain of longstanding low back pain, but no pain that radiates from her back into her legs. She has had no associated weakness.
EMG/Nerve Conduction Study - 1
The patient with longstanding bilateral arm pain, which is predominantly in the medial aspect of arms and hands, as well as left hand numbness, worse at night and after doing repetitive work with left hand.
EMG/Nerve Conduction Study - 2
A ight-handed inpatient with longstanding history of cervical spinal stenosis status post decompression, opioid dependence, who has had longstanding low back pain radiating into the right leg.
EMG/Nerve Conduction Study - 3
A right-handed female with longstanding intermittent right low back pain, who was involved in a motor vehicle accident with no specific injury at that time.
EMG/Nerve Conduction Study - 4
EMG/Nerve Conduction Study showing sensory motor length-dependent neuropathy consistent with diabetes, severe left ulnar neuropathy, and moderate-to-severe left median neuropathy,
EMG/Nerve Conduction Study - 5
The patient is status post C3-C4 anterior cervical discectomy and fusion.
EMG/Nerve Conduction Study - 6
Patient with a past medical history of a left L5-S1 lumbar microdiskectomy with complete resolution of left leg symptoms.
EMG/Nerve Conduction Study - 7
Patient had movor vehicle accirdent and may have had a brief loss of consciousness. Shortly thereafter she had some blurred vision, Since that time she has had right low neck pain and left low back pain.
EMG/Nerve Conduction Study - 8
A woman with a history of progression of dysphagia for the past year, dysarthria, weakness of her right arm, cramps in her legs, and now with progressive weakness in her upper extremities. Abnormal electrodiagnostic study.
EMG/Nerve Conduction Study - 9
Nerve conduction screen demonstrates borderline median sensory and borderline distal median motor responses in both hands. The needle EMG examination is remarkable for rather diffuse active denervation changes in most muscles of the right upper and right lower extremity tested.
Encephalopathy - Rehab Consult
Encephalopathy related to normal-pressure hydrocephalus.
Epidural Fluid Collection
Fall/loss of consciousness.
Epidural Hematoma
Fall with questionable associated loss of consciousness. Left parietal epidural hematoma.
Epidural Hematoma Evacuation
Evacuation of epidural hematoma and insertion of epidural drain. Epidural hematoma, cervical spine. Status post cervical laminectomy, C3 through C7 postop day #10. Central cord syndrome and acute quadriplegia.
Essential Tremor & Torticollis
This 62-year-old white female has essential tremor and mild torticollis. Tremor not bothersome for most activities of daily living, but she does have a great difficulty writing, which is totally illegible.
Falls - Discharge Summary
Falls at home. Anxiety and depression. The patient had been increasingly anxious and freely admitted that she was depressed at home.
Feet & Hand Cramping
Patient presents for further evaluation of feet and hand cramps. He describes that the foot cramps are much more notable than the hand ones. He reports that he develops muscle contractions of his toes on both feet. These occur exclusively at night.
First Followup - Shunt Surgery
Patient returns for his first followup after shunt surgery.
Frameless Stereotactic Radiosurgery
CT-guided frameless stereotactic radiosurgery for the right occipital arteriovenous malformation using dynamic tracking.
Glioma - 1
Dysarthria. Probable brainstem glioma.
Glioma - 2
Headache. Right frontal lobe glioma.
Granulomatous Inflammation
Headache and diplopia.
Guillain-Barre Syndrome
This is a 62-year-old woman with hypertension, diabetes mellitus, prior stroke who has what sounds like Guillain-Barre syndrome, likely the Miller-Fisher variant.
HCT - Calcification of Basal Ganglia
HCT for memory loss and for calcification of basal ganglia (globus pallidi).
HCT - Pituitary Mass
Sellar HCT - Pituitary mass
Head Trauma
Closed head injury with evidence of axonal injury vs. vascular injury to the left substantia nigra, right subdural hematoma and possible subarachnoid hemorrhage, vascular/ischemic injury in the right occipital lobe-right basal ganglia/caudate nucleus-right frontal lobe, and right temporal lobe contusion.
Headache - Office Visit
The patient with continued problems with her headaches.
Hematoma Evacuation
Right side craniotomy for temporal lobe intracerebral hematoma evacuation and resection of temporal lobe lesion. Biopsy of dura.
Hepatic Encephalopathy
A male with known alcohol cirrhosis who presented to the emergency room after an accidental fall in the bathroom.
Huntington's Disease
Caudate Nuclei atrophy, bilaterally, in patient with Huntington Disease.
Huntington's Disease - Consult
This is a 69-year-old white woman with Huntington disease, who presents with the third suicide attempt in the past two months.
Woman with adult hydrocephalus, routine evaluation.
Iliopsoas Hematoma - 1
Left Iliopsoas hematoma. Gait difficulty.
Iliopsoas Hematoma - 2
Right iliopsoas hematoma with associated femoral neuropathy following cardiac catherization.
Impairment Rating
Right shoulder impingement syndrome, right suprascapular neuropathy.
Intracranial aneurysm - ER Visit
Headache, improved. Intracranial aneurysm.
Intractable Epilepsy
Intractable epilepsy, here for video EEG.
Laminectomy & Foraminotomy Followup
Followup status post L4-L5 laminectomy and bilateral foraminotomies, and L4-L5 posterior spinal fusion with instrumentation.
The patient comes in today because of feeling lightheaded and difficulty keeping his balance.
Limbic Encephalitis
Patient with a 1-year history of progressive anterograde amnesia
Lobar Holoprosencephaly
A 21-month-old male presented for delayed motor development, "jaw quivering" and "lazy eye."
Lumbar Discogram
Lumbar discogram L2-3, L3-4, L4-5, and L5-S1. Low back pain.
Lumbar Puncture
Possible CSF malignancy. This is an 83-year-old woman referred for diagnostic lumbar puncture for possible malignancy by Dr. X. The patient has gradually stopped walking even with her walker and her left arm has become gradually less functional. She is not able to use the walker because her left arm is so weak.
Lumbar Puncture - 1
Lumbar puncture with moderate sedation.
Lumbosacral Polyradiculopathy
Briefly, the patient has a lumbosacral polyradiculopathy that is temporally related to the epidural anesthesia given to her in October of 2008.
Malignant Meningioma - Consult
Problems with seizures, hemiparesis, has been to the hospital, developed C-diff, and is in the nursing home currently.
MCA Aneurysm
Patient with sudden onset dizziness and RUE clumsiness. Giant Left MCA Aneurysm.
Progressive loss of color vision OD.
Migraine without Aura - Consult
The patient with gradual onset of a headache problem, located behind both eyes.
Moyamoya Disease
Cerebral Angiogram - moyamoya disease.
MRI Brain - Meningioma (Olfactory)
MRI Brain - Olfactory groove meningioma.
MRI Brain - Bilateral Thalamic Strokes
MRI Brain to evaluate sudden onset blindness - Basilar/bilateral thalamic strokes.
MRI Brain - Cryptococcus
MRI Brain: Ventriculomegaly of the lateral, 3rd and 4th ventricles secondary to obstruction of the foramen of Magendie secondary to Cryptococcus (unencapsulated) in a non-immune suppressed, HIV negative, individual.
MRI Brain - Leukoencephalopathy
MRI Brain - Progressive Multifocal Leukoencephalopathy (PML) occurring in an immunosuppressed patient with polymyositis.
MRI Brain - Lyme Disease
A middle-aged male with increasing memory loss and history of Lyme disease.
MRI Brain - Memory Loss
A middle-aged female with memory loss.
MRI Brain - Pilocytic Astrocytoma
MRI Brain - Pilocytic Astrocytoma in thalamus and caudate.
MRI Brain - Pontine Stroke
Right pontine pyramidal tract infarct.
MRI Brain - Progressive Aphasia
MRI brain (Atrophy Left fronto-temporal lobe) and HCT (Left frontal SDH)
MRI Brain - SLE & Stroke
MRI Brain - Right frontal white matter infarct in patient with Anticardiolipin antibody syndrome and SLE.
MRI Brain - Thrombus
MRI Brain: Thrombus in torcula of venous sinuses.
MRI Brain - Toxoplasmosis
MRI Brain: Probable CNS Lymphoma v/s toxoplasmosis in a patient with AIDS/HIV.
MRI Brain - Wernicke aphasia
MRI Brain: Left Basal Ganglia, Posterior temporal lobe, and Left cerebellar (lacunar) infarctions with Wernickes Aphasia.
MRI Brain & Cerebral Angiogram
MRI brain & Cerebral Angiogram: CNS Vasculitis with evidence of ischemic infarction in the right and left frontal lobes.
MRI Brain & T-spine - Demyelinating disease.
MRI Brain & T-spine - Demyelinating disease.
MRI Brain and Brainstem
MRI Brain and Brainstem - Falling (Multiple System Atrophy)
MRI Brain and C-T Spine
MRI Brain & MRI C-T spine: Multiple hemangioblastoma in Von Hippel Lindau Disease.
MRI Brain: Thalamic Infarct
MRI Brain: Subacute right thalamic infarct.
MRI C3 - Cord Compression.
Left third digit numbness and wrist pain.
MRI Cervical Spine - 1
MRI cervical spine.
MRI Cervical Spine - 2
MRI Cervical Spine without contrast.
MRI Cervical Spine - Chiropractic Specific
MRI report Cervical Spine (Chiropractic Specific)
MRI C-spine
MRI C-spine: C4-5 Transverse Myelitis.
MRI C-Spine - C5-6 Disk Herniation
MRI C-spine to evaluate right shoulder pain - C5-6 disk herniation.
MRI Head
MRI Head W&WO Contrast.
MRI Head - 1
MRI head without contrast.
MRI L-S Spine - Cauda Equina Syndrome
MRI L-S-Spine for Cauda Equina Syndrome secondary to L3-4 disc herniation - Low Back Pain (LBP) with associated BLE weakness.
MRI L-Spine - Subarachnoid Seeding
MRI L-spine - History of progressive lower extremity weakness, right frontal glioblastoma with lumbar subarachnoid seeding.
MRI of Brain w/o Contrast.
MRI of the brain without contrast to evaluate daily headaches for 6 months in a 57-year-old.
MRI of Lumbar Spine w/o Contrast
MRI of lumbar spine without contrast to evaluate chronic back pain.
MRI Spine
MRI of the Cervical, Thoracic, and Lumbar Spine
MRI Spine - Epidural Lipoma
MRI Spine - T12-L5 epidural lipoma and thoracic spinal cord infarction vs. transverse myelitis.
MRI T-L Spine - Schistosomiasis
MRI T-L spine - L2 conus medullaris lesion and syndrome secondary to Schistosomiasis.
MRI T-Spine
MRI T-spine and CXR - Aortic Dissection.
MRI T-Spine - 1
The thoracic spine was examined in the AP, lateral and swimmer's projections.
MRI T-Spine - Spinal Mets
MRI T-spine: Metastatic Adenocarcinoma of the T3-T4 vertebrae and invading the spinal canal.
Multiple Meningiomas
Patient with stable expressive aphasia and decreased vision.
Multiple Neurological Symptoms
The patient is with multiple neurologic and nonneurologic symptoms including numbness, gait instability, decreased dexterity of his arms and general fatigue. His neurological examination is notable for sensory loss in a length-dependent fashion in his feet and legs with scant fasciculations in his calves.
Myoclonic Epilepsy
Patient with juvenile myoclonic epilepsy and recent generalized tonic-clonic seizure.
Neck & Lower Back Pain - Consult
Patient status post vehicular trauma. Low Back syndrome and Cervicalgia.
Neuro Consult - Depression & Dementia
Neuro Consult - Leg Weakness
The patient is a 55-year-old gentleman who presents for further evaluation of right leg weakness.
Neuroblastoma - Consult
The patient is an 11-month-old with a diagnosis of stage 2 neuroblastoma of the right adrenal gland with favorable Shimada histology and history of stage 2 left adrenal neuroblastoma, status post gross total resection.
Neurologic Consultation
Neurologic consultation was requested to evaluate her seizure medication and lethargy.
Neurologic Consultation - 1
Neurologic consultation and follow-up.
Neurologic Consultation - 2
Patient has trouble with walking and balance, with bladder control, and with thinking and memory.
Neurologic Consultation - 3
Neurologic consultation was requested to assess and assist with seizure medication.
Neurologic Consultation - 4
Muscle twitching, clumsiness, progressive pain syndrome, and gait disturbance. Probable painful diabetic neuropathy. Symptoms are predominantly sensory and severely dysfunctioning, with the patient having inability to ambulate independently as well as difficulty with grip and temperature differentiation in his upper extremities.
Neurologic Consultation - 5
Approximately one and a half years ago, patient fell down while walking in the living room from the bedroom. At that time, he reports both legs gave away on him and he fell. He reported that he had some lightheadedness just before he fell and was slightly confused, but was aware of what was happening around him.
Neurologic Examination
Neurologic examination sample.
Neurology - Discharge Summary
Contusion of the frontal lobe of the brain, closed head injury and history of fall, and headache, probably secondary to contusion.
Neuropsychological Evaluation
Patient demonstrated mild cognitive deficits on a neuropsychological screening evaluation during a followup appointment for stroke.
Neuropsychological Evaluation - 1
Sample for Neuropsychological Evaluation
Neuropsychological Evaluation - 2
A neuropsychological evaluation to assess neuropsychological factors, clarify areas of strength and weakness, and to assist in therapeutic program planning in light of episodes of syncope.
Neuropsychological Evaluation - 3
Patient was referred for a neuropsychological evaluation after a recent hospitalization for possible transient ischemic aphasia. Two years ago, a similar prolonged confusional spell was reported as well. A comprehensive evaluation was requested to assess current cognitive functioning and assist with diagnostic decisions and treatment planning.
Neuropsychological Evaluation - 4
The patient is a 58-year-old African-American right-handed female with 16 years of education who was referred for a neuropsychological evaluation by Dr. X. A comprehensive evaluation was requested to assess current cognitive functioning and assist with diagnostic decisions and treatment planning.
Neuropsychological Evaluation - 5
The patient comes in for a neurology consultation regarding her difficult headaches, tunnel vision, and dizziness.
New Onset Seizure
A 2-1/2-year-old female with history of febrile seizures, now with concern for spells of unclear etiology, but somewhat concerning for partial complex seizures and to a slightly lesser extent nonconvulsive generalized seizures.
Normal L-Spine MRI
MRI L-Spine - Bilateral lower extremity numbness
Organic Brain Syndrome
Organic brain syndrome in the setting of multiple myeloma. The patient is a 56-year-old male with the history of multiple myeloma, who has been admitted for complains of being dehydrated and was doing good until this morning, was found to be disoriented and confused, was not able to communicate properly, and having difficulty leaving out the words.
Phenol Neurolysis & Botulinum Toxin Injection - 1
Phenol neurolysis left musculocutaneous nerve and bilateral obturator nerves. Botulinum toxin injection left pectoralis major, left wrist flexors, and bilateral knee extensors.
Phenol Neurolysis & Botulinum Toxin Injection - 2
Phenol neurolysis right obturator nerve, botulinum toxin injection right rectus femoris and vastus medialis intermedius and right pectoralis major muscles.
Phenol Neurolysis & Botulinum Toxin Injection - 3
Botulinum toxin injection bilateral rectus femoris, medial hamstrings, and gastrocnemius soleus muscles, phenol neurolysis of bilateral obturator nerves, application of bilateral short leg fiberglass casts.
Physical Therapy - Brain Tumor Removal
Status post brain tumor removal. The patient is a 64-year-old female referred to physical therapy following complications related to brain tumor removal. She had a brain tumor removed and had left-sided weakness.
Pituitary Adenomectomy
Endoscopic-assisted transsphenoidal exploration and radical excision of pituitary adenoma. Endoscopic exposure of sphenoid sinus with removal of tissue from within the sinus.
Pseudotumor Cerebri
The patient with pseudotumor cerebri without papilledema, comes in because of new onset of headaches.
Radiologic Exam - Spine
Cervical, lumbosacral, thoracic spine flexion and extension to evaluate back and neck pain.
Reflex Sympathetic Dystrophy - Letter
Reflex sympathetic dystrophy of both lower extremities.
Rolandic Epilepsy
Diagnosis of benign rolandic epilepsy.
Rotator Cuff Tear
Followup left-sided rotator cuff tear and cervical spinal stenosis. Physical examination and radiographic findings are compatible with left shoulder pain and left upper extremity pain, which is due to a combination of left-sided rotator cuff tear and moderate cervical spinal stenosis.
SAH, Contusion, Skull Fracture
HCT: SAH, Contusion, Skull fracture
Skull Base Reconstruction
Squamous cell carcinoma of right temporal bone/middle ear space. Right temporal bone resection; rectus abdominis myocutaneous free flap for reconstruction of skull base defect; right selective neck dissection zones 2 and 3.
Sleep Study Interpretation
Sleep study - patient with symptoms of obstructive sleep apnea with snoring.
Sleepiness - Consult
Severe back pain and sleepiness. The patient, because of near syncopal episode and polypharmacy, almost passed out for about 3 to 4 minutes with a low blood pressure.
SOAP - Numbness & Tingling
Numbness and tingling in the right upper extremity, intermittent and related to the positioning of the wrist. Carpal tunnel syndrome suspected.
SOAP - Temporal Mass
MRI demonstrated right contrast-enhancing temporal mass.
Status Epilepticus
A 6-year-old male who is a former 27-week premature infant, suffered an intraventricular hemorrhage requiring shunt placement, and as a result, has developmental delay and left hemiparesis.
Suboccipital Craniectomy
Right suboccipital craniectomy for resection of tumor using the microscope modifier 22 and cranioplasty.
Suspected Seizure Activity
Patient continuing on Dilantin 300 mg daily and has been seizure episode free for the past 2 1/2 years.
Temporal Artery Biopsy
Bilateral temporal artery biopsy. Rule out temporal arteritis.
Temporal Artery Biopsy - 1
Headaches, question of temporal arteritis. Bilateral temporal artery biopsies.
Tethered Cord Evaluation
Evaluation of possible tethered cord. She underwent a lipomyomeningocele repair at 3 days of age and then again at 3-1/2 years of age.
TIA - Cosult
A 92-year-old female had a transient episode of slurred speech and numbness of her left cheek for a few hours.
TIA & Lumbar Stenosis
Patient experienced a single episode of his vision decreasing. During the episode, he felt nauseated and possibly lightheaded. His wife was present and noted that he looked extremely pale.
Ulnar Nerve Transposition
Subcutaneous ulnar nerve transposition. A curvilinear incision was made over the medial elbow, starting proximally at the medial intermuscular septum, curving posterior to the medial epicondyle, then curving anteriorly along the path of the ulnar nerve. Dissection was carried down to the ulnar nerve.
Vein Stripping
Chronic venous hypertension with painful varicosities, lower extremities, bilaterally. Greater saphenous vein stripping and stab phlebectomies requiring 10 to 20 incisions, bilaterally.
Ventriculostomy Placement
Placement of left ventriculostomy via twist drill. Massive intraventricular hemorrhage with hydrocephalus and increased intracranial pressure.
Video EEG
This is a 43-year-old female with a history of events concerning for seizures. Video EEG monitoring is performed to capture events and/or identify etiology.
Video EEG - 1
The patient has a history of epilepsy and has also had non-epileptic events in the past. Video EEG monitoring is performed to assess whether it is epileptic seizures or non-epileptic events.
Video EEG - 2
EEG during wakefulness, drowsiness, and sleep with synchronous video monitoring demonstrated no evidence of focal or epileptogenic activity.
Video EEG - 3
EEG during wakefulness and light sleep is abnormal with independent, positive sharp wave activity seen in both frontotemporal head regions, more predominant in the right frontotemporal region.
Wilson's Disease - Letter
A pleasant gentleman with a history of Wilson's disease who has been treated with penicillamine.